Evidence map›Paper›PMID 27457584›Full record

Observational studyBMC pediatrics2016

Incidence of acute otitis media in children below 6 years of age seen in medical practices in five East European countries.

Vytautas Usonis, Teresa Jackowska, Sigita Petraitiene, Alicja Sapala, Andrea Neculau, Izabella Stryjewska, Raghavendra Devadiga, Monica Tafalla, Katsiaryna Holl

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01365390 (To Evaluate Incidence of Acute Otitis Media in Children Aged < 6 Years in Five East European Countries), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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.

NCT01365390 completednot on this map

To Evaluate Incidence of Acute Otitis Media in Children Aged < 6 Years in Five East European Countries

TypeobservationalSponsorGlaxoSmithKlineRan2011 to 2012Enrolled2,258ConditionsInfections, StreptococcalArmsData collection (Retrospective), Data collection (Prospective)
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. 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
  2. Pooled it
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  7. Otitis Media Prevalence in Children Below 18 Years of Age of India and the Associated Risk Factors: A Systematic Review and Meta-Analysis.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
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  13. Review
  14. The LuxS/AI-2 Quorum-Sensing System ofFrontiers in cellular and infection microbiology · 2018
    Article
  15. Review
  16. The Effect of Breastfeeding on Childhood Otitis Media.Current allergy and asthma reports · 2017
    Review
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 6 institutions in 5 countries.

Vytautas UsonisFaculty of Medicine, Clinic of Children Diseases, Vilnius University, Santariskiu 4, LT-08406, Vilnius, Lithuania. vytautas.usonis@mf.vu.lt.ORCID 0000-0003-2703-3446
Teresa JackowskaDepartment of Pediatrics, The Centre of Postgraduate Medical Education, Warsaw, Poland.
Sigita PetraitieneFaculty of Medicine, Clinic of Children Diseases, Vilnius University, Santariskiu 4, LT-08406, Vilnius, Lithuania.
Alicja SapalaDepartment of Pediatrics, Bielanski Hospital, Warsaw, Poland.
Andrea NeculauFaculty of Medicine, Department of Fundamental and Prophylactic Sciences, University Transilvania Brasov, Brasov, Romania.
Izabella StryjewskaGSK Vaccines, Warsaw, Poland.
Raghavendra DevadigaGSK Pharmaceuticals Ltd, Bangalore, India.
Monica TafallaGSK Vaccines, Wavre, Belgium.
Katsiaryna HollGSK Vaccines, Wavre, Belgium.
GlaxoSmithKline (Belgium) · BEVilnius University · LTGlaxoSmithKline (India) · INGlaxoSmithKline (Poland) · PLPostgraduate School of Molecular Medicine · PLTransylvania University of Brașov · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough acute otitis media (AOM) remains a major public health problem worldwide and brings economic burden on health care system and caregivers, little information is available about its epidemiology in Eastern Europe.

methodsWe conducted an epidemiological, prospective, observational, multi-centre cohort study (NCT01365390) in five East European countries (Estonia, Lithuania, Poland, Romania and Slovenia) between June 2011 and January 2013 to determine the incidence and clinical characteristics of AOM among children aged < 6 years during 1 year.

resultsAOM incidence was 160.7 cases (95 % confidence interval [CI]: 144.7-177.9) per 1000 person-years (PY) being the lowest in the < 1 year age group (92.3 cases [95 % CI: 59.7-136.2] per 1000 PY) and the highest in the 3- < 4 years age group (208.9 cases [95 % CI: 165.1-260.7] per 1000 PY). AOM incidence was similar across the countries, with the exception of Slovenia (340.3 cases [95 % CI: 278.3-412.0] per 1000 PY). There was a lower risk in breastfed children and a higher risk in those attending school/childcare or with allergies. AOM required 521 visits to the doctor. Antibiotics were prescribed for 276 (74.8 %) episodes with the lowest prescription rate in Estonia (51.4 %) and the highest in Romania (83.7 %). Complications were rare and hospitalisations occurred in 2 % of the cases.

conclusionsThe disease burden of AOM in Eastern Europe is relevant and public health initiatives to reduce it should be considered.

trial registrationClinicalTrial.gov NCT01365390 .

Indexed as

Acute DiseaseChildChild, PreschoolEurope, EasternFemaleHumansIncidenceInfantInfant, NewbornMaleOtitis MediaProspective StudiesRisk FactorsAcute otitis mediaChildrenEastern Europe

Identifiers

PMID27457584
PMCPMC4960887
OpenAlexW2488592219

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.