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Outcomes of a First Point of Contact Speech Language Therapy Clinic for Patients Requiring Vocal Cord Check Pre and Post Thyroid/Parathyroid Surgery

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Title: Outcomes of a First Point of Contact Speech Language Therapy Clinic for Patients Requiring Vocal Cord Check Pre and Post Thyroid/Parathyroid Surgery
Language: English
Authors: Jennifer Davis (ORCID 0009-0004-8735-9688), Elizabeth C. Ward (ORCID 0000-0002-2680-8978), Marnie Seabrook, Justin Gundara (ORCID 0000-0003-1699-1665), Bernard C. S. Whitfield (ORCID 0009-0004-8478-7257)
Source: International Journal of Language & Communication Disorders. 2024 59(3):963-975.
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 13
Publication Date: 2024
Document Type: Journal Articles
Reports - Research
Descriptors: Foreign Countries, Patients, Hospitals, Health Conditions, Surgery, Physiology, Speech Language Pathology, Voice Disorders, Speech Therapy, Speech Evaluation, Patient Education, Clinics
Geographic Terms: Australia
DOI: 10.1111/1460-6984.12976
ISSN: 1368-2822
1460-6984
Abstract: Introduction: Speech Language Therapy First Point of Contact Clinic (SLT-FPOCC) models can assist assessment of low-risk patient populations referred to ear, nose and throat (ENT) services. To further improve ENT waitlist management and compliance with best-practice care, consideration of other low-risk populations that could be safely managed through this service model is needed. The aims of this paper are to evaluate the clinical and service outcomes of completing vocal cord check (VCC) assessments for patients' pre and post thyroid/parathyroid surgery within an SLT-FPOCC model and examine consumer perceptions. Methods & Procedures: The service followed existing SLT-FPOCC procedures, with ENT triaging referrals, then SLT completing pre- and postoperative VCC assessment (interview, perceptual assessment, flexible nasendoscopy), with assessment data later reviewed by ENT to diagnose laryngeal pathology. Clinical and service outcomes were collected prospectively. Patients completed an anonymous post-service satisfaction survey. Results: Of the first 100 patients referred for preoperative VCCs, SLT assessment identified 42 with dysphonia and 30 reporting dysphagia, while ENT confirmed 9 with significant preoperative anatomical findings. Eighty-three underwent surgery, with 63 (95 nerves at surgical risk) returning for a postoperative VCC. Postoperative VCC identified three temporary neuropraxias (3.2%) and three unilateral vocal fold paresis (3.2%). Patients were highly satisfied with the service. All 163 pre-/postoperative VCCs were completed with no adverse events. Conclusion & Implications: The current data support SLT-FPOCC service expansion to include pre and post thyroid/parathyroid surgery VCC checks, with positive consumer perception. The model supports delivery of best practice management (i.e., pre- and postoperative VCC) for patients receiving surgery for thyroid/parathyroid dysfunction, and associated efficiencies for ENT services.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1423513
Database: ERIC
FullText Text:
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  Data: Outcomes of a First Point of Contact Speech Language Therapy Clinic for Patients Requiring Vocal Cord Check Pre and Post Thyroid/Parathyroid Surgery
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Jennifer+Davis%22">Jennifer Davis</searchLink> (ORCID <externalLink term="https://orcid.org/0009-0004-8735-9688">0009-0004-8735-9688</externalLink>)<br /><searchLink fieldCode="AR" term="%22Elizabeth+C%2E+Ward%22">Elizabeth C. Ward</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-2680-8978">0000-0002-2680-8978</externalLink>)<br /><searchLink fieldCode="AR" term="%22Marnie+Seabrook%22">Marnie Seabrook</searchLink><br /><searchLink fieldCode="AR" term="%22Justin+Gundara%22">Justin Gundara</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-1699-1665">0000-0003-1699-1665</externalLink>)<br /><searchLink fieldCode="AR" term="%22Bernard+C%2E+S%2E+Whitfield%22">Bernard C. S. Whitfield</searchLink> (ORCID <externalLink term="https://orcid.org/0009-0004-8478-7257">0009-0004-8478-7257</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22International+Journal+of+Language+%26+Communication+Disorders%22"><i>International Journal of Language & Communication Disorders</i></searchLink>. 2024 59(3):963-975.
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  Data: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
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  Data: 13
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  Data: 2024
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Hospitals%22">Hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Conditions%22">Health Conditions</searchLink><br /><searchLink fieldCode="DE" term="%22Surgery%22">Surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Physiology%22">Physiology</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+Language+Pathology%22">Speech Language Pathology</searchLink><br /><searchLink fieldCode="DE" term="%22Voice+Disorders%22">Voice Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+Therapy%22">Speech Therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+Evaluation%22">Speech Evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+Education%22">Patient Education</searchLink><br /><searchLink fieldCode="DE" term="%22Clinics%22">Clinics</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Australia%22">Australia</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1111/1460-6984.12976
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 1368-2822<br />1460-6984
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: Speech Language Therapy First Point of Contact Clinic (SLT-FPOCC) models can assist assessment of low-risk patient populations referred to ear, nose and throat (ENT) services. To further improve ENT waitlist management and compliance with best-practice care, consideration of other low-risk populations that could be safely managed through this service model is needed. The aims of this paper are to evaluate the clinical and service outcomes of completing vocal cord check (VCC) assessments for patients' pre and post thyroid/parathyroid surgery within an SLT-FPOCC model and examine consumer perceptions. Methods & Procedures: The service followed existing SLT-FPOCC procedures, with ENT triaging referrals, then SLT completing pre- and postoperative VCC assessment (interview, perceptual assessment, flexible nasendoscopy), with assessment data later reviewed by ENT to diagnose laryngeal pathology. Clinical and service outcomes were collected prospectively. Patients completed an anonymous post-service satisfaction survey. Results: Of the first 100 patients referred for preoperative VCCs, SLT assessment identified 42 with dysphonia and 30 reporting dysphagia, while ENT confirmed 9 with significant preoperative anatomical findings. Eighty-three underwent surgery, with 63 (95 nerves at surgical risk) returning for a postoperative VCC. Postoperative VCC identified three temporary neuropraxias (3.2%) and three unilateral vocal fold paresis (3.2%). Patients were highly satisfied with the service. All 163 pre-/postoperative VCCs were completed with no adverse events. Conclusion & Implications: The current data support SLT-FPOCC service expansion to include pre and post thyroid/parathyroid surgery VCC checks, with positive consumer perception. The model supports delivery of best practice management (i.e., pre- and postoperative VCC) for patients receiving surgery for thyroid/parathyroid dysfunction, and associated efficiencies for ENT services.
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        Type: general
      – SubjectFull: Patients
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      – SubjectFull: Hospitals
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      – SubjectFull: Australia
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      – TitleFull: Outcomes of a First Point of Contact Speech Language Therapy Clinic for Patients Requiring Vocal Cord Check Pre and Post Thyroid/Parathyroid Surgery
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