Clinical Practice Guideline: Otitis Media with Effusion Executive Summary (Update)

被引:101
作者
Rosenfeld, Richard M. [1 ]
Shin, Jennifer J. [2 ]
Schwartz, Seth R. [3 ]
Coggins, Robyn [4 ]
Gagnon, Lisa [5 ]
Hackell, Jesse M. [6 ]
Hoelting, David [7 ]
Hunter, Lisa L. [8 ]
Kummer, Ann W. [8 ]
Payne, Spencer C. [9 ]
Poe, Dennis S. [10 ,11 ]
Veling, Maria [12 ]
Vila, Peter M. [13 ]
Walsh, Sandra A. [14 ]
Corrigan, Maureen D. [15 ]
机构
[1] Suny Downstate Med Ctr, Dept Otolaryngol, Brooklyn, NY 11203 USA
[2] Harvard Univ, Sch Med, Dept Otolaryngol, Boston, MA 02115 USA
[3] Virginia Mason Med Ctr, Dept Otolaryngol, Seattle, WA 98101 USA
[4] Soc Middle Ear Dis, Pittsburgh, PA USA
[5] Connecticut Pediat Otolaryngol, Madison, CT USA
[6] Pomona Pediat, Pomona, NY USA
[7] Amer Acad Family Phys, Pender, NE USA
[8] Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH 45229 USA
[9] Univ Virginia Hlth Syst, Charlottesville, VA USA
[10] Harvard Univ, Sch Med, Dept Otol & Laryngol, Boston, MA 02115 USA
[11] Boston Childrens Hosp, Boston, MA USA
[12] Univ Texas SW Med Ctr Dallas, Childrens Med Ctr, Dallas, TX 75390 USA
[13] Washington Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, St Louis, MO 63110 USA
[14] Consumers United Evidence Based Healthcare, Davis, CA USA
[15] Amer Acad Otolaryngol Head & Neck Surg Fdn, Alexandria, VA USA
关键词
otitis media with effusion; middle ear effusion; tympanostomy tubes; adenoidectomy; clinical practice guideline; NATURAL-HISTORY; PREVALENCE; CHILDREN; AUTHORS;
D O I
10.1177/0194599815624407
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The American Academy of OtolaryngologyHead and Neck Surgery Foundation has published a supplement to this issue of OtolaryngologyHead and Neck Surgery featuring the updated Clinical Practice Guideline: Otitis Media with Effusion. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 18 recommendations developed emphasize diagnostic accuracy, identification of children who are most susceptible to developmental sequelae from otitis media with effusion, and education of clinicians and patients regarding the favorable natural history of most otitis media with effusion and the lack of efficacy for medical therapy (eg, steroids, antihistamines, decongestants). An updated guideline is needed due to new clinical trials, new systematic reviews, and the lack of consumer participation in the initial guideline development group.
引用
收藏
页码:201 / 214
页数:14
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