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Evidence-based management of otitis media: a 5S model approach
1Department of Otolaryngology,Ipswich Hospital NHS Trust,Suffolk,UK.
The Journal of Laryngology and Otology
|January 29, 2015
Summary
This review found system-level evidence for acute otitis media and otitis media with effusion. Consensus publications guide surgical management for chronic suppurative otitis media and cholesteatoma in the absence of RCTs.
Area of Science:
- Otolaryngology
- Evidence-Based Medicine
Background:
- The 5S model (systems, summaries, synopses, syntheses, studies) provides a hierarchy of pre-appraised evidence.
- Effective evidence-based practice relies on accessing the highest level of evidence available.
Purpose of the Study:
- To identify and summarize pre-appraised evidence at the highest 5S level.
- To guide the management of various otitis media subsets (acute otitis media, otitis media with effusion, chronic suppurative otitis media, cholesteatoma) in adults and children.
Main Methods:
- Searched pre-appraised evidence resources.
- Summarized freely available evidence from the highest 5S level sources.
Main Results:
- System-level evidence is available for acute otitis media and otitis media with effusion.
- Summary-level evidence exists for recurrent acute otitis media and medical management of chronic suppurative otitis media.
- A lack of randomized controlled trials (RCTs) was identified for the surgical management of chronic suppurative otitis media and cholesteatoma.
Conclusions:
- Consensus publications should guide the surgical management of chronic suppurative otitis media and cholesteatoma.
- Further RCTs are needed to establish definitive evidence for surgical interventions in these conditions.
Keywords:
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