{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T06:04:37Z","timestamp":1790661877227,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["World j. otorhinolaryngol.-head neck surg."],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To characterize patient\u2010initiated communications after transoral robotic surgery (TORS) for human papillomavirus positive (HPV+) oropharyngeal squamous cell carcinoma (OPSCC) and assess associations with 30\u2010day emergency department (ED) presentation and hospital readmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective review of adults undergoing TORS at a single tertiary center (July 2014\u2013October 2021). Patient demographics, tumor characteristics, postoperative outcomes, and communications within 30 days were assessed. Logistic regression assessed associations with 30\u2010day ED presentation or readmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 249 patients (85.1% male; mean age 60.1\u2009\u00b1\u20099.9 years), 179 patients (71.8%) initiated communications, for a total of 448 individual communications (2.5\u2009\u00b1\u20091.8 per patient). Non\u2010medical concerns accounted for 58.0%, with medical concerns accounting for 42.0%. Fifty\u2010seven patients (22.9%) presented to the ED within 30 days; patients with \u2265\u20091 communication had higher ED presentation rates (27.9% vs. 10.0%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). On multivariate logistic regression, \u2265\u20091 communication (OR 2.98, 95% CI 1.12\u20137.87,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03) and longer duration from discharge to first postoperative appointment (OR 1.09, 95% CI 1.01\u20131.17,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03) remained significantly associated with 30\u2010day ED presentation. Notably, triaging providers recommended hospital presentation for only 16.0% of medical complaints.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patient\u2010initiated communications following TORS are common and mostly for logistical reasons. Communication frequency and time to first postoperative visit were predictive of 30\u2010day ED presentation, suggesting that adjusting time to first postoperative appointment, enhanced discharge education, and early postoperative check\u2010ins may be tangible methods to reduce unplanned healthcare utilization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjo2.70177","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T05:54:05Z","timestamp":1790661245000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Audit of Patient Communications Following Transoral Robotic Surgery"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5531-2787","authenticated-orcid":false,"given":"Jonathan","family":"Goulazian","sequence":"first","affiliation":[{"name":"College of Medicine University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5036-8919","authenticated-orcid":false,"given":"Micah K.","family":"Harris","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6938-512X","authenticated-orcid":false,"given":"Kelly","family":"Daniels","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew E.","family":"Spector","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin J.","family":"Contrera","sequence":"additional","affiliation":[{"name":"College of Medicine University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"},{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2076-7589","authenticated-orcid":false,"given":"Joshua D.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seungwon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven B.","family":"Chinn","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Maxwell","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaum S.","family":"Sridharan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery University of Pittsburgh Medical Center Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2022.106248"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2017.11.009"},{"issue":"3","key":"e_1_2_12_4_1","first-page":"155","article-title":"Informed Consent in Head and Neck Surgery: How Much Do Patients Actually Remember","volume":"26","author":"Hekkenberg R. 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