Evidence map›Paper›PMID 36367582›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2023

Are there differences in revision stapes surgery outcomes between university and county clinics? A study from the quality register for otosclerosis surgery in Sweden.

Nina Pauli, Caterina Finizia, Lars Lundman, Andreas Björsne, Ylva Dahlin-Redfors

Open access · hybridAbstract read
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 23% 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.

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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Validation of the Swedish Quality Register for Ear Surgery - SwedEar.BMC medical informatics and decision making · 2023
    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

5 authors at 3 institutions in 1 country.

Nina PauliDepartment of Otorhinolaryngology, Institute of Clinical Sciences, Sahlgrenska University Hospital/Sahlgrenska, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden. nina.pauli@vgregion.se.ORCID http://orcid.org/0000-0002-4058-2477
Caterina FiniziaDepartment of Otorhinolaryngology, Institute of Clinical Sciences, Sahlgrenska University Hospital/Sahlgrenska, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0001-6642-930X
Lars LundmanDepartment of Otolaryngology, Central Hospital, Karlstad, Sweden.ORCID http://orcid.org/0000-0002-8772-2350
Andreas BjörsneRegion Västra Götaland, Habilitation and Health, Hearing Organization, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-0097-7984
Ylva Dahlin-RedforsDepartment of Otorhinolaryngology, Institute of Clinical Sciences, Sahlgrenska University Hospital/Sahlgrenska, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-1234-6573
Sahlgrenska University Hospital · SEKarlstad Central Hospital · SERegion Västra Götaland · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the study was to investigate hearing outcomes in stapes revision surgery with regard to the type of clinic (university clinic or county clinic). Furthermore, the aim was to investigate the risk of complications with a focus on tinnitus, hearing deterioration, and taste disturbance 1 year after surgery.

methodsThe study is based on data from the Swedish Quality Register for Otosclerosis Surgery (SQOS). Two study protocols were completed by the surgeon, and a questionnaire was distributed to the patients 1 year after surgery. A total of 156 revisions were available for analysis with both preoperative and postoperative audiometry data.

resultsSeventy-five percent of the patients reported better to much better hearing 1 year after revision surgery. An air bone gap ≤ 20 dB postoperatively was seen in 77% of the patients. Four percent had hearing deterioration ≥ 20 dB PTA

conclusionsRevision surgery in otosclerosis is a challenge for otologists, but no differences in hearing outcomes between university and county clinics were found in this nationwide study. The risk of hearing deterioration and deafness is higher than in primary stapes surgery, and revision surgery should be recommended primarily in cases with a large air-bone gap and moderate to severe preoperative hearing loss.

Indexed as

Hearing LossOtosclerosisStapes SurgeryTinnitusHumansReoperationRetrospective StudiesStapesSwedenTreatment OutcomeUniversitiesOtosclerosisOutcomeQuality registerRevision surgeryStapedotomy

Identifiers

PMID36367582
PMCPMC10066141
OpenAlexW4308772241

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.