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Volume and Practice-Setting Shift of Laryngology Procedures During the COVID-19 Pandemic: A Reg-ENT Database Analysis

Raluca Gray1, Marisa A Ryan2, Vikas Mehta3

  • 1Department of Otolaryngology-Head and Neck Surgery University of Minnesota Minneapolis Minnesota USA.

OTO Open
|April 9, 2024
PubMed

Insights

The COVID-19 pandemic saw a 42% increase in laryngology procedures, with a significant shift towards office-based settings. This trend highlights changes in healthcare delivery for voice and airway conditions.

Area of Science:

  • Otolaryngology
  • Health Services Research

Background:

  • The COVID-19 pandemic significantly altered medical practice patterns globally.
  • Laryngology procedures, crucial for voice and airway conditions, may have been impacted in terms of volume and delivery setting.

Purpose of the Study:

  • To evaluate changes in the volume and location setting of laryngology procedures following the onset of the COVID-19 pandemic.

Main Methods:

  • A retrospective database cohort study was conducted using data from the Reg-ENT registry.
  • Patient data from 2017 to 2022 were reviewed, categorizing procedures as pre-COVID (before March 2020) and COVID periods.
  • Procedures were classified by site of service: 'ambulatory surgical' versus 'office' setting.

Main Results:

  • A total of 5989 laryngology procedures were analyzed.
  • The COVID period showed a 42% increase in procedures (3780) compared to the pre-COVID period (2209).
  • There was a procedural shift from ambulatory surgical settings (30% pre-COVID to 23% COVID) towards office settings (70% pre-COVID to 77% COVID).
  • Common diagnoses included vocal fold paralysis (47%), dysphonia (33%), and laryngotracheal stenosis (14%).
  • Significant increases in diagnoses were observed during the COVID period: laryngotracheal stenosis (93%), dysphonia (70%), and vocal fold paralysis (69%).

Conclusions:

  • The study identified an increase in laryngology procedures post-COVID-19 onset.
  • A notable procedural shift towards office-based settings was observed during the pandemic.
Abstract

Keywords:
COVID‐19laryngologyoffice‐based procedures

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