{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:15:11Z","timestamp":1758845711957,"version":"3.44.0"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T00:00:00Z","timestamp":1749686400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Unilateral vocal fold paralysis (UVFP) is a debilitating injury that affects a person's ability to communicate and swallow. Although clinical aspects are understood, how UVFP affects a person's employment and job security is poorly characterized. This study aims to elucidate how frequently patients request job accommodations or experience job loss related to UVFP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Thirty\u2010four US tertiary care voice centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed data from a prospective cohort of patients with UVFP recruited from 34 vocal Cord Paralysis Experience (CoPE) collaborative voice centers. Sociodemographic information, clinical and treatment history, and patient\u2010reported outcome measures were collected. Patients also provided employment information, whether they requested job accommodations, and if they experienced job loss due to UVFP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 613 participants (mean age 58 years, 65% women, 84% Caucasian) enrolled in CoPE. In total, 64 (10%) had requested job accommodations, and 46 (7.5%) reported job loss due to UVFP. Women (odds ratio [OR] 2.6, 95% CI: 1.4\u20105.0, <jats:italic>P<\/jats:italic>\u2009=\u2009.004) and participants with higher levels of education were more likely to request work accommodations (OR 4.5, 95% CI: 1.4\u201014.7, <jats:italic>P<\/jats:italic>\u2009=\u2009.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>UVFP has major impacts on employment with 1 in 10 patients requesting job accommodations and 1 in 13 experiencing job loss. Our results raise awareness of the importance of timely, effective treatment for UVFP and should alert treating clinicians to provide support to patients who may require job accommodations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.1334","type":"journal-article","created":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T09:44:07Z","timestamp":1749721447000},"page":"938-946","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Job Accommodations and Job Loss From Unilateral Vocal Fold Paralysis"],"prefix":"10.1002","volume":"173","author":[{"given":"Koffi L.","family":"Lakpa","sequence":"first","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Bowen","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, Division of Otolaryngology\u2013Head and Neck Surgery Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ezra","family":"Menon","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sydney","family":"Ring","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Nordby","sequence":"additional","affiliation":[{"name":"Wisconsin Surgical Outcomes Research Program (WiSOR), Department of Surgery School of Medicine and Public Health University of Wisconsin\u2010Madison Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miranda","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Wisconsin Surgical Outcomes Research Program (WiSOR), Department of Surgery School of Medicine and Public Health University of Wisconsin\u2010Madison Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Arroyo","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, Carbone Cancer Center Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiwei","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Medical Informatics University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Fernandes\u2010Taylor","sequence":"additional","affiliation":[{"name":"Wisconsin Surgical Outcomes Research Program (WiSOR), Department of Surgery School of Medicine and Public Health University of Wisconsin\u2010Madison Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David O.","family":"Francis","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, Division of Otolaryngology\u2013Head and Neck Surgery Madison Wisconsin USA"},{"name":"Wisconsin Surgical Outcomes Research Program (WiSOR), Department of Surgery School of Medicine and Public Health University of Wisconsin\u2010Madison Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"CoPE Collaborative","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21193"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-018-5207-x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/14015439.2014.902497"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-030151"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2014.01.006"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2018.0067"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(97)80002-1"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2015.04.006"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2022.02.006"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2021.1745"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489418803961"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(98)80042-8"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199204000-00008"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2022.1545"},{"key":"e_1_2_9_16_1","unstructured":"Behavioral Risk Factor Surveillance System (BRFSS) questionaires. Centers for Disease Control. Accessed November 12 2024.https:\/\/www.cdc.gov\/brfss\/questionnaires\/index.htm"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2012\/12-0140)"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(99)80010-1"},{"key":"e_1_2_9_20_1","unstructured":"United States Department of Labor's Office of Disability Employment Policy. Job accommodations. United States Department of Labor. Accessed November 12 2024.https:\/\/www.dol.gov\/general\/topic\/disability\/jobaccommodations"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817726528"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/0471249688.ch6"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/1751-0473-3-17"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-020-09954-3"},{"key":"e_1_2_9_25_1","unstructured":"Medical Expenditure Panel Survey (MEPS). Agency for Healthcare Research and Quality. Accessed October 31 2024.https:\/\/datatools.ahrq.gov\/meps-hc\/"},{"key":"e_1_2_9_26_1","unstructured":"Women in the labor force: a databook. 2023. BLS reports. US Bureau of Labor Statistics.https:\/\/www.bls.gov\/opub\/reports\/womens-databook\/2022\/"},{"key":"e_1_2_9_27_1","first-page":"4","article-title":"Differences in workplace accommodations requests among college and high school graduates journal of rehabilitation","volume":"86","author":"Dong S","year":"2020","journal-title":"J Rehabil"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2018.0128"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2022.03.012"},{"key":"e_1_2_9_30_1","first-page":"13","article-title":"The characteristics of small\u2010business employees","volume":"123","author":"Headd B","year":"2000","journal-title":"Monthly Lab Rev"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21169"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24740"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30929"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816639244"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.1334","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T10:30:34Z","timestamp":1758796234000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.1334"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,12]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/ohn.1334"],"URL":"https:\/\/doi.org\/10.1002\/ohn.1334","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2025,6,12]]},"assertion":[{"value":"2024-11-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}