ArticleInternational journal of pediatric otorhinolaryngology2025
Influence of obesity and socio-linguistic factors on otitis externa treatment outcomes in children.
Article in International journal of pediatric otorhinolaryngology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundEstablished risk factors for the development of otitis externa (OE) include stenotic ear canals, dermatologic disease and insertion of foreign objects. The link between obesity and susceptibility to different systemic diseases have been demonstrated, but not yet with OE.
objectiveThis study was aimed at determining whether obese patients had OE infections that were more difficult to treat compared to normal weight children and investigate other measurable patient factors contributing to OE infection resolution in our unique patient population.
methodsA chart review was conducted of all children diagnosed with OE between April 2015 and February 2024. Children with cholesteatoma, canal stenosis, or Down Syndrome were exlcuded. The time to infection resolution distribution was estimated using the Kaplan-Meier estimator, and multivariate Cox PH models measured factors influencing time to infection resolution.
resultsOf the 93 children included in the analysis, 29 (31 %) were overweight or obese, with a median age of 12.1 years. A higher percentage of overweight/obese patients were Hispanic (86 %, p < 0.001), Spanish-speaking (59 %, p = 0.005), and had public insurance (100 %, p = 0.004). Normal weight children whose parents spoke primarily Spanish, had the longest median days to infection resolution (57, IQR 196), followed by obese children with English speaking parents (52, IQR 329), then obese children with Spanish-speaking parents (48.5days, IQR124). Normal weight children of English-speaking parents had the lowest median days to infection resolution in our study (33 days, IQR 61). A multivariable Cox PH model confirmed these two factors were potentially associated with days to infection resolution (p-value of interaction = 0.053; effect size HR = 3.97,95 %CI: 0.98,16.1).
conclusionThe results of this study suggest that patients who are overweight or obese, and those whose parental primary language was Spanish had a prolonged course of disease - with a median of 48.5 days to resolve their symptoms. Obesity was associated with increased days to OE infection resolution among children with English-speaking parents but not among children with Spanish-speaking parents, where parental language was associated with longer infection.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.