Evidence map›Paper›PMID 41806272›Full record

ArticleThe Laryngoscope2026

The Impact of Milk Protein Allergy on Pediatric Otitis Media Incidence.

Brittani P Kongala, Gaayathri Varavenkataraman, Grace Maley, Mary Yousef, Michele M Carr

Abstract read
In one paragraph

Article in The Laryngoscope, 2026. 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. 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

5 authors.

Brittani P KongalaFlorida State University College of Medicine, Tallahassee, Florida, USA.ORCID 0009-0005-3657-7455
Gaayathri VaravenkataramanDepartment of Otolaryngology Head and Neck Surgery, Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, Buffalo, New York, USA.
Grace MaleyJacobs School of Medicine and Biomedical Sciences at the University at Buffalo, Buffalo, New York, USA.
Mary YousefJacobs School of Medicine and Biomedical Sciences at the University at Buffalo, Buffalo, New York, USA.
Michele M CarrDepartment of Otolaryngology Head and Neck Surgery, Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, Buffalo, New York, USA.ORCID 0000-0002-7406-4467

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOtitis media (OM) is among the most prevalent infections in children. This study aims to investigate the correlation between milk protein allergy (MPA) and the incidence of OM in children.

methodPatients aged 2-17 years were identified in the TriNetX United States database and divided into two cohorts based on the presence or absence of MPA (ICD-10-CM code Z91.011). Propensity score matching was employed to balance demographic and clinical characteristics including age, sex, race, and ethnicity. The primary outcome was the incidence of OM, including acute otitis media (AOM), otitis media with effusion (OME), and chronic suppurative otitis media (CSOM) (ICD-10-CM codes H66, H65, and H66.3, respectively). Secondary outcomes included the number of OM instances per patient.

results10,726,154 children were included. After propensity score matching, the final cohorts included 57,531 patients with a mean age of 4.0 years (SD = 3.5). The incidence of OM was significantly higher in the MPA cohort (N = 20,276, 35.2%) compared to the non-MPA cohort (N = 17,143, 29.8%: OR = 1.28, 95% CI = 1.25-1.31, p < 0.001). When stratified by OM type, all types of OM were found to be more common in the MPA cohort compared to the non-MPA cohort (p < 0.001 for all).

conclusionThis study demonstrates a significant association between MPA and an increased risk of OM in pediatric patients. These findings emphasize the importance of early diagnosis and dietary management of MPA to mitigate the risk of OM. Comprehensive care, including tailored preventive strategies, could reduce the burden of OM and improve long-term outcomes for children with MPA. LEVEL OF EVIDENCE: 3:

Indexed as

Milk HypersensitivityMilk ProteinsOtitis MediaAdolescentChildChild, PreschoolFemaleHumansIncidenceMalePropensity ScoreRetrospective StudiesRisk FactorsUnited StatesMilk Proteinsallergymilk protein allergyotitis mediapediatricsTriNetX

Identifiers

PMID41806272
PMCPMC13357355

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Registered trials

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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.