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Otitis Media with Effusion: Our National Practice.
Otolaryngol Head Neck Surg. 2017 08; 157(2):171-172.OH

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.

Authors+Show Affiliations

1 Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, USA.2 Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York, USA.1 Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28535139

Citation

Roditi, Rachel E., et al. "Otitis Media With Effusion: Our National Practice." Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, vol. 157, no. 2, 2017, pp. 171-172.
Roditi RE, Rosenfeld RM, Shin JJ. Otitis Media with Effusion: Our National Practice. Otolaryngol Head Neck Surg. 2017;157(2):171-172.
Roditi, R. E., Rosenfeld, R. M., & Shin, J. J. (2017). Otitis Media with Effusion: Our National Practice. Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 157(2), 171-172. https://doi.org/10.1177/0194599817703056
Roditi RE, Rosenfeld RM, Shin JJ. Otitis Media With Effusion: Our National Practice. Otolaryngol Head Neck Surg. 2017;157(2):171-172. PubMed PMID: 28535139.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Otitis Media with Effusion: Our National Practice. AU - Roditi,Rachel E, AU - Rosenfeld,Richard M, AU - Shin,Jennifer J, Y1 - 2017/05/23/ PY - 2017/5/24/pubmed PY - 2017/9/12/medline PY - 2017/5/24/entrez KW - antibiotic KW - antihistamine KW - child KW - nasal steroid KW - oral steroid KW - otitis media with effusion KW - pediatric KW - performance metrics KW - prescribing KW - quality SP - 171 EP - 172 JF - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JO - Otolaryngol Head Neck Surg VL - 157 IS - 2 N2 - 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. SN - 1097-6817 UR - https://www.unboundmedicine.com/medline/citation/28535139/Otitis_Media_with_Effusion:_Our_National_Practice_ L2 - https://journals.sagepub.com/doi/10.1177/0194599817703056?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -