{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T01:04:03Z","timestamp":1777511043557,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2020,11,26]],"date-time":"2020-11-26T00:00:00Z","timestamp":1606348800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Since the start of the COVID-19 pandemic outpatient medicine has drastically been altered how it is delivered. This time period likely represents the largest volume of telehealth visits in the United States health care history. Telehealth presents unique challenges within each subspecialty, and pediatric otolaryngology is no different. This retrospective review was designed to evaluate our division of pediatric otolaryngology\u2019s experience with telehealth during the COVID19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study was approved by the Institutional Review Board at Vanderbilt University Medical Center. All telehealth and face-to-face visits for the month of April 2020 completed by the Pediatric Otolaryngology Division were reviewed. A survey, utilizing both open-ended questions and Likert scaled questions was distributed to the 16 pediatric otolaryngology providers in our group to reflect their experience with telehealth during the 1-month study period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In April, 2020 our outpatient clinic performed a total of 877 clinic visits compared to 2260 clinic visits in April 2019. A total of 769 (88%) were telehealth visits. Telemedicine with video comprised 523 (68%) and telephone only comprised 246 (32%). There were 0 telehealth visits in April 2019. Interpretive services were required in 9.3% (N\u2009=\u2009211) clinic visits in April 2019 and 7.5% (N\u2009=\u200966) of clinic visits in April 2020. The survey demonstrated a significant difference ( P\u2009&lt;\u2009.00002) in provider\u2019s anticipated telehealth experience (mean 3.94, 95% CI [3.0632, 4.8118] compared to their actual experience after the study period (mean 7.5, 95% CI [7.113, 7.887].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite low initial expectations for telehealth, the majority of our providers felt after 1\u2009month of use that telehealth would continue to be a valuable platform post-pandemic clinical practice. Limited physical exam, particularly otoscopy, nasal endoscopy, and nasolaryngoscopy present challenges. However, with adequate information and preparation for the parents and for the physician some of the obstacles can be overcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489420976163","type":"journal-article","created":{"date-parts":[[2020,11,26]],"date-time":"2020-11-26T04:47:02Z","timestamp":1606366022000},"page":"788-795","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Pediatric Otolaryngology Telehealth in Response to COVID-19 Pandemic: Lessons Learned and Impact on the Future Management of Pediatric Patients"],"prefix":"10.1177","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9490-3694","authenticated-orcid":false,"given":"Ryan H.","family":"Belcher","sequence":"first","affiliation":[{"name":"Pediatric Otolaryngology \u2013 Head and Neck Surgery at Vanderbilt Children\u2019s Hospital, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Phillips","sequence":"additional","affiliation":[{"name":"Pediatric Otolaryngology \u2013 Head and Neck Surgery at Vanderbilt Children\u2019s Hospital, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3746-0820","authenticated-orcid":false,"given":"Frank","family":"Virgin","sequence":"additional","affiliation":[{"name":"Pediatric Otolaryngology \u2013 Head and Neck Surgery at Vanderbilt Children\u2019s Hospital, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay","family":"Werkhaven","sequence":"additional","affiliation":[{"name":"Pediatric Otolaryngology \u2013 Head and Neck Surgery at Vanderbilt Children\u2019s Hospital, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7648-1988","authenticated-orcid":false,"given":"Amy","family":"Whigham","sequence":"additional","affiliation":[{"name":"Pediatric Otolaryngology \u2013 Head and Neck Surgery at Vanderbilt Children\u2019s Hospital, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lyndy","family":"Wilcox","sequence":"additional","affiliation":[{"name":"Pediatric Otolaryngology \u2013 Head and Neck Surgery at Vanderbilt Children\u2019s Hospital, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher T.","family":"Wootten","sequence":"additional","affiliation":[{"name":"Pediatric Otolaryngology \u2013 Head and Neck Surgery at Vanderbilt Children\u2019s Hospital, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,11,26]]},"reference":[{"key":"bibr1-0003489420976163","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2009.0162"},{"key":"bibr2-0003489420976163","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2019.0100"},{"key":"bibr3-0003489420976163","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2014.9983"},{"key":"bibr4-0003489420976163","doi-asserted-by":"publisher","DOI":"10.1089\/153056203763317693"},{"key":"bibr5-0003489420976163","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000003410"},{"key":"bibr6-0003489420976163","unstructured":"World Health Organization. WHO Director-General\u2019s opening remarks at the media briefing on COVID-19\u2014 11 March 2020. Geneva, Switzerland: World Health Organization; 2020. https:\/\/www.who.int\/dg\/speeches\/detail\/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19\u201411-march-2020. Accessed May 8, 2020."},{"key":"bibr7-0003489420976163","unstructured":"White House Website. The President\u2019s coronavirus guidelines for America: 30 days to slow the spread. https:\/\/www.whitehouse.gov\/wp-content\/uploads\/2020\/03\/03.16.20_coronavirus-guidance_8.5x11_315PM.pdf. Accessed May 8, 2020."},{"key":"bibr8-0003489420976163","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102490"},{"key":"bibr9-0003489420976163","unstructured":"Department of Health and Human Services, Centers for Medicare & Medicaid Services. Medicare and Medicaid Programs; policy and regulatory revisions in response to the COVID-19 public health emergency. Fed Regist. 2020;85(66):19230-19292. (available March 30, 2020) https:\/\/www.govinfo.gov\/content\/pkg\/FR-2020-04-06\/pdf\/2020-06990.pdf Accessed May 8, 2020."},{"key":"bibr10-0003489420976163","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.244"},{"key":"bibr11-0003489420976163","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2018.02.007"},{"key":"bibr12-0003489420976163","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2014.0194"},{"key":"bibr13-0003489420976163","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.01.003"},{"key":"bibr14-0003489420976163","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-8-30"},{"key":"bibr15-0003489420976163","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.04.008"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489420976163","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003489420976163","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489420976163","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:34:20Z","timestamp":1777376060000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003489420976163"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,26]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1177\/0003489420976163"],"URL":"https:\/\/doi.org\/10.1177\/0003489420976163","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,26]]}}}