{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T22:02:13Z","timestamp":1791669733429,"version":"4.3.4"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,6,4]],"date-time":"2020-06-04T00:00:00Z","timestamp":1591228800000},"content-version":"vor","delay-in-days":64,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine if a Canadian voice center is meeting the recommended time to laryngoscopy for hoarseness per the clinical practice guideline of the American Academy of Otolaryngology\u2013Head and Neck Surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective chart audit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary referral Canadian voice center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants and Methods<\/jats:title><jats:p>A total of 149 adult patients presenting with hoarseness over 6\u00a0months were included. Primary outcome measures were the time from onset of symptoms to laryngoscopy and the time from referral to laryngoscopy. Secondary outcome measures included patient\u2010 and disease\u2010modifying factors, diagnosis, and clinical management. Analysis was performed to determine what factors were associated with meeting the guideline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients were evaluated by the laryngologist after 21.9 \u00b1 37.6\u00a0months (mean \u00b1 SD) of symptoms. One\u2010third (34.2%) of patients were seen within 3\u00a0months; 10.7% were seen within 4 weeks. Logistic regression showed that patients with neurologic symptoms (odds ratio, 4.04; 95% CI, 1.31\u201012.43; <jats:italic>P<\/jats:italic> =. 015) and endotracheal intubation (odds ratio, 5.94; 95% CI, 2.21\u201015.95; <jats:italic>P<\/jats:italic> &lt;. 001) were associated with being seen within 3\u00a0months. Patients who had recent intubation (odds ratio, 6.04; 95% CI, 1.99\u201018.34; <jats:italic>P<\/jats:italic> =. 002) were associated with being seen within 4 weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>It is an ongoing challenge for our Canadian voice center to meet the American Academy of Otolaryngology\u2013Head and Neck Surgery\u2019s clinical practice guideline for recommended time to laryngoscopy. Patients with more severe pathologies were consistently triaged more urgently. It is debatable whether this 4\u2010week time recommendation is generalizable to a socialized health care system.<\/jats:p><\/jats:sec>","DOI":"10.1177\/2473974x20932500","type":"journal-article","created":{"date-parts":[[2020,6,4]],"date-time":"2020-06-04T13:14:00Z","timestamp":1591276440000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Time to Laryngoscopy for Hoarseness in Canada: Are the American Academy of Otolaryngology Guidelines Feasible?"],"prefix":"10.1002","volume":"4","author":[{"given":"Joel","family":"Howlett","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Department of Surgery University of British Columbia Vancouver Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Singer","sequence":"additional","affiliation":[{"name":"School of Population and Public Health University of British Columbia Vancouver 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