Concordance between otolaryngologic surgical procedures booked by PAs and procedures ultimately performed.

Authors

Daniel R Tierney, David A Scalzitti, Howard J Ritz, Tiffany Heikel, Reagan Davis, Erin Groft

Published in

JAAPA : official journal of the American Academy of Physician Assistants. Volume 39. Issue 11. Pages e6-e10. Nov 01, 2026. Epub Oct 27, 2026.

Abstract

To evaluate the concordance between otolaryngologic surgical procedures recommended by physician associates (PAs) and those ultimately performed by surgeons across multiple academic medical centers.
A retrospective chart review was conducted across three clinical sites from January 1, 2022, to December 31, 2023. Cases were included if a PA recommended surgery and an operative report was available. Concordance was classified as full, partial, or none. Chi-square and Spearman correlation analyses were used to assess associations with clinical site, PAs' estimated years of experience, patient age, and patient diagnosis.
Of 1,595 cases booked by 16 PAs, 95.9% were fully concordant. Concordance varied by clinical site and individual PA and was positively correlated with PAs' estimated years of experience (ρ = .103; P < .001).
PAs demonstrated high concordance in surgical case booking across multiple academic medical centers. These findings support PA participation in team-based preoperative surgical planning and suggest potential benefits to surgical workflows and access to otolaryngologic care.

PMID:
42934919
Bibliographic data and abstract were imported from PubMed on 27 Oct 2026.

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