Evidence map›Paper›PMID 38747888›Full record

ArticleScandinavian journal of primary health care2024

Diagnostic methods and written advice for acute otitis media in primary health care.

Veronica Frey Esgård, Ida Lindman, Anja Maria Braend, Guro Haugen Fossum, Thorbjörn Lundberg, Anna Moberg, Lena Nordeman, Chrysoula Papachristodoulou, Pär-Daniel Sundvall

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2024. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Veronica Frey EsgårdMedpro Clinic Noltorp, Alingsås, Sweden.
Ida LindmanResearch, Education, Development & Innovation, Primary, Health Care, Region Västra Götaland, Gothenburg, Sweden.
Anja Maria BraendDepartment of General Practice, The Antibiotic Centre for Primary Care, Institute of Health and Society, University of Oslo, Oslo, Norway.
Guro Haugen FossumDepartment of General Practice, The Antibiotic Centre for Primary Care, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID 0000-0002-3895-2280
Thorbjörn LundbergDepartment of Public Health and Clinical Medicine, Family Medicine, Umeå University, Umeå, Sweden.
Anna MobergKärna Primary Healthcare Center, Region Östergötland, Linköping, Sweden.ORCID 0000-0001-5431-8469
Lena NordemanResearch, Education, Development & Innovation, Primary, Health Care, Region Västra Götaland, Gothenburg, Sweden.ORCID 0000-0003-4691-9330
Chrysoula PapachristodoulouHealth Centre Verkstaden, Arvika, Sweden.
Pär-Daniel SundvallResearch, Education, Development & Innovation, Primary, Health Care, Region Västra Götaland, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOtomicroscopy and pneumatic methods are superior to otoscopy alone in diagnosing acute otitis media (AOM). There is a lack of knowledge regarding the use of different diagnostic methods for AOM in primary health care in Sweden and Norway.

methodsThis cross-sectional study included a questionnaire completed by general practitioners (GPs) and specialist trainees (STs/residents/registrars) working in primary care in Sweden and Norway. Multivariable binary logistic regressions were performed to evaluate the use of diagnostic methods and written advice adjusted for educational level, sex and country.

resultsOtoscopy was the most frequently used method. Sweden had greater access to the more accurate diagnostic methods. In Norway, the following methods were used to a lesser extent: pneumatic otoscopy, adjusted OR 0.15 (95% CI 0.10-0.23;

conclusionsSwedish physicians both used and had greater access to the significantly better diagnostic methods compared with Norwegian physicians while the opposite applied to the use of written information. The GPs used pneumatic otoscopy and pneumatic otomicroscopy to a greater extent than STs. Compared with 2012, the Swedish physicians now more frequently used pneumatic otoscopy.

Indexed as

Otitis MediaOtoscopyPrimary Health CareAcoustic Impedance TestsAcute DiseaseAdultCross-Sectional StudiesFemaleGeneral PractitionersHumansLogistic ModelsMaleMiddle AgedNorwayPractice Patterns, Physicians'Surveys and QuestionnairesAcute otitis mediaAOMdiagnostic methodsgeneral practiceprimary care

Identifiers

PMID38747888
PMCPMC11552276

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LicenceCC BY
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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.