title: Diagnosis and management of new-onset hoarseness: a survey of the American Broncho-Esophagological Association.
abstract: OBJECTIVE
  The recently published Clinical Practice Guideline raised issues related to the value and timing of laryngoscopy in patients with hoarseness. We sought to determine the extent to which these guidelines concur with clinical practice among members of the American Broncho-Esophagological Association (ABEA).
  
  
  METHODS
  A web-based survey was distributed to ABEA members, composed of four sections: 1) background and demographics; 2) information regarding the appropriate length of time that new-onset dysphonia may be managed before laryngeal visualization, given particular comorbidities; 3) the frequency and risks of office-based flexible transnasal laryngoscopy; and 4) the overall value of laryngoscopy and stroboscopy.
  
  
  RESULTS
  Seventy-one ABEA members completed the survey; they had a combined 1,468 years of post-residency experience. Approximately 75% of respondents were involved in a fully academic practice. Across all respondents, an average of 11 patients with new voice complaints were seen per week. Overall, 98.6% of respondents believe that laryngoscopy is very valuable. Stridor in a neonate and potential foreign bodies were both conditions necessitating laryngoscopy on the day of presentation. In patients with no serious underlying condition(s), the mean duration until laryngoscopy was 12.96 days (range, 0 to 30 days).
  
  
  CONCLUSIONS
  These data suggest that the current practice patterns among experts in the field are divergent from the recently published Guideline.
authors.affiliation: New York University Voice Center, Department of Otolaryngology, New York University School of Medicine, New York, New York 10016, USA.
authors.forename: Benjamin C
authors.initials: BC
authors.lastname: Paul
authors.forename: Ryan C
authors.initials: RC
authors.lastname: Branski
authors.forename: Milan R
authors.initials: MR
authors.lastname: Amin
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D001291:Attitude of Health Personnel; D002648:Child; D015897:Comorbidity; D005547:Foreign Bodies / Q000175:diagnosis; D019983:Guideline Adherence; D006685:Hoarseness / Q000209:etiology*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007828:Laryngoscopy; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011331:Private Practice; D012017:Referral and Consultation; D012135:Respiratory Sounds / Q000209:etiology; D049489:Stroboscopy; D011795:Surveys and Questionnaires; D061665:Time-to-Treatment; D014481:United States; D014834:Voice Training