| Autor: |
Witsell, David L., Stewart, Michael G., Monsell, Edwin M., Hadley, James A., Terrell, Jeffrey E., Yueh, Bevan, Rosenfeld, Richard M., Hannley, Maureen T., Holzer, Susan Sedory |
| Zdroj: |
Otolaryngology-Head & Neck Surgery; Feb2005, Vol. 132 Issue 2, p180-188, 9p |
| Abstrakt: |
Objective: Outcomes for patients with otitis media were assessed in this prospective, multicenter study. Study design and setting: Thirty-one otolaryngologists enrolled 272 pediatric patients with otitis media; caregivers completed surveys at 3-month intervals, and clinical and treatment data was also collected. The Otitis Media 6 (OM-6) was the primary outcome measure. Results: One hundred seventy-seven patients (mean age 2.0 years) completed 3-month follow-up. One hundred thirty-seven patients underwent tympanostomy tube placement. Large improvements in disease-specific quality of life (QOL) were seen up to 9 months of follow-up. Baseline OM-6 score was the best predictor of clinical success in regression modeling. Conclusions: Patients referred to an otolaryngologist for treatment of otitis media see large improvements in disease-specific QOL regardless of treatment rendered. Significance: The study demonstrates the feasibility of multicenter outcomes studies and confirms appropriate triage of patients with otitis media into surgical versus medical interventions. EBM rating: C. [Copyright &y& Elsevier] |
| Databáze: |
Complementary Index |
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