• In a Medicare claims analysis of 19,692 BSD patients, 15% had no CT recorded within one year before the procedure (Romashko et al., JAMA Otolaryngol Head Neck Surg. 2025).
• Thirty-one point eight percent of otolaryngologists met the study’s definition of an outlier (≥10% of their BSDs without a recent CT); 6.1% of physicians accounted for >50% of missed CTs.
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