{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:49:45Z","timestamp":1788871785111,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,11,21]],"date-time":"2013-11-21T00:00:00Z","timestamp":1384992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2013,11,21]],"date-time":"2013-11-21T00:00:00Z","timestamp":1384992000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100005193","name":"American Academy of Otolaryngology-Head and Neck Surgery","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005193","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Accurate diagnosis of a voice disorder is an essential first step toward its appropriate treatment. We examined differences in laryngeal diagnosis over time in outpatients evaluated by primary care physicians (PCPs) and\/or otolaryngologists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design and Setting<\/jats:title>\n                    <jats:p>Retrospective analysis of data from a large, national administrative US claims database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods<\/jats:title>\n                    <jats:p>\n                      Patients with laryngeal disorders based on\n                      <jats:italic>International Classification of Diseases, Ninth Revision, Clinical Modification<\/jats:italic>\n                      codes from January 1, 2004, to December 31, 2008, with at least 2 outpatient visits by a PCP and\/or otolaryngologist and continuously enrolled for 12\u00a0months were included. The initial and final laryngeal diagnoses were tabulated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of approximately 55\u00a0million individuals, 29,501\u00a0met inclusion criteria. More than half the patients in the PCP to otolaryngology group and one\u2010third of the otolaryngology to otolaryngology group had different laryngeal diagnoses over time. Three\u2010fourths of patients with an initial acute laryngitis diagnosis in the PCP to otolaryngology group and half of the otolaryngology to otolaryngology group had a different final laryngeal diagnosis. Of patients with a final laryngeal cancer diagnosis, one\u2010fourth of the otolaryngology to otolaryngology group had an initial diagnosis of nonspecific dysphonia, and one\u2010fifth of the PCP to otolaryngology group had an initial diagnosis of acute laryngitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Differential diagnosis of voice disorders often evolves over time. The impact on treatment and health care utilization are important areas of future study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0194599813512982","type":"journal-article","created":{"date-parts":[[2013,11,21]],"date-time":"2013-11-21T21:07:05Z","timestamp":1385068025000},"page":"95-102","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Diagnosis Change in Voice\u2010Disordered Patients Evaluated by Primary Care and\/or Otolaryngology: A Longitudinal Study"],"prefix":"10.1002","volume":"150","author":[{"given":"Seth M.","family":"Cohen","sequence":"first","affiliation":[{"name":"Duke Voice Care Center Division of Otolaryngology\u2013Head &amp; Neck Surgery Duke University Medical Center Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela A.","family":"Dinan","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders Division of Otolaryngology\u2013Head &amp; Neck Surgery (Adjunct) University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaewhan","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Public Health &amp; Study Design and Biostatistics Center University of Utah Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Courey","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery University of California\u2013San Francisco San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,11,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23189"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23197"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000179174.32345.41"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21058"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20696"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21169"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23603"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22426"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941212101001"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813485360"},{"key":"e_1_2_8_12_1","first-page":"CD004783","article-title":"Antibiotics for acute laryngitis in adults","volume":"2","author":"Reveiz L","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_13_1","unstructured":"ShahRN AltmanKW WooP.Discrepancies in laryngeal diagnoses between otolaryngologists: a descriptive review.http:\/\/www.triomeetingposters.org\/wp\u2010content\/uploads\/2013\/01\/099.pdf. 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