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Development and Assessment of an Otolaryngology-Specific Surgical Priority Scoring System
OBJECTIVE: To develop and assess an otolaryngology-specific surgical priority scoring system that incorporates varying levels of mucosal involvement. STUDY DESIGN: Retrospective cohort. SETTING: Academic medical center. METHODS: A novel mucosal score was developed based on best available evidence. T...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8114268/ https://www.ncbi.nlm.nih.gov/pubmed/34017936 http://dx.doi.org/10.1177/2473974X211012664 |
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author | Sharma, Arun Matos, Sophia Ettema, Sandra L. Gregory, Stacie R. Javadi, Pardis Johnson, Matthew D. Stack, Brendan C. Crosby, Dana L. |
author_facet | Sharma, Arun Matos, Sophia Ettema, Sandra L. Gregory, Stacie R. Javadi, Pardis Johnson, Matthew D. Stack, Brendan C. Crosby, Dana L. |
author_sort | Sharma, Arun |
collection | PubMed |
description | OBJECTIVE: To develop and assess an otolaryngology-specific surgical priority scoring system that incorporates varying levels of mucosal involvement. STUDY DESIGN: Retrospective cohort. SETTING: Academic medical center. METHODS: A novel mucosal score was developed based on best available evidence. This mucosal score was incorporated into the Medically Necessary, Time-Sensitive (MeNTS) score to generate a MeNTS-Mucosal (MeNTS-M) score. A retrospective cohort of patients was identified to assess the surgical priority scoring systems. Inclusion criteria included all scheduled surgical procedures between March 23, 2020, and April 17, 2020. Decisions about whether to proceed or cancel were made based on best clinical judgment by surgeons, without use of any surgical priority scores. The predictive value of the surgical priority scoring systems was assessed in this retrospective cohort. RESULTS: The median MeNTS score was significantly lower in adult patients whose surgery proceeded compared to those for whom the surgery was cancelled (48 vs 56; P = .004). Mucosal and MeNTS-M scores were not statistically different based on whether surgery proceeded. Among adult patients, the highest area under the curve (AUC) was for the MeNTS scoring system (0.794); both the mucosal and MeNTS-M systems had lower AUC values (which were significantly lower than the AUC for the MeNTS scoring system). CONCLUSION: This study represents development and assessment of the first otolaryngology-specific surgical priority score and incorporates varying levels of mucosal disruption. The combined MeNTS-M scoring system could be a valuable tool in appropriately triaging otolaryngology–head and neck surgery procedures. |
format | Online Article Text |
id | pubmed-8114268 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-81142682021-05-19 Development and Assessment of an Otolaryngology-Specific Surgical Priority Scoring System Sharma, Arun Matos, Sophia Ettema, Sandra L. Gregory, Stacie R. Javadi, Pardis Johnson, Matthew D. Stack, Brendan C. Crosby, Dana L. OTO Open Original Research OBJECTIVE: To develop and assess an otolaryngology-specific surgical priority scoring system that incorporates varying levels of mucosal involvement. STUDY DESIGN: Retrospective cohort. SETTING: Academic medical center. METHODS: A novel mucosal score was developed based on best available evidence. This mucosal score was incorporated into the Medically Necessary, Time-Sensitive (MeNTS) score to generate a MeNTS-Mucosal (MeNTS-M) score. A retrospective cohort of patients was identified to assess the surgical priority scoring systems. Inclusion criteria included all scheduled surgical procedures between March 23, 2020, and April 17, 2020. Decisions about whether to proceed or cancel were made based on best clinical judgment by surgeons, without use of any surgical priority scores. The predictive value of the surgical priority scoring systems was assessed in this retrospective cohort. RESULTS: The median MeNTS score was significantly lower in adult patients whose surgery proceeded compared to those for whom the surgery was cancelled (48 vs 56; P = .004). Mucosal and MeNTS-M scores were not statistically different based on whether surgery proceeded. Among adult patients, the highest area under the curve (AUC) was for the MeNTS scoring system (0.794); both the mucosal and MeNTS-M systems had lower AUC values (which were significantly lower than the AUC for the MeNTS scoring system). CONCLUSION: This study represents development and assessment of the first otolaryngology-specific surgical priority score and incorporates varying levels of mucosal disruption. The combined MeNTS-M scoring system could be a valuable tool in appropriately triaging otolaryngology–head and neck surgery procedures. SAGE Publications 2021-05-04 /pmc/articles/PMC8114268/ /pubmed/34017936 http://dx.doi.org/10.1177/2473974X211012664 Text en © The Authors 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Sharma, Arun Matos, Sophia Ettema, Sandra L. Gregory, Stacie R. Javadi, Pardis Johnson, Matthew D. Stack, Brendan C. Crosby, Dana L. Development and Assessment of an Otolaryngology-Specific Surgical Priority Scoring System |
title | Development and Assessment of an Otolaryngology-Specific Surgical Priority Scoring System |
title_full | Development and Assessment of an Otolaryngology-Specific Surgical Priority Scoring System |
title_fullStr | Development and Assessment of an Otolaryngology-Specific Surgical Priority Scoring System |
title_full_unstemmed | Development and Assessment of an Otolaryngology-Specific Surgical Priority Scoring System |
title_short | Development and Assessment of an Otolaryngology-Specific Surgical Priority Scoring System |
title_sort | development and assessment of an otolaryngology-specific surgical priority scoring system |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8114268/ https://www.ncbi.nlm.nih.gov/pubmed/34017936 http://dx.doi.org/10.1177/2473974X211012664 |
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