Evidence map›Paper›PMID 38888942›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale

Proposed Quality Indicators for Aspects of Pediatric Acute Otitis Media Management.

Justin Cottrell, Amirpouyan Namavarian, Jonathan Yip, Paolo Campisi, Neil K Chadha, Ali Damji, Paul Hong, Sophie Lachance, Darren Leitao, Lily H P Nguyen and 9 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
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

1 citing paper in PubMed.

  1. Quality Indicators in Otolaryngology-Head and Neck Surgery: A Scoping Review.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    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

19 authors.

Justin CottrellDepartment of Otolaryngology-Head and Neck Surgery, NYU Langone Health, NYU Grossman School of Medicine, New York, NY, USA.
Amirpouyan NamavarianDepartment of Otolaryngology-Head & Neck Surgery, University of Toronto Temerty Faculty of Medicine, Toronto, ON, Canada.
Jonathan YipDepartment of Otolaryngology-Head & Neck Surgery, University of Toronto Temerty Faculty of Medicine, Toronto, ON, Canada.
Paolo CampisiDepartment of Otolaryngology-Head & Neck Surgery, University of Toronto Temerty Faculty of Medicine, Toronto, ON, Canada.
Neil K ChadhaDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.
Ali DamjiDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Paul HongDivision of Otolaryngology-Head and Neck Surgery, Department of Surgery, Dalhousie University, QEII Health Sciences Centre, Halifax, NS, Canada.
Sophie LachanceDépartement d'Oto-rhino-laryngologie et chirurgie cervico-faciale, CHUL, Pavillon Ferdinand-Vandry, Université Laval, Québec, QC, Canada.
Darren LeitaoDepartment of Otolaryngology-Head and Neck Surgery, University of Manitoba, Winnipeg, MB, Canada.
Lily H P NguyenDepartment of Otolaryngology-Head and Neck Surgery, McGill University, Montréal, QC, Canada.
Natasha SaundersDepartment of Pediatrics, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Julie StrychowskyDepartment of Otolaryngology-Head and Neck Surgery, Western University, London Health Sciences Centre-Victoria Hospital, London, ON, Canada.ORCID 0000-0001-5460-3155
Warren YunkerSection of Pediatric Surgery and Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada.
Jean-Philippe VaccaniDepartment of Otolaryngology-Head and Neck Surgery, The University of Ottawa and The Ottawa Hospital, Ottawa, ON, Canada.
Yvonne ChanDepartment of Otolaryngology-Head & Neck Surgery, University of Toronto Temerty Faculty of Medicine, Toronto, ON, Canada.
John R de AlmeidaDepartment of Otolaryngology-Head & Neck Surgery, University of Toronto Temerty Faculty of Medicine, Toronto, ON, Canada.
Antoine EskanderDepartment of Otolaryngology-Head & Neck Surgery, University of Toronto Temerty Faculty of Medicine, Toronto, ON, Canada.
Ian J WitterickDepartment of Otolaryngology-Head & Neck Surgery, University of Toronto Temerty Faculty of Medicine, Toronto, ON, Canada.
Eric MonteiroDepartment of Otolaryngology-Head & Neck Surgery, University of Toronto Temerty Faculty of Medicine, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe high incidence of pediatric acute otitis media (AOM) makes the implications of overdiagnosis and overtreatment far-reaching. Quality indicators (QIs) for AOM are limited, drawing from generalized upper respiratory infection QIs, or locally developed benchmarks. Recognizing this, we sought to develop pediatric AOM QIs to build a foundation for future quality improvement efforts.

methodsCandidate indicators (CIs) were extracted from existing guidelines and position statements. The modified RAND Corporation/University of California, Los Angeles (RAND/UCLA) appropriateness methodology was used to select the final QIs by an 11-member expert panel consisting of otolaryngology-head and neck surgeons, a pediatrician and family physician.

resultsTwenty-seven CIs were identified after literature review, with an additional CI developed by the expert panel. After the first round of evaluations, the panel agreed on 4 CIs as appropriate QIs. After an expert panel meeting and subsequent second round of evaluations, the panel agreed on 8 final QIs as appropriate measures of high-quality care. The 8 final QIs focus on topics of antimicrobial management, specialty referral, and tympanostomy tube counseling.

conclusionsEvidence of variable and substandard care persists in the diagnosis and management of pediatric AOM despite the existence of high-quality guidelines. This study proposes 8 QIs which compliment guideline recommendations and are meant to facilitate future quality improvement initiatives that can improve patient outcomes.

Indexed as

Otitis MediaQuality Indicators, Health CareAcute DiseaseChildHumansQuality Improvementacute otitis mediainfectious diseasesotitis mediaqualityquality improvementquality indicators

Identifiers

PMID38888942
PMCPMC11098001

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.