作者
Ina F Wallace, Nancy D Berkman, Kathleen N Lohr, Melody F Harrison, Adam J Kimple, Michael J Steiner
发表日期
2014/2/1
来源
Pediatrics
卷号
133
期号
2
页码范围
296-311
出版商
American Academy of Pediatrics
简介
BACKGROUND AND OBJECTIVE
The near universality of otitis media with effusion (OME) in children makes a comparative review of treatment modalities important. This study's objective was to compare the effectiveness of surgical strategies currently used for managing OME.
METHODS
We identified 3 recent systematic reviews and searched 4 major electronic databases. Eligible studies included randomized controlled trials, nonrandomized trials, and cohort studies that compared myringotomy, adenoidectomy, tympanostomy tubes (tubes), and watchful waiting. Using established criteria, pairs of reviewers independently selected, extracted data, rated risk of bias, and graded strength of evidence of relevant studies. We incorporated meta-analyses from the earlier reviews and synthesized additional evidence qualitatively.
RESULTS
We identified 41 unique …
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IF Wallace, ND Berkman, KN Lohr, MF Harrison… - Pediatrics, 2014