Clinical Practice Guideline

Author:

Rosenfeld Richard M.1,Shin Jennifer J.2,Schwartz Seth R.3,Coggins Robyn4,Gagnon Lisa5,Hackell Jesse M.6,Hoelting David7,Hunter Lisa L.8,Kummer Ann W.8,Payne Spencer C.9,Poe Dennis S.10,Veling Maria11,Vila Peter M.12,Walsh Sandra A.13,Corrigan Maureen D.14

Affiliation:

1. Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, New York, USA

2. Division of Otolaryngology, Harvard Medical School, Boston, Massachusetts, USA

3. Department of Otolaryngology, Virginia Mason Medical Center, Seattle, Washington, USA

4. Society for Middle Ear Disease, Pittsburgh, Pennsylvania, USA

5. Connecticut Pediatric Otolaryngology, Madison, Connecticut, USA

6. Pomona Pediatrics, Pomona, New York, USA

7. American Academy of Family Physicians, Pender, Nebraska, USA

8. Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA

9. University of Virginia Health System, Charlottesville, Virginia, USA

10. Department of Otology and Laryngology, Harvard Medical School and Boston Children’s Hospital, Boston, Massachusetts, USA

11. University of Texas–Southwestern Medical Center/Children’s Medical Center–Dallas, Dallas, Texas, USA

12. Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri, USA

13. Consumers United for Evidence-based Healthcare, Davis, California, USA

14. American Academy of Otolaryngology—Head and Neck Surgery Foundation, Alexandria, Virginia, USA

Abstract

The American Academy of Otolaryngology—Head and Neck Surgery Foundation has published a supplement to this issue of Otolaryngology—Head 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.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

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