{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:32:47Z","timestamp":1761006767808,"version":"build-2065373602"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,7,1]],"date-time":"2016-07-01T00:00:00Z","timestamp":1467331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>There are multiple nationally representative databases that support epidemiologic and outcomes research, and it is unknown whether an otolaryngology\u2010specific resource would prove indispensable or superfluous. Therefore, our objective was to determine the feasibility of analyses in the National Ambulatory Medical Care Survey (NAMCS) and National Hospital Ambulatory Medical Care Survey (NHAMCS) databases as compared with the otolaryngology\u2010specific Creating Healthcare Excellence through Education and Research (CHEER) database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Parallel analyses in 2 data sets.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Ambulatory visits in the United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>To test a fixed hypothesis that could be directly compared between data sets, we focused on a condition with expected prevalence high enough to substantiate availability in both. This query also encompassed a broad span of diagnoses to sample the breadth of available information. Specifically, we compared an assessment of suspected risk factors for sensorineural hearing loss in subjects 0 to 21 years of age, according to a predetermined protocol. We also assessed the feasibility of 6 additional diagnostic queries among all age groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the NAMCS\/NHAMCS data set, the number of measured observations was not sufficient to support reliable numeric conclusions (percentage standard error among risk factors: 38.6\u201092.1). Analysis of the CHEER database demonstrated that age, sex, meningitis, and cytomegalovirus were statistically significant factors associated with pediatric sensorineural hearing loss (<jats:italic>P<\/jats:italic> &lt;. 01). Among the 6 additional diagnostic queries assessed, NAMCS\/NHAMCS usage was also infeasible; the CHEER database contained 1585 to 212,521\u00a0more observations per annum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>An otolaryngology\u2010specific database has added utility when compared with already available national ambulatory databases.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599816651036","type":"journal-article","created":{"date-parts":[[2016,7,1]],"date-time":"2016-07-01T14:22:21Z","timestamp":1467382941000},"page":"56-64","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Does an Otolaryngology\u2010Specific Database Have Added Value? A Comparative Feasibility Analysis"],"prefix":"10.1002","volume":"155","author":[{"given":"Angela M.","family":"Bellmunt","sequence":"first","affiliation":[{"name":"Ear Nose Throat Department Hospital Universitari de la Vall d\u2019Hebron Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhonda","family":"Roberts","sequence":"additional","affiliation":[{"name":"Duke Clinical Research Institute Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walter T.","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery and Communication Sciences Department of Surgery Duke University Medical Center Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kris","family":"Schulz","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery and Communication Sciences Department of Surgery Duke University Medical Center Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa A.","family":"Pynnonen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Michigan Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew G.","family":"Crowson","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery and Communication Sciences Department of Surgery Duke University Medical Center Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Witsell","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery and Communication Sciences Department of Surgery Duke University Medical Center Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kourosh","family":"Parham","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Department of Surgery University of Connecticut Health Farmington Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Langman","sequence":"additional","affiliation":[{"name":"Puget Sound Hearing &amp; Balance Group Northwest Hospital University of Washington Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Vambutas","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Hofstra North Shore\u2013LIJ School of Medicine Long Island Jewish Medical Center New Hyde Park New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheila E.","family":"Ryan","sequence":"additional","affiliation":[{"name":"Division of Head and Neck Surgery and Communication Sciences Department of Surgery Duke University Medical Center Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer J.","family":"Shin","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2009.04.090105"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.4.403"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811406369"},{"key":"e_1_2_10_5_1","unstructured":"Practice\u2010Based Research Networks. Research in everyday practice.https:\/\/www.pbrn.ahrq.gov\/. Published2015. Accessed December 30 2015."},{"volume-title":"Data Tools and Basic Programming Techniques for the National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey","year":"2010","author":"Hsao CJ","key":"e_1_2_10_6_1"},{"volume-title":"Using Public Use NAMCS and NAMCS Files","year":"2006","author":"Nawar E","key":"e_1_2_10_7_1"},{"key":"e_1_2_10_8_1","unstructured":"Centers for Disease Control and Prevention. NAMCS: National Ambulatory Medical Care Survey.http:\/\/www.cdc.gov\/nchs\/about\/major\/ahcd\/namcsdes.htm. Published2015. Accessed March 25 2015."},{"key":"e_1_2_10_9_1","unstructured":"Centers for Disease Control and Prevention. NHAMCS: National Hospital Ambulatory Medical Care Survey.http:\/\/www.cdc.gov\/nchs\/ahcd\/about_ahcd.htm. Published2015. 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