Evidence map›Paper›PMID 34990923›Full record

ArticleInternational journal of pediatric otorhinolaryngology2022

Changes to the practice of pediatric otolaryngology as a consequence of the COVID-19 pandemic.

Ashaka Patel, Agnieszka Dzioba, Paul Hong, Murad Husein, Julie Strychowsky, Peng You, Josee Paradis, M E Graham

Abstract read
In one paragraph

Article in International journal of pediatric otorhinolaryngology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

8 authors.

Ashaka PatelSchulich School of Medicine and Dentistry, Western University, 1151 Richmond St, London, Ontario, Canada, N6A 5C1. Electronic address: apate386@uwo.ca.
Agnieszka DziobaSchulich School of Medicine and Dentistry, Western University, 1151 Richmond St, London, Ontario, Canada, N6A 5C1; Department of Otolaryngology - Head and Neck Surgery, London Health Sciences Centre, 800 Commissioners Road East, London, Ontario, Canada. Electronic address: Agnieszka.Dzioba@lhsc.on.ca.
Paul HongDalhousie University and IWK Health Centre, 5980 University Ave #5850, Halifax, Nova Scotia, Canada, B3K 6R8. Electronic address: Paul.Hong@iwk.nshealth.ca.
Murad HuseinSchulich School of Medicine and Dentistry, Western University, 1151 Richmond St, London, Ontario, Canada, N6A 5C1; Department of Otolaryngology - Head and Neck Surgery, London Health Sciences Centre, 800 Commissioners Road East, London, Ontario, Canada. Electronic address: Murad.Husein@lhsc.on.ca.
Julie StrychowskySchulich School of Medicine and Dentistry, Western University, 1151 Richmond St, London, Ontario, Canada, N6A 5C1; Department of Otolaryngology - Head and Neck Surgery, London Health Sciences Centre, 800 Commissioners Road East, London, Ontario, Canada. Electronic address: Julie.Strychowsky@lhsc.on.ca.
Peng YouSchulich School of Medicine and Dentistry, Western University, 1151 Richmond St, London, Ontario, Canada, N6A 5C1; Department of Otolaryngology - Head and Neck Surgery, London Health Sciences Centre, 800 Commissioners Road East, London, Ontario, Canada. Electronic address: Peng.You@lhsc.on.ca.
Josee ParadisSchulich School of Medicine and Dentistry, Western University, 1151 Richmond St, London, Ontario, Canada, N6A 5C1; Department of Otolaryngology - Head and Neck Surgery, London Health Sciences Centre, 800 Commissioners Road East, London, Ontario, Canada. Electronic address: Josee.paradis@lhsc.on.ca.
M E GrahamSchulich School of Medicine and Dentistry, Western University, 1151 Richmond St, London, Ontario, Canada, N6A 5C1; Department of Otolaryngology - Head and Neck Surgery, London Health Sciences Centre, 800 Commissioners Road East, London, Ontario, Canada. Electronic address: Elise.Graham@lhsc.on.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has shifted medical practice globally. The objective of this study was to examine the changes to the practice of pediatric otolaryngology internationally due to the COVID-19 pandemic and examine potential contributors.

methodAn online survey was designed to assess practice demographics, patterns of COVID-19 related restrictions in communities, and changes to practice and referrals. This was disseminated via an international Covid-19 WhatsApp™ group of pediatric otolaryngologists.

resultsThere were 45 respondents of 177 group members (25.4%) from 15 countries. The mean estimated time spent under strictest lockdown measures was 16.2 (±10.7) weeks (range: 1-45 weeks). Operating room time was reduced for 82.9%, with an average reported reduction of 41.5%. Almost all (>75%) of respondents reported reduced referrals for five common conditions: otitis media with effusion (average reported decrease - 56.1%); acute otitis media (average decrease 62.8%); acute mastoiditis (average decrease 66.6%); recurrent pharyngotonsillitis (average decrease 51.0%); and peritonsillar abscess (average decrease 52.1%). COVID-19 cases per million population significantly influenced the acuity of referrals received (p < .05). No conditions were reported as increased in frequency and the acuity of most conditions was reported as unchanged by the majority of respondents.

conclusionThe measures taken to reduce the spread of COVID-19 have resulted in many changes to pediatric otolaryngology practice and the referral patterns of common conditions. Some of these changes may have enduring sequelae.

Indexed as

COVID-19OtolaryngologyChildCommunicable Disease ControlHumansPandemicsSARS-CoV-2COVID-19Disease incidencePediatric otolaryngologyPractice changesResident trainingSocial distancing

Identifiers

PMID34990923
PMCPMC8720179

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.