Addressing the need for an efficient and effective infrastructure for clinical research in otolaryngology-related disorders, a practice-based research network has been developed under an NIDCD infrastructure grant [DC-07-002]. Entering its fifth and final year of the grant, the CHEER Network - Creating Healthcare Excellence through Education and Research - has evolved to a peer to peer collaboration affiliated in mission to investigate questions that seek to increase and improve medical evidence for effectiveness and quality of care in the ambulatory-based practice setting. The network has been successful in not only recruiting, training and maintaining active sites, but proving the power of the network in deploying a data collection project that enrolled 1,500 patients in only 8 months. CHEER is now ready to extend the CHEER infrastructure into active conduct of research relevant to the otolaryngology community. The achievements thus far have made the network's mission to become a national resource for practice-based clinical research [] a tenable reality. This application ensures that the success of the CHEER network continues, ultimately becoming a sustainable resource to researchers in otolaryngology and the broader community for clinical trials, epidemiologic, comparative effectiveness and health services research needs.

Public Health Relevance

Healthcare reform, without adequate clinical research and evidence, threatens to impact the treatment options and decisions for patients and their healthcare providers. Loss of hearing and ability to communicate with friends and family is a major risk factor for loss of cognitive function, making it a priority public health concern. With National Health Expenditures growing as a percent of the GDP, estimated at upwards of 20% by 2015, there needs to be investment in the hearing and

National Institute of Health (NIH)
National Institute on Deafness and Other Communication Disorders (NIDCD)
Resource-Related Research Projects--Cooperative Agreements (U24)
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Study Section
Special Emphasis Panel (ZDC1-SRB-K (18))
Program Officer
Donahue, Amy
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Duke University
Schools of Medicine
United States
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Bellmunt, Angela M; Roberts, Rhonda; Lee, Walter T et al. (2016) Does an Otolaryngology-Specific Database Have Added Value? A Comparative Feasibility Analysis. Otolaryngol Head Neck Surg 155:56-64
Lee, Walter T; Witsell, David L; Parham, Kourosh et al. (2016) Tonsillectomy Bleed Rates across the CHEER Practice Research Network: Pursuing Guideline Adherence and Quality Improvement. Otolaryngol Head Neck Surg 155:28-32
Crowson, Matthew G; Schulz, Kristine; Parham, Kourosh et al. (2016) Ménière's Disease: A CHEER Database Study of Local and Regional Patient Encounter and Procedure Patterns. Otolaryngol Head Neck Surg 155:15-21
Parham, Kourosh; Chapurin, Nikita; Schulz, Kris et al. (2016) Thyroid Disease and Surgery in CHEER: The Nation's Otolaryngology-Head and Neck Surgery Practice-Based Network. Otolaryngol Head Neck Surg 155:22-7
Piker, Erin G; Schulz, Kris; Parham, Kourosh et al. (2016) Variation in the Use of Vestibular Diagnostic Testing for Patients Presenting to Otolaryngology Clinics with Dizziness. Otolaryngol Head Neck Surg 155:42-7
Kachniarz, Bart; Chen, Jenny X; Gilani, Sapideh et al. (2015) Diagnostic yield of MRI for pediatric hearing loss: a systematic review. Otolaryngol Head Neck Surg 152:5-22
Kyle, Meghann Elizabeth; Wang, James C; Shin, Jennifer J (2015) Ubiquitous aspirin: a systematic review of its impact on sensorineural hearing loss. Otolaryngol Head Neck Surg 152:23-41
Kyle, Meghann E; Wang, James C; Shin, Jennifer J (2015) Impact of nonaspirin nonsteroidal anti-inflammatory agents and acetaminophen on sensorineural hearing loss: a systematic review. Otolaryngol Head Neck Surg 152:393-409
Chen, Jenny X; Kachniarz, Bart; Shin, Jennifer J (2014) Diagnostic yield of computed tomography scan for pediatric hearing loss: a systematic review. Otolaryngol Head Neck Surg 151:718-39
Chen, Jenny X; Kachniarz, Bart; Gilani, Sapideh et al. (2014) Risk of malignancy associated with head and neck CT in children: a systematic review. Otolaryngol Head Neck Surg 151:554-66

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