Specialists' adherence to guidelines on tympanostomy tube insertion

Lene Dahl Siggaard, Thomas Qvist Barrett, Michael Luscher, Peter Koefoed Tingsgaard, Preben Homoe

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

1 Citation (Scopus)
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Resumé

INTRODUCTION: Tympanostomy tube insertion is very frequent in Denmark. Using electronic patient-reported outcome (ePRO) data, we investigated Danish ear, nose throat (ENT) specialists' adherence to the 2015 national clinical guideline (NCG) on first-time tympanostomy tube (TT) insertion in children aged 0-5 years with otitis media (OM). METHODS: Data on children aged 0-5 years with OM undergoing first-time TT insertion were extracted from the Danish ENT Specialists Organisation (DONHO) database. Preoperative questionnaires were used to obtain information on symptom duration, and the number of acute OM (AOM) episodes was analysed. The following criteria were established to define NCG adherence: 1) A symptom duration of three months or longer, 2) three or more AOM episodes within six months and 3) four or more AOM episodes within 12 months. These criteria are in accordance with the NCG definition of chronic OM with effusion (COME) and recurrent AOM (RAOM). RESULTS: A total of 1,495 children were included in the study. In total, 91.0% of the parents reported a symptom duration of three months or more and/or RAOM within 6-12 months prior to TT insertion in accordance with the adherence criteria; 4.6% reported a symptom duration of less than three months with few or no episodes of AOM and did not meet the recommended TT insertion criteria. Finally, 4.4% of the parents were undecided with respect to symptom duration, number of AOM episodes or both at 6-12 months prior to IT insertion. CONCLUSIONS: Using solely ePRO data, we found that Danish practicing ENT specialists adhere to the 2015 NCG in regard to OM symptom duration and RAOM.
OriginalsprogEngelsk
ArtikelnummerA5552
TidsskriftDanish Medical Journal
Vol/bind66
Udgave nummer9
Antal sider5
ISSN2245-1919
StatusUdgivet - 1 sep. 2019

Citer dette

Siggaard, L. D., Barrett, T. Q., Luscher, M., Tingsgaard, P. K., & Homoe, P. (2019). Specialists' adherence to guidelines on tympanostomy tube insertion. Danish Medical Journal, 66(9), [A5552].
Siggaard, Lene Dahl ; Barrett, Thomas Qvist ; Luscher, Michael ; Tingsgaard, Peter Koefoed ; Homoe, Preben. / Specialists' adherence to guidelines on tympanostomy tube insertion. I: Danish Medical Journal. 2019 ; Bind 66, Nr. 9.
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abstract = "INTRODUCTION: Tympanostomy tube insertion is very frequent in Denmark. Using electronic patient-reported outcome (ePRO) data, we investigated Danish ear, nose throat (ENT) specialists' adherence to the 2015 national clinical guideline (NCG) on first-time tympanostomy tube (TT) insertion in children aged 0-5 years with otitis media (OM). METHODS: Data on children aged 0-5 years with OM undergoing first-time TT insertion were extracted from the Danish ENT Specialists Organisation (DONHO) database. Preoperative questionnaires were used to obtain information on symptom duration, and the number of acute OM (AOM) episodes was analysed. The following criteria were established to define NCG adherence: 1) A symptom duration of three months or longer, 2) three or more AOM episodes within six months and 3) four or more AOM episodes within 12 months. These criteria are in accordance with the NCG definition of chronic OM with effusion (COME) and recurrent AOM (RAOM). RESULTS: A total of 1,495 children were included in the study. In total, 91.0{\%} of the parents reported a symptom duration of three months or more and/or RAOM within 6-12 months prior to TT insertion in accordance with the adherence criteria; 4.6{\%} reported a symptom duration of less than three months with few or no episodes of AOM and did not meet the recommended TT insertion criteria. Finally, 4.4{\%} of the parents were undecided with respect to symptom duration, number of AOM episodes or both at 6-12 months prior to IT insertion. CONCLUSIONS: Using solely ePRO data, we found that Danish practicing ENT specialists adhere to the 2015 NCG in regard to OM symptom duration and RAOM.",
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Siggaard, LD, Barrett, TQ, Luscher, M, Tingsgaard, PK & Homoe, P 2019, 'Specialists' adherence to guidelines on tympanostomy tube insertion', Danish Medical Journal, bind 66, nr. 9, A5552.

Specialists' adherence to guidelines on tympanostomy tube insertion. / Siggaard, Lene Dahl; Barrett, Thomas Qvist; Luscher, Michael; Tingsgaard, Peter Koefoed; Homoe, Preben.

I: Danish Medical Journal, Bind 66, Nr. 9, A5552, 01.09.2019.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Specialists' adherence to guidelines on tympanostomy tube insertion

AU - Siggaard, Lene Dahl

AU - Barrett, Thomas Qvist

AU - Luscher, Michael

AU - Tingsgaard, Peter Koefoed

AU - Homoe, Preben

PY - 2019/9/1

Y1 - 2019/9/1

N2 - INTRODUCTION: Tympanostomy tube insertion is very frequent in Denmark. Using electronic patient-reported outcome (ePRO) data, we investigated Danish ear, nose throat (ENT) specialists' adherence to the 2015 national clinical guideline (NCG) on first-time tympanostomy tube (TT) insertion in children aged 0-5 years with otitis media (OM). METHODS: Data on children aged 0-5 years with OM undergoing first-time TT insertion were extracted from the Danish ENT Specialists Organisation (DONHO) database. Preoperative questionnaires were used to obtain information on symptom duration, and the number of acute OM (AOM) episodes was analysed. The following criteria were established to define NCG adherence: 1) A symptom duration of three months or longer, 2) three or more AOM episodes within six months and 3) four or more AOM episodes within 12 months. These criteria are in accordance with the NCG definition of chronic OM with effusion (COME) and recurrent AOM (RAOM). RESULTS: A total of 1,495 children were included in the study. In total, 91.0% of the parents reported a symptom duration of three months or more and/or RAOM within 6-12 months prior to TT insertion in accordance with the adherence criteria; 4.6% reported a symptom duration of less than three months with few or no episodes of AOM and did not meet the recommended TT insertion criteria. Finally, 4.4% of the parents were undecided with respect to symptom duration, number of AOM episodes or both at 6-12 months prior to IT insertion. CONCLUSIONS: Using solely ePRO data, we found that Danish practicing ENT specialists adhere to the 2015 NCG in regard to OM symptom duration and RAOM.

AB - INTRODUCTION: Tympanostomy tube insertion is very frequent in Denmark. Using electronic patient-reported outcome (ePRO) data, we investigated Danish ear, nose throat (ENT) specialists' adherence to the 2015 national clinical guideline (NCG) on first-time tympanostomy tube (TT) insertion in children aged 0-5 years with otitis media (OM). METHODS: Data on children aged 0-5 years with OM undergoing first-time TT insertion were extracted from the Danish ENT Specialists Organisation (DONHO) database. Preoperative questionnaires were used to obtain information on symptom duration, and the number of acute OM (AOM) episodes was analysed. The following criteria were established to define NCG adherence: 1) A symptom duration of three months or longer, 2) three or more AOM episodes within six months and 3) four or more AOM episodes within 12 months. These criteria are in accordance with the NCG definition of chronic OM with effusion (COME) and recurrent AOM (RAOM). RESULTS: A total of 1,495 children were included in the study. In total, 91.0% of the parents reported a symptom duration of three months or more and/or RAOM within 6-12 months prior to TT insertion in accordance with the adherence criteria; 4.6% reported a symptom duration of less than three months with few or no episodes of AOM and did not meet the recommended TT insertion criteria. Finally, 4.4% of the parents were undecided with respect to symptom duration, number of AOM episodes or both at 6-12 months prior to IT insertion. CONCLUSIONS: Using solely ePRO data, we found that Danish practicing ENT specialists adhere to the 2015 NCG in regard to OM symptom duration and RAOM.

M3 - Journal article

VL - 66

JO - Danish Medical Journal

JF - Danish Medical Journal

SN - 1603-9629

IS - 9

M1 - A5552

ER -

Siggaard LD, Barrett TQ, Luscher M, Tingsgaard PK, Homoe P. Specialists' adherence to guidelines on tympanostomy tube insertion. Danish Medical Journal. 2019 sep 1;66(9). A5552.