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Otitis Media with Effusion: Our National Practice.

Authors
  • Roditi, Rachel E1
  • Rosenfeld, Richard M2
  • Shin, Jennifer J1
  • 1 1 Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, USA.
  • 2 2 Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York, USA.
Type
Published Article
Journal
Otolaryngology
Publisher
SAGE Publications
Publication Date
Aug 01, 2017
Volume
157
Issue
2
Pages
171–172
Identifiers
DOI: 10.1177/0194599817703056
PMID: 28535139
Source
Medline
Keywords
License
Unknown

Abstract

Otitis media with effusion (OME) is the focus of an updated multidisciplinary clinical practice guideline published by the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) and the American Academy of Pediatrics (AAP). Based on data from clinical trials, the guideline recommends against using antihistamines, antibiotics, oral steroids, and intranasal steroids for OME. To understand practice patterns related to these guidelines, we assessed nationally representative data. Despite controlling for age, sex, race/ethnicity, and other potential confounders individualized for each medication class, an increased risk of antihistamine (odds ratio [OR], 3.53), antibiotic (OR, 4.31), and intranasal steroid administration (OR, 3.58) was seen when OME was diagnosed. These analyses have demonstrated opportunities for quality improvement in the care of patients with OME, quantifying gaps in practice relevant to proposed quality measures. Education targeted according to practice setting may facilitate appropriate therapy and/or referral for definitive intervention in children with OME.

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