Evidence map›Paper›PMID 33228735›Full record

ArticleTrials2020

Postoperative controls of ventilation tubes in children by general practitioner or otolaryngologist? Study protocol for a multicenter randomized non-inferiority study (The ConVenTu study).

Bjarne Austad, Ann Helen Nilsen, Anne-Sofie Helvik, Grethe Albrektsen, Ståle Nordgård, Wenche Moe Thorstensen

Erratum issued Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02831985 (Postoperative Controls of Ventilation Tubes in Children - by General Practitioner or Otolaryngologist? A Multicenter Randomized Controlled Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 77% 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.

NCT02831985 nacompletednot on this map

Postoperative Controls of Ventilation Tubes in Children - by General Practitioner or Otolaryngologist? A Multicenter Randomized Controlled Trial (The ConVenTu Study)

TypeinterventionalSponsorNorwegian University of Science and TechnologyRan2017 to 2023Enrolled322ConditionsOtitisArmsgeneral practice follow-up, ear-nose-throat (ENT) specialist follow-up
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Bjarne AustadDepartment of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. bjarne.austad@ntnu.no.ORCID http://orcid.org/0000-0003-1638-6879
Ann Helen NilsenDepartment of Otolaryngology, Head and Neck Surgery, St. Olavs Hospital, Trondheim, Norway.
Anne-Sofie HelvikDepartment of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Grethe AlbrektsenDepartment of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Ståle NordgårdDepartment of Otolaryngology, Head and Neck Surgery, St. Olavs Hospital, Trondheim, Norway.
Wenche Moe ThorstensenDepartment of Otolaryngology, Head and Neck Surgery, St. Olavs Hospital, Trondheim, Norway.
Norwegian University of Science and Technology · NO

Funding

Helse Midt-Norge (NO) 18/42795St. Olavs Hospital Universitetssykehuset i Trondheim (NO) 16/29034
6 · The paper itself

Abstract

backgroundOtitis media with effusion is the major cause of acquired hearing problems in children. Some of the affected children need surgery with ventilation tubes in the tympanic membrane to reduce ear complaints and to improve hearing, middle ear function, and health-related quality of life. This is one of the most common ambulatory surgeries performed on children. Postoperative controls are needed to assess that the tubes are functional, to evaluate whether hearing loss has been improved, and to handle potential complications. The follow-up may continue for years and are usually done by otolaryngologists. Nevertheless, there exist no evidence-based guidelines concerning the level of expertise needed for postoperative controls of the ventilation tubes. The aim of this protocol is to describe the ConVenTu study that evaluates whether postoperative controls performed by general practitioners (GPs) represent a safe and sufficient alternative to controls performed by otolaryngologists. METHODS/

designMulticenter randomized non-inferiority study conducted in clinical settings in seven hospitals located in Norway. Discharged children with ventilation tubes, aged 3-10 years, are allocated randomly to receive postoperative controls by either an otolaryngologist at the hospital where they had ventilation tube surgery or their regular GP. Study participants are enrolled consecutively until 200 patients are included in each group. Two years after surgery, we will compare the pure tone average of hearing thresholds (primary endpoint) and middle ear function, complication rate, health-related quality of life and the parents' evaluations of the postoperative care (secondary endpoints). DISCUSSION: This protocol describes the first randomized non-inferiority study of GPs performing postoperative controls after surgery with ventilation tubes. Results from this study may be utilized for deriving evidence-based clinical practice guidelines of the level of postoperative controls after ventilation tube surgery which is safe and sufficient.

trial registrationClinicalTrials.gov NCT02831985 . Registered on 13 July 2016.

Indexed as

General PractitionersOtitis Media with EffusionChildEquivalence Trials as TopicHumansMiddle Ear VentilationMulticenter Studies as TopicNorwayOtolaryngologistsQuality of LifeRandomized Controlled Trials as TopicOtitis mediaPostoperative carePrimary careVentilation tubes

Identifiers

PMID33228735
PMCPMC7686743
OpenAlexW3109399420

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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.