{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T23:42:17Z","timestamp":1772840537933,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T00:00:00Z","timestamp":1656028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>We aimed to assess the relationship between patient\u2010performed and patient\u2010reported peak flow meter (PFM) measurements with pulmonary function testing (PFT) and Dyspnea Index (DI) scores as a tool for monitoring Subglottic stenosis (SGS) disease progression remotely.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010five SGS patients were prospectively enrolled. Patients were given PFMs to report serial measurements from home. DI scores and PFT were recorded at serial clinic visits. Data were analyzed to determine the correlation between PFM measurements and PFT data. Pre\u2010operative and post\u2010operative PFM measurements, PFT, and DI scores were analyzed for patients who underwent operative intervention. Receiver operating characteristic (ROC) curves were created for PFM measurements, PFT data, and DI scores to predict the likelihood of surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>PFM measurements had a \u201cstrong\u201d correlation with the peak expiratory flow rate (PEFR), r\u00a0=\u00a00.78. Means of PEFR, PIFR, EDI, PFM measurements, and DI scores all significantly improved after the operative intervention (<jats:italic>p<\/jats:italic>\u2009\u2264\u20090.05). The area under the curve for ROC curves for DI scores, PFM measurements, and EDI were highest in our cohort with values of 0.896, 0.823, and 0.806, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our SGS cohort, PFM measurements correlate strongly with PEFR measurements. PFM measurements can adequately demonstrate disease progression and predict the need for surgery in this patient population. Together, DI scores and PFM measurements may be a useful tool to remotely follow patients with SGS and inform timing of in\u2010person assessments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2 <jats:italic>Laryngoscope<\/jats:italic>, 133:628\u2013633, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30257","type":"journal-article","created":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T12:08:31Z","timestamp":1656072511000},"page":"628-633","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Can the Remote Use of a Peak Flow Meter Predict Severity of Subglottic Stenosis and Surgical Timing?"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6832-5077","authenticated-orcid":false,"given":"Meredith","family":"Park","sequence":"first","affiliation":[{"name":"School of Medicine University of North Carolina  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5703-3706","authenticated-orcid":false,"given":"Kevin","family":"Tie","sequence":"additional","affiliation":[{"name":"School of Medicine University of North Carolina  Chapel Hill North Carolina USA"},{"name":"Division of Otolaryngology\u2010Head and Neck Surgery Beth Israel Deaconess Medical Center  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of North Carolina  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Hall","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of North Carolina  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A.","family":"Buckmire","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of North Carolina  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rupali N.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of North Carolina  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2018.03.02"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/LARY.28337\/FORMAT\/PDF"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/LARY.26098"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/JAMAOTO.2013.1135"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2018.2717"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414548915"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/LARY.28678"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JVOICE.2013.12.017"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/S41533-017-0036-8"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/S12016-011-8261-3"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/LARY.29760"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/LARY.24192"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002864"},{"issue":"2","key":"e_1_2_7_15_1","first-page":"627","article-title":"Receiver operating characteristic (ROC) curve analysis for medical diagnostic test evaluation","volume":"4","author":"Hajian\u2010Tilaki K","year":"2013","journal-title":"Caspian J Intern Med"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.22037\/emergency.v4i2.11903"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.21037\/JTD.2019.11.43"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/LARY.23638"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818815068"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30257","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.30257","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30257","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T05:11:36Z","timestamp":1692508296000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.30257"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,24]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1002\/lary.30257"],"URL":"https:\/\/doi.org\/10.1002\/lary.30257","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,24]]},"assertion":[{"value":"2022-03-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}