Clinical Practice Guideline: Otitis Media with Effusion (Update)

@article{Rosenfeld2016ClinicalPG,
  title={Clinical Practice Guideline: Otitis Media with Effusion (Update)},
  author={Richard M. Rosenfeld and Jennifer J Shin and Seth R. Schwartz and Robyn Coggins and Lisa Gagnon and Jesse M. Hackell and David Hoelting and Lisa L. Hunter and Ann W Kummer and Spencer C Payne and Dennis Poe and Maria C. Veling and Peter M Vila and Sandra A. Walsh and Maureen D Corrigan},
  journal={Otolaryngology–Head and Neck Surgery},
  year={2016},
  volume={154},
  pages={S1 - S41}
}
Objective This update of a 2004 guideline codeveloped by the American Academy of Otolaryngology—Head and Neck Surgery Foundation, the American Academy of Pediatrics, and the American Academy of Family Physicians, provides evidence-based recommendations to manage otitis media with effusion (OME), defined as the presence of fluid in the middle ear without signs or symptoms of acute ear infection. Changes from the prior guideline include consumer advocates added to the update group, evidence from… Expand
Otitis Media with Effusion: Our National Practice
TLDR
Education targeted according to practice setting may facilitate appropriate therapy and/or referral for definitive intervention in children with OME, and quantifying gaps in practice relevant to proposed quality measures are demonstrated. Expand
International consensus (ICON) on management of otitis media with effusion in children.
TLDR
An international consensus conference was convened as part of the 2017 International Federation of Oto-rhino-laryngological Societies Congress, to identify best practices in OME management and there was a clear international recommendation against using steroids, antibiotics, decongestants or antihistamines to treat OME. Expand
Diagnosis and treatment of otitis media with effusion: CODEPEH recommendations.
TLDR
Medication, in particular antibiotics and corticoids, should not be prescribed and 3 months of watchful waiting should be the first adopted measure if OME persists, and an ENT doctor should assess the possibility of sugical treatment. Expand
Evaluation of clinical approaches and physician adherence to guidelines for otitis media with effusion.
TLDR
Despite notifying high self-confidence and adherence to current guidelines on OME, both pediatricians and otorhinolaryngologists lacked to exhibit proper approaches. Expand
Diagnosis and management of otitis media with effusion in a tertiary hospital in Kano: a best practice implementation project
TLDR
The most significant evidence-based change seen was in the use of pneumatic otoscope, whereas the most difficult barrier to overcome was resistance to change. Expand
Clinical Practice Guidelines
  • Morgan Harvey, S. Bowe, A. Laury
  • Medicine
  • Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
  • 2016
TLDR
In this single-institution study, providers are largely unaware of the AAO-HNSF CPGs and could benefit from additional training, including workshops taught by otolaryngologists within individual health care systems or development of a national otolariesngology medical student curriculum. Expand
Otitis media: what is new?
TLDR
Research into novel methods for otitis media pathophysiology, diagnosis and treatment has seen great strides in the recent past, and avenues towards markedly altering the evaluation and management of the condition are likely to be adopted into clinical practice over the coming years. Expand
Which patients are safe candidates for outpatient treatment of pulmonary embolism?
TLDR
These indications for tympanostomy tube placement are endorsed and a period of at least three months of watchful waiting is appropriate for children with chronic OME who are not at risk for speech, language, or learning problems from middle ear effusion. Expand
Otitis Media: Beyond the Examining Room.
TLDR
A comprehensive interprofessional treatment plan must be designed taking into consideration best practices from a range of professions to maximize clinical outcomes, including the treating physician, speech-language pathologist, clinical audiologist, educational audiology professionals in the educational setting. Expand
National quality evaluation of peri-surgical hearing care for pediatric otitis media with effusion.
TLDR
Several findings surfaced concerning VTI-related hearing care and its association with many clinical and socioeconomic factors in this national study, which could serve as a map for improving hearing care quality among children with OME. Expand
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Clinical Practice Guideline: Otitis Media with Effusion
  • R. Rosenfeld, L. Culpepper, +8 authors B. Yawn
  • Medicine
  • Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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TLDR
The clinical practice guideline on otitis media with effusion (OME) provides evidence-based recommendations on diagnosing and managing OME in children and selected a subcommittee composed of experts in the fields of primary care, otolaryngology, infectious diseases, epidemiology, hearing, speech and language, and advanced practice nursing to revise the OME guideline. Expand
Quality Measures for the Care of Children With Otitis Media With Effusion
BACKGROUND: Current national efforts provide an opportunity to integrate performance measures into clinical practice and improve outcomes for children. OBJECTIVE: The goal of this study was toExpand
The diagnosis and management of acute otitis media.
This evidence-based clinical practice guideline is a revision of the 2004 acute otitis media (AOM) guideline from the American Academy of Pediatrics (AAP) and American Academy of Family Physicians.Expand
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TLDR
International debates with the aim of overcoming cultural differences regarding the management of otitis media, and of reaching agreement on guidelines on the basis of current evidence are necessary are necessary. Expand
Evidence-Based Otitis Media
TLDR
This Methodology examines the impact of Otitis Media on Speech, Language, Cognition, and Behavior and the "Aftermath" of the Otitis media Clinical Practice Guideline on child quality of life. Expand
Improving Adherence to Otitis Media Guidelines With Clinical Decision Support and Physician Feedback
TLDR
Although performance feedback was associated with improved antibiotic prescribing for AOM and pain treatment, the joint effects of CDS and feedback on guideline adherence were not additive and combining the 2 interventions is no better than either delivered alone. Expand
Surgical Treatments for Otitis Media With Effusion: A Systematic Review
TLDR
Tubes and adenoidectomy reduce time with OME and improve hearing in the short-term and large, well-controlled studies could help resolve the risk-benefit ratio by measuring acute otitis media recurrence, functional outcomes, quality of life, and long-term outcomes. Expand
Update on otitis media – prevention and treatment
TLDR
A review of the latest evidence relating to the understanding of acute Otitis media and otitis media with effusion, current treatment strategies, their limitations, new areas of research, and novel strategies for treatment are provided. Expand
Otitis Media with Effusion: Comparative Effectiveness of Treatments
Background: otitis media with effusion(OME) is defined as a collection of fluid in the middle ear without signs or symptoms of acute ear infection.OME has several potential causes.The presence ofExpand
Grommets in otitis media with effusion: an individual patient data meta-analysis
TLDR
The effects of conventional ventilation tubes in children studied so far are small and limited in duration, and observation (watchful waiting) seems to be an adequate management strategy for most children with OME. Expand
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