Evidence map›Paper›PMID 27888477›Full record

ArticleDrugs - real world outcomes2017

Impact of Pediatric Acute Otitis Media on Child and Parental Quality of Life and Associated Productivity Loss in Malaysia: A Prospective Observational Study.

Bruce Crawford, Siti Sabzah Mohd Hashim, Narayanan Prepageran, Goh Bee See, Genevieve Meier, Keiko Wada, Cheryl Coon, Emmanuelle Delgleize, Michael DeRosa

Registry-linked trialAbstract read
In one paragraph

Article in Drugs - real world outcomes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05429541 (Pneumococcal Carriage and Serotype Distribution in Children With Otitis Media in Malaysia.), which is not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The impact of acute pneumococcal disease on health state utility values: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Health state utilities associated with invasive pneumococcal disease, pneumonia, and recurrent acute otitis media in young children.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  6. Review
  7. Article
  8. Critical appraisal of clinical practice guidelines for otitis media in Asian and Western countries with consideration of updates: A narrative review.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2024
    Review
  9. Measuring the Possibility of Middle Ear Discharge for COVID-19 Test Material.Interdisciplinary perspectives on infectious diseases · 2022
    Review
  10. Article
  11. Panel 5: Impact of otitis media on quality of life and development.International journal of pediatric otorhinolaryngology · 2020
    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.

Bruce CrawfordIMS Health, Toranomon Towers Office, 4-1-28 Toranomon, Minato-ku, Tokyo, Japan. bcrawford@jp.imshealth.com.
Siti Sabzah Mohd HashimOtolaryngology Service, Ministry of Health, Jalan Langgar, 05460, Alor Setar, Kedah, Malaysia.
Narayanan PrepageranDepartment of Otolaryngology, Faculty of Medicine, University Malaya, 50603, Kuala Lumpur, Malaysia.
Goh Bee SeeDepartment of Otorhinolaryngology Head and Neck Surgery, Universiti Kebangsaan Malaysia (UKM) Medical Centre, Jalan Yaacob Latif, Cheras, 56000, Kuala Lumpur, Malaysia.
Genevieve MeierGSK Vaccines, Avenue Fleming 20, 1300, Wavre, Belgium.
Keiko WadaIMS Health, Toranomon Towers Office, 4-1-28 Toranomon, Minato-ku, Tokyo, Japan.
Cheryl CoonAdelphi Values, Congress Street 290, Boston, 02210, USA.
Emmanuelle DelgleizeGSK Vaccines, Avenue Fleming 20, 1300, Wavre, Belgium.
Michael DeRosaAdelphi Values, Congress Street 290, Boston, 02210, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute otitis media (AOM) affects both child and parental quality of life (QoL). Data on QoL associated with AOM in Malaysia is sparse, and the burden of indirect costs have not been previously reported.

objectiveTo determine the effect of pediatric AOM on child and parental QoL in Malaysia and its economic impact (indirect costs).

methodsWe utilized a set of QoL questionnaires (PAR-AOM-QOL, OM-6, and EQ-5D) combined with questions addressing work/productivity loss and financial costs associated with caring for a child during his or her illness in an observational, multicenter, prospective study.

resultsOne hundred and ten AOM patients aged ≤5 years were included in the analysis. The majority of respondents were the patient's mother. Parental QoL was negatively affected for both emotional and daily disturbance scales, but the level of disturbance was low. Using OM-6, the greatest negative impact was on the child's QoL, followed by caregiver concerns, physical suffering, and emotional distress. Using EQ-5D, a moderately positive relationship between parents' emotional disturbance and daily disturbance, and a weak, negative correlation between parental emotional disturbance and parental health status was found. Parents with paid employment took an average of 21 h from work to care for their child, at an average cost of 321.8 Malaysian ringgit (US$97) in addition to their contribution to direct medical costs. Productivity losses whilst at work, uncompensated wage losses, and leisure time losses are also reported.

conclusionsThis study found that AOM is associated with some negative impact on parental QoL and significant economic impact at both patient and societal levels. The findings provide useful data on healthcare resource utilization and disease burden of AOM in Malaysia.

Identifiers

PMID27888477
PMCPMC5332310

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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.