Evidence map›Paper›PMID 40765727›Full record

ReviewQatar medical journal2025

Mortality of malignant otitis externa: A prevalence meta-analysis.

Adham A Aljariri, Ahmad R Al-Qudimat, Rani Hammoud, Abdulqadir J Nashwan, Aisha Y Larem, Mohamed B Al Darwish, Hassanin Abdulkarim, Yasser Hamad, Yousra M Khair, Amna S Makawi and 4 more

Abstract readReview
In one paragraph

Review in Qatar medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Adham A AljaririOtolaryngology Department, Ambulatory Care Center (ACC), Hamad Medical Corporation (HMC), Doha, Qatar.
Ahmad R Al-QudimatDepartment of Surgery, Surgical Research Section, Hamad Medical Corporation, Doha, Qatar.
Rani HammoudOtolaryngology Department, Ambulatory Care Center (ACC), Hamad Medical Corporation (HMC), Doha, Qatar.
Abdulqadir J NashwanDepartment of Quality and Patient Safety, Rehabilitation Institute, Hamad Medical Corporation, Doha, Qatar.
Aisha Y LaremOtolaryngology Department, Ambulatory Care Center (ACC), Hamad Medical Corporation (HMC), Doha, Qatar.
Mohamed B Al DarwishDepartment of Surgery, Surgical Research Section, Hamad Medical Corporation, Doha, Qatar.
Hassanin AbdulkarimOtolaryngology Department, Ambulatory Care Center (ACC), Hamad Medical Corporation (HMC), Doha, Qatar.
Yasser HamadDepartment of Nursing, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Doha, Qatar *Email: aalqudimat@hamad.qa.
Yousra M KhairDepartment of Surgery, Surgical Research Section, Hamad Medical Corporation, Doha, Qatar.
Amna S MakawiDepartment of Surgery, Surgical Research Section, Hamad Medical Corporation, Doha, Qatar.
Hassan H AhmedOtolaryngology Department, Ambulatory Care Center (ACC), Hamad Medical Corporation (HMC), Doha, Qatar.
Ali AsaadiOtolaryngology Department, Ambulatory Care Center (ACC), Hamad Medical Corporation (HMC), Doha, Qatar.
Abdulsalam AlqahtaniOtolaryngology Department, Ambulatory Care Center (ACC), Hamad Medical Corporation (HMC), Doha, Qatar.
Ahmad A AbujaberDepartment of Quality and Patient Safety, Rehabilitation Institute, Hamad Medical Corporation, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Malignant otitis externa (MOE) is an aggressive infection of the external auditory canal and the underlying bony structures of the skull base. Predominantly caused by Pseudomonas, the treatment has shifted from surgical to medical, with antimicrobial therapy being primary, although surgical intervention may still be required. This review aims to provide global prevalence and mortality data on MOE to help institutions establish treatment benchmarks. Methods: A systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews (PRISMA) guidelines. Searches were completed in Scopus and PubMed Databases for articles on MOE mortality published between 1994 and 2022. Publications included data on MOE, mortality, and all genders. Results: A total of 22 studies involving 9,633 patients diagnosed with MOE were analyzed. The gender distribution was nearly equal, with 4,819 (50.1%) males and 4,814 (49.9%) females. The patients' ages ranged from 18 to 90 years, with a mean age of 70.3 years. The pooled period prevalence of mortality due to MOE was estimated to be 18% (95% confidence interval: 6-30%), highlighting a significant mortality risk in patients with this condition. Heterogeneity across the studies was high (I Conclusion: This review highlights a significant global mortality rate of 18% in patients with MOE, with comorbidities like diabetes and hypertension contributing to worse outcomes. Despite current treatment advancements, mortality and morbidity remain substantial, stressing the need for early diagnosis, targeted interventions, and improved management strategies to enhance patient survival and outcomes.

Indexed as

externaMalignantmortalityotitis

Identifiers

PMID40765727
PMCPMC12322597

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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.