Evidence map›Paper›PMID 41147202›Full record

SynthesisOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2026

The Global Burden of Cholesteatoma: A Systematic Review and Meta-analysis.

Herbert Melariri, Yusentha Balakrishna, Abdiwahab Mukhtar, Elizabeth Joseph, Simone Labuschagne, Racheal Hapunda-Chibanga, Sara Finestone, Allison Bosman, Onyinyechi Ukaegbe, Haben Birhane Werkineh and 12 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2026. 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

22 authors.

Herbert MelaririSchool of Medicine, Nelson Mandela University, Gqeberha, South Africa.ORCID https://orcid.org/0000-0003-0143-2692
Yusentha BalakrishnaBiostatistics Research Unit, South African Medical Research Council, Durban, South Africa.
Abdiwahab MukhtarSchool of Medicine, Nelson Mandela University, Gqeberha, South Africa.
Elizabeth JosephDepartment of Otorhinolaryngology, Port Elizabeth Provincial Hospital, Port Elizabeth, South Africa.
Simone LabuschagneDepartment of Otorhinolaryngology, Port Elizabeth Provincial Hospital, Port Elizabeth, South Africa.
Racheal Hapunda-ChibangaUniversity of Zambia, Lusaka, Zambia.
Sara FinestoneLivingstone Tertiary Hospital, Port Elizabeth, South Africa.
Allison BosmanLivingstone Tertiary Hospital, Port Elizabeth, South Africa.
Onyinyechi UkaegbeDepartment of Health and Human Services, Eastern New Mexico University, Portales, New Mexico, USA.
Haben Birhane WerkinehENT Department, Beit-CURE Children's Hospital, Lusaka, Zambia.
Marc MervenDivision of Otorhinolaryngology, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa.
Amina SeguyaENT Department, Mulago National Referral Hospital, Kampala, Uganda.
Blessing MelaririSchool of Medicine, University of Pretoria, Pretoria, South Africa.
Lillian MokohDepartment of Surgery, Kenyatta University Teaching Refferal and Research Hospital, Nairobi, Kenya.
Timothy ElsSchool of Medicine, Nelson Mandela University, Gqeberha, South Africa.
Daniel TharrattLivingstone Tertiary Hospital, Port Elizabeth, South Africa.
Amir MurtazaDepartment of Otorhinolaryngology, Port Elizabeth Provincial Hospital, Port Elizabeth, South Africa.
Mohamed MoosajeeDepartment of Otorhinolaryngology, Port Elizabeth Provincial Hospital, Port Elizabeth, South Africa.
Tashneem HarrisDivision of Otorhinolaryngology, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Lucky OnotaiENT Dept University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Ida AmirDepartment of ENT, King's College Hospital London in Dubai, Dubai, United Arab Emirates.
Paula MelaririFaculty of Health Sciences, Nelson Mandela University, Gqeberha, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis systematic review and meta-analysis sought to estimate the global and World Health Organization (WHO) regional prevalence and burden of cholesteatoma. DATA SOURCES: PubMed, APA PsycINFO, the Cochrane Library, Embase, and WHO International Clinical Trials Registry Platform (ICTRP) from 2010 to 2025. REVIEW

methodsTeams of independent reviewers assessed each study for inclusion. Studies reporting primary data on cholesteatoma prevalence, recurrence, or its impact were included. The primary outcome was the global prevalence, whereas secondary outcomes were regional prevalence and recidivism rates, treatment, and complications. A random-effects meta-analysis was used to pool data, and study quality and publication bias were assessed. This study was registered with PROSPERO (CRD42024533132).

resultsForty-six eligible studies were included in the meta-analysis. The pooled global prevalence of cholesteatoma was estimated at 4.02 per 1000 persons (95% CI 1.79-7.10). By the WHO regions, the pooled prevalence of cholesteatoma in the Western Pacific Region, European Region, South East Asian Region, Region of the Americas, and African Region was estimated at 5.73 per 1000 persons (95% CI 1.00-13.87), 2.32 per 1000 persons (95% CI 2.23-2.42), 3.30 per 1000 persons (95% CI 2.65-4.11), 0.06 per 1000 persons (95% CI 0.00-0.00), and 7.32 per 1000 persons (95% CI 2.77-13.96), respectively. The prevalence of hearing loss in cholesteatoma was estimated at 75.68 per 100 cases (95% CI 59.02-89.24).

conclusionThis meta-analysis is the first to systematically quantify global and regional cholesteatoma prevalence, complications, and treatment approaches, highlighting regional disparities and informing public health strategies and policy globally.

Indexed as

CholesteatomaCholesteatoma, Middle EarGlobal HealthGlobal Burden of DiseaseHumansPrevalenceburdencanal wall‐downcanal wall‐upcholesteatomaglobal and regional prevalenceglobal recidivism rate

Identifiers

PMID41147202
PMCPMC12794748

What OpenQuestion holds

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LicenceCC BY-NC
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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.