Evidence map›Paper›PMID 22558393›Full record

SynthesisPloS one2012

Burden of disease caused by otitis media: systematic review and global estimates.

Lorenzo Monasta, Luca Ronfani, Federico Marchetti, Marcella Montico, Liza Vecchi Brumatti, Alessandro Bavcar, Domenico Grasso, Chiara Barbiero, Giorgio Tamburlini

2 registry-linked trialsOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 472 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
472citing papers in PubMed, 17 pooled it
27.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03429036 recruitingnot on this mapstarted 2018, after this paper: background citation

Biospecimen Procurement for the Study of Head and Neck Disorders

TypeobservationalSponsorNational Cancer Institute (NCI)Ran2018 to 2029Enrolled1,000ConditionsHearing Disorder, Oral Mucosal Disease, Pharyngeal Neoplasm, Head and Neck Neoplasms
NCT05429541 unknown statusnot on this mapstarted 2023, after this paper: background citation

Pneumococcal Carriage and Serotype Distribution in Children With Otitis Media in Malaysia.

TypeobservationalSponsorIMU University, MalaysiaRan2023 to 2025Enrolled360ConditionsStreptococcus Pneumonia, Otitis Media
3 · Its place in the literature

Who cites it

472 citing papers in PubMed, 17 syntheses or guidelines pooled it, 1,069 citations in OpenAlex.

  1. Pooled it
  2. Systemic antibiotics for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Topical antibiotics for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025
    Pooled it
  4. Topical antibiotics with steroids for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025
    Pooled it
  5. Aural toilet (ear cleaning) for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025
    Pooled it
  6. Antibiotics versus topical antiseptics for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025
    Pooled it
  7. Topical versus systemic antibiotics for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025
    Pooled it
  8. Topical antiseptics for chronic suppurative otitis media.The Cochrane database of systematic reviews · 2025
    Pooled it
  9. Pooled it
  10. Pooled it
  11. A Systematic Review and Meta-Analysis of the Efficacy of Antimicrobial Chemoprophylaxis for Recurrent Acute Otitis Media in Children.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025
    Pooled it
  12. Pooled it
  13. Pooled it
  14. Pooled it
  15. Antibiotics for acute otitis media in children.The Cochrane database of systematic reviews · 2023
    Pooled it
  16. Pooled it
  17. Pooled it
  18. Trial
  19. Trial
  20. Trial

412 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Lorenzo MonastaEpidemiology and Biostatistics Unit, Institute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy. monasta@burlo.trieste.it
Luca Ronfani
Federico Marchetti
Marcella Montico
Liza Vecchi Brumatti
Alessandro Bavcar
Domenico Grasso
Chiara Barbiero
Giorgio Tamburlini
IRCCS Materno Infantile Burlo Garofolo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOtitis media (OM) is a leading cause of health care visits and drugs prescription. Its complications and sequelae are important causes of preventable hearing loss, particularly in developing countries. Within the Global Burden of Diseases, Injuries, and Risk Factors Study, for the year 2005 we estimated the incidence of acute OM, chronic suppurative OM, and related hearing loss and mortality for all ages and the 21 WHO regional areas.

methodsWe identified risk factors, complications and sequelae of OM. We carried out an extensive literature review (Medline, Embase, Lilacs and Wholis) which lead to the selection of 114 papers comprising relevant data. Data were available from 15 of the 21 WHO regions. To estimate incidence and prevalence for all countries we adopted a two stage approach based on risk factors formulas and regression modelling.

resultsAcute OM incidence rate is 10.85% i.e. 709 million cases each year with 51% of these occurring in under-fives. Chronic suppurative OM incidence rate is 4.76 ‰ i.e. 31 million cases, with 22.6% of cases occurring annually in under-fives. OM-related hearing impairment has a prevalence of 30.82 per ten-thousand. Each year 21 thousand people die due to complications of OM.

conclusionsOur study is the first attempt to systematically review the available information and provide global estimates for OM and related conditions. The overall burden deriving from AOM, CSOM and their sequelae is considerable, particularly in the first five years of life and in the poorest countries. The findings call for incorporating OM-focused action within preventive and case management strategies, with emphasis on the more affected.

Indexed as

Cost of IllnessInternationalityHearing LossHumansOtitis Media

Identifiers

PMID22558393
PMCPMC3340347
OpenAlexW2169729911

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.