Evidence map›Paper›PMID 36806133›Full record

ArticleBMJ open2023

UK consensus definitions for necrotising otitis externa: a Delphi study.

Susanne H Hodgson, Maha M Khan, Maia Patrick-Smith, Pablo Martinez-Devesa, Emma Stapleton, O Martin Williams, Pieter Pretorius, Martin McNally, Monique I Andersson, UK NOE Collaborative

Open access · goldAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. A prospective multicentric study of microbiological profile, treatment protocols and clinical indicators of cure in skull base osteomyelitis.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 · 2026
    Observational
  5. Article
  6. Article
  7. 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

10 authors at 4 institutions in 1 country.

Susanne H Hodgson *Department of Microbiology, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK.ORCID http://orcid.org/0000-0002-0895-3442
Maha M Khan *Central Manchester University Hospitals NHS Foundation Trust, Manchester, Greater Manchester, UK.
Maia Patrick-SmithUniversity of Oxford, Oxford, Oxfordshire, UK.
Pablo Martinez-DevesaDepartment of ENT, John Radcliffe Hospital, Oxford, UK.
Emma StapletonDepartment of Otolaryngology, Central Manchester University Hospitals NHS Foundation Trust, Manchester, Greater Manchester, UK.ORCID http://orcid.org/0000-0002-7763-9705
O Martin WilliamsDepartment of Microbiology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Pieter PretoriusDepartment of Neuroradiology, John Radcliffe Hospital, Oxford, UK.
Martin McNallyNuffield Orthopaedic centre, Oxford University Hospitals NHS Foundation Trust Nuffield Orthopaedic Centre, Oxford, Oxfordshire, UK.
Monique I AnderssonDepartment of Microbiology, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK monique.andersson@ouh.nhs.uk.ORCID http://orcid.org/0000-0003-0619-1074
UK NOE Collaborative
University of Oxford · GBJohn Radcliffe Hospital · GBNuffield Orthopaedic Centre · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo establish consensus definitions for necrotising otitis externa (NOE) to facilitate the diagnosis and exclusion of NOE in clinical practice and expedite future high-quality study of this neglected condition.

designThe work comprised of a systematic review of the literature, five iterative rounds of consultation via a Delphi process and open discussion within the collaborative. An expert panel analysed the results to produce the final outputs which were shared with and endorsed by national specialty bodies.

settingSecondary care in the UK.

participantsUK clinical specialists practising in infection, ear nose and throat (ENT) surgery or radiology.

main outcome measuresDefinitions and statements meeting the following criteria were accepted: (a) minimum of 70% of respondents in agreement or strong agreement with a definition/statement AND (b) <15% of respondents in disagreement or strong disagreement with a definition/statement.

resultsSeventy-four UK clinicians specialising in ENT, Infection and Radiology with a special interest in NOE took part in the work which was undertaken between 2019 and 2021. The minimum response rate for a Round was 76%. Consensus criteria for all proposed case definitions, outcome definitions and consensus statements were met in the fifth round.

conclusionsThis work distills the clinical opinion of a large group of multidisciplinary specialists from across the UK to create practical definitions and statements to support clinical practice and research for NOE. This is the first step in an iterative process. Further work will seek to validate and test these definitions and inform their evolution.

Indexed as

Otitis ExternaRadiologyConsensusDelphi TechniqueHumansSystematic Reviews as TopicUnited KingdomAdult otolaryngologyINFECTIOUS DISEASESMICROBIOLOGYOTOLARYNGOLOGYRADIOLOGY & IMAGING

Identifiers

PMID36806133
PMCPMC9945308
OpenAlexW4321369675

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.