The real cost of otitis media

Alsarraf, R.; Ga, Gates

doi:10.1080/08035259950169459

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…1 The diagnosis and treatment for OM is estimated at $5.3 billion 2 and the expenses multiply when one factors in the loss of parental work, transportation, and other indirect costs. 3 The most common indications for tympanostomy tube surgery in children are recurrent acute otitis media (three or more episodes of OM in a 6 month period or 4 episodes during a 1 year period) and chronic otitis media with effusion (bilateral OME which has been unresponsive to non-surgical therapy for three months or more), with a documented associated hearing loss. 4,5 Myringotomy with tube insertion is the leading procedure for children under 15 years old, with 512,000 surgeries being performed in ambulatory and inpatient settings in 1996.…”

Section: Introductionmentioning

confidence: 99%

A Comparison of In-Person Examination and Video Otoscope Imaging for Tympanostomy Tube Follow-Up

Patricoski¹,

Kokesh²,

Ferguson³

et al. 2003

Telemedicine Journal and e-Health

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The objective of this study was to determine if video otoscope still images (640 x 480 pixel resolution) of the tympanic membrane following surgical placement of tympanostomy tubes are comparable to an in-person microscopic examination. Forty patients having undergone tympanostomy tube placement in both ears were independently examined in-person by two otolaryngologists and imaged using a video otoscope and telemedicine software package. The two physicians later reviewed images at 6 and 12 weeks. Physical examination findings and diagnosis were documented and compared for their concordance using kappa statistics. For both physicians, the intraprovider concordance between the in-person examination and the corresponding image review was high for each of the physical examination findings: Tube In 93-94% (K 0.85-0.87), Tube Patent 86-93% (K 0.74-0.85), Drainage 94-98% (K 0.42-0.66), Perforation 85-98% (K 0.40-0.84), Granulation 95-99% (K -0.01 to 0.00), Middle Ear Fluid 89-91% (K -0.03 to 0.50), and Retracted 89-94% (K 0.13-0.43). These agreement rates are similar to the normal interprovider concordance observed when two physicians independently examined the same patient in-person for physical exam findings: Tube In 96% (K 0.93), Tube Patent 94% (K 0.88), Drainage 96% (K 0.56), Perforation 90% (K 0.60), Granulation 96% (K 0.39), Middle Ear Fluid 88% (K 0.14), and Retracted 91% (K 0.43). For both physicians, the intraprovider diagnostic concordance between the in-person examination and the corresponding image review was high 79-85% (K 0.67-0.76). The interprovider diagnostic concordance for the in-person exam was 88% (K 0.81). The interprovider diagnostic concordance when two physicians independently reviewed all images was 84% (K 0.74), and 89% (K 0.80) when poor images were excluded. This study demonstrates that physician review of video otoscope images is comparable to an in-person microscopic examination. Store-and-forward video otoscopy may be an acceptable method of following patients post-tympanostomy tube placement.

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Section: Introductionmentioning

confidence: 99%

A Comparison of In-Person Examination and Video Otoscope Imaging for Tympanostomy Tube Follow-Up

Patricoski¹,

Kokesh²,

Ferguson³

et al. 2003

Telemedicine Journal and e-Health

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“…Otitis media is a costly disease and is the most common reason why children receive antibiotics [7][8][9][10][11][12]. A subset of children experience recurrent and chronic otitis media [ 13 ].…”

Section: Epidemiology and Disease Burden Of Otitis Mediamentioning

confidence: 99%

Current and future prospects for a vaccine for nontypeable Haemophilus influenzae

Murphy

2009

Curr Infect Dis Rep

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Nontypeable Haemophilus influenzae is an important human respiratory tract pathogen that causes about 30% of otitis media in infants and children. This proportion is increasing as a result of pneumococcal conjugate vaccines. Because of the morbidity associated with otitis media, a strong rationale exists to develop strategies to prevent these infections. A challenge to developing a vaccine for nontypeable H. influenzae is the antigenic heterogeneity of several major surface antigens and the genetic heterogeneity among strains. Several research groups have identified conserved surface proteins and tested them as putative vaccines. A recent clinical trial with protein D, a conserved surface antigen, demonstrated partial efficacy in preventing H. influenzae otitis media. This important result provides a proof of principle for developing a vaccine to prevent otitis media caused by nontypeable H. influenzae. Several vaccine antigens for nontypeable H. influenzae are in development.

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“…Health expenditures related to OM may exceed several billion dollars per year in the United States [3]. There have been several efforts to evaluate the impact of OM on children's health as well as its economic impact.…”

Section: Otitis Mediamentioning

confidence: 99%

Outcomes Research in Pediatric Otolaryngology

Johnson¹,

Stewart²

2004

ORL

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There are several validated outcomes instruments available for use in the pediatric otolaryngology population. These include instruments for otitis media, rhinosinusitis, tonsil and adenoid disease; sleep-disordered breathing, voice disorders and tracheotomy. In addition, several prospective outcomes studies have been performed on common pediatric otolaryngology conditions. These studies have typically indicated that the quality of life impact of diseases such as otitis media and recurrent tonsillitis is quite high, and that surgical treatments (such as tympanostomy tube placement and adenotonsillectomy) result in significant improvements in quality of life and disease-specific health status. In addition, cost-effectiveness studies of cochlear implantation have indicated that implantation is a very cost-effective intervention when performed in children.

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The real cost of otitis media

Cited by 3 publications

References 7 publications

A Comparison of In-Person Examination and Video Otoscope Imaging for Tympanostomy Tube Follow-Up

A Comparison of In-Person Examination and Video Otoscope Imaging for Tympanostomy Tube Follow-Up

Current and future prospects for a vaccine for nontypeable Haemophilus influenzae

Outcomes Research in Pediatric Otolaryngology

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