Evidence‐Based Medicine in Otolaryngology, Part 2

Shin, Jennifer J.; Rauch, Steven D.; Wasserman, Jared M.; Coblens, Orly; Randolph, Gregory W.

doi:10.1177/0194599810393856

Cited by 15 publications

(27 citation statements)

References 42 publications

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“…Each article was assigned a quality ranking, using levels of evidence as described by Shin et al Two scales were selected for quality assessment: a modified Downs and Black (DB) Scale and the assessment of multiple systematic reviews (AMSTAR) scale . The DB scale is a 26‐item tool, chosen due to its robustness in evaluating nonrandomized methodologies, including cohort and case‐control studies .…”

Section: Methodsmentioning

confidence: 99%

Outcome measurements in obstructive sleep apnea: Beyond the apnea‐hypopnea index

2013

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Section: Methodsmentioning

confidence: 99%

Outcome measurements in obstructive sleep apnea: Beyond the apnea‐hypopnea index

2013

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“…Thus, it appears to be as much a problem with statistics as it is steroids. This becomes even more critical in current efforts to establish evidence‐based medicine guidelines for treatment of hearing and vestibular disorders (Shin et al, 2010, 2011; Stachler et al, 2012). If treatments outcomes are a factor in developing patient therapy protocols, and no evidence of efficacy can be demonstrated, then patient treatment cannot be justified.…”

Section: Misconceptions About Corticosteroid Therapy For Hearing and mentioning

confidence: 99%

Corticosteroid Therapy for Hearing and Balance Disorders

Trune

Canlon

2012

The Anatomical Record

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This review addresses the current status of steroid therapies for hearing and vestibular disorders and how certain misconceptions may be undermining the efficacy in restoring normal ear function, both experimentally and clinically. Specific misconceptions addressed are that steroid therapy is not effective, steroid-responsive hearing loss proves an underlying inflammatory problem in the ear, and steroids only have application to the hearing disorders listed below. Glucocorticoid therapy for hearing and balance disorders has been employed for over 60 years. It is recommended in cases of sudden hearing loss, Meniére’s disease, immune-mediated hearing loss, and any vestibular dysfunction suspected of having an inflammatory etiology. The predominant steroids employed today are dexamethasone, prednisone, prednisolone, and methyl-prednisolone. In spite of years of use, little is known of the steroid responsive mechanisms in the ear that are influenced by glucocorticoid therapy. Furthermore, meta-analyses and clinical study reviews occasionally question whether steroids offer any benefit at all. Foremost in the minds of clinicians is the immune suppression and antiinflammatory functions of steroids because of their efficacy for autoimmune hearing loss. However, glucocorticoids have a strong binding affinity for the mineralocorticoid (aldosterone) and glucocorticoid receptors, both of which are prominent in the ear. Because the auditory and vestibular end organs require tightly regulated endolymph and perilymph fluids, this ion homeostasis role of the mineralocorticoid receptor cannot be overlooked in both normal and pathologic functions of the ear. The function of the glucocorticoid receptor is to provide anti-inflammatory and anti-apoptotic signals by mediating survival factors.

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“…[14] Fuchs et al indicated that demonstration of real-time live-surgery sessions for a large audience in which ENT specialists participating in scientific meetings, can actively attend, can be a 'privilege' in that televiewers and audience can acquire instantaneous knowledge and training. They also stressed that such meetings can be more frequently organized.…”

Section: Discussionmentioning

confidence: 99%

Preferences of Turkish ENT specialists about academical meetings: a survey study

Cingi¹,

Oğhan²,

Abakay³

et al. 2013

J Med Updates

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ÖzetAmaç: Bu çal›flman›n amac› Türkiye'de Kulak Burun Bo¤az uzman› hekimler ile Kulak Burun Bo¤az hastal›klar›nda asistanl›k e¤itimi alan hekimlerin bilgi edinebilme çabalar›n› ve kan›ta dayal› becerilerini kazanma isteklerini araflt›rmakt›r.Yöntem: Ekim 2010'da Türk Ulusal Kulak Burun Bo¤az kongresine kat›lan 740 KBB hekimine kesitsel bir anket uyguland›. Befl yüz k›rk üç tamamlanm›fl anket de¤erlendirmeye al›narak çal›flmaya dahil edildi. Bu anket hekimlerin akademik olarak Kulak Burun Bo¤az toplant›lar›ndan beklentilerini içeren dört sorudan olufluyordu. Bu dört soru için birden befle kadar olan 'de¤er tespiti' puanlama sistemi kullan›ld›. Bulgular:Bilgiye hakim olma isteklili¤i ile meslekte y›l deneyimi aras›nda istatistiksel olarak anlaml› bir korelasyon saptand›. "Toplant›-lardan size en yararl› gelece¤ine inand›klar›n›z hangileridir?" sorusuna verilen cevaplar incelendi¤inde canl› interaktif cerrahi seyretmek ya da tek konulu sempozyuma kat›lmak yerine, yurt d›fl›nda ameliyat izlemek ve kurslara kat›lmak, "Hangi toplant›ya ya da uygulamal› kursa kat›lmak cazip geliyor?" sorusuna da yine canl› cerrahi izlenebilen toplant› yerine, "Öncelikle kadavra diseksiyon kurslar›na kat›lmak" cevaplar› al›nd›.Sonuç: Çal›flma sonucumuz, ülkemizde çal›flan KBB hekimlerinin e¤itim amaçl› spesifik interaktif bilginin sadece toplant›lardan elde edilmesinden çok; kadavralardan elde edilen kan›ta dayal› pratikle olaca¤›na inand›¤›n› ve ço¤unlu¤unun bilgi ve becerilerini artt›rmaya istekli oldu¤unu göstermektedir. Makalemizin sonuçlar› KBB uzmanlar›n›n e¤itim sürecinde dikkat edilmesi gereken noktalara ›fl›k tutmaktad›r.Anahtar sözcükler: Bilimsel toplant›, Kulak Burun Bo¤az, uzman. AbstractObjective: The objective of this study was to investigate the current information-seeking behaviors of ENT physicians and ENT trainees in Turkey and their willingness to learn and acquire evidence-based practice skills. Methods:A cross-sectional survey was carried out by distribution of a questionnaire to 740 otolaryngologists employed in Turkey who attended a national otolaryngology meeting in October 2010. Five-hundred forty-three completed questionnaires were gathered. The questionnaire was created as four questions including expectations from academical meetings valuation scoring from one to five points was used to evaluate these four questions in the questionnaire. Results:There was a statistical correlation between the number of years of experience and willingness to acquire information mastery skills. When the responses to the question "Which meetings do you believe that you will benefit mostly?" were analyzed, they preferred to watch surgical operations in international workshops or participate in courses abroad, instead of attending interactive surgical operations or symposiums on a single topic. Based on the responses to the question 'Which meetings or applied courses do you find attractive to participate?" they preferred to attend "courses of cadaver dissection" in lieu of live-interactive surgical operations. Conclusion:Most oto...

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Evidence‐Based Medicine in Otolaryngology, Part 2

Cited by 15 publications

References 42 publications

Outcome measurements in obstructive sleep apnea: Beyond the apnea‐hypopnea index

Outcome measurements in obstructive sleep apnea: Beyond the apnea‐hypopnea index

Corticosteroid Therapy for Hearing and Balance Disorders

Preferences of Turkish ENT specialists about academical meetings: a survey study

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