Panel 1

Epidemiology and Diagnosis

Preben Homøe, Kari Kværner, Janet R. Casey, Roger A.M.J. Damoiseaux, Thijs M.A. van Dongen, Hasantha Gunasekera, Ramon G. Jensen, Ellen Kvestad, Peter S. Morris, Heather M. Weinreich

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Objective: To create a literature review between 2011 and June 1, 2015, on advances in otitis media (OM) epidemiology and diagnosis (including relevant audiology studies).

    Data Sources: Electronic search engines (PubMed, EMBASE, and Cochrane Library) with a predefined search strategy. Review Methods: Articles with appropriate epidemiologic methodology for OM, including acute mastoiditis and eustachian tube dysfunction. Items included OM worldwide and in high-risk populations, OM-related hearing loss, news in OM diagnostics, prenatal risk factors and comorbidities, postnatal risk factors, genetics, microbiological epidemiology, guidelines, and quality of life.

    Conclusions: Diagnostic evidence and genetic studies are increasing; guidelines are introduced worldwide; and there is evidence of benefit of pneumococcal conjugate vaccines. New risk factors and comordities are identified in the study period, and quality of life is affected in children and their families.

    Implications for Practice: Chronic suppurative OM occurs worldwide and contributes to lifelong hearing loss. Uniform definitions are still lacking and should be provided. An association between HIV and chronic suppurative OM has been found. Tympanometry is recommended for diagnosis, with or without pneumatic otoscopy. Video otoscopy, algorithms, and validated questionnaires may assist clinicians. Childhood obesity is associated with OM. Heritability accounts for 20% to 50% of OM diagnoses. OM-prone children seem to produce weaker immunologic responses to pneumococcal conjugate vaccines. Clinicians tend to individualize treatment without adhering to guidelines.

    Original languageEnglish
    Pages (from-to)S1-S21
    Number of pages21
    JournalOtolaryngology - Head and Neck Surgery
    Volume156
    Issue number4_suppl
    DOIs
    Publication statusPublished - 1 Apr 2017

    Fingerprint

    Otitis Media
    Epidemiology
    Otoscopy
    Suppurative Otitis Media
    Conjugate Vaccines
    Pneumococcal Vaccines
    Guidelines
    Hearing Loss
    Quality of Life
    Mastoiditis
    Audiology
    Acoustic Impedance Tests
    Eustachian Tube
    Search Engine
    Molecular Epidemiology
    Pediatric Obesity
    Information Storage and Retrieval
    PubMed
    Libraries
    Comorbidity

    Cite this

    Homøe, P., Kværner, K., Casey, J. R., Damoiseaux, R. A. M. J., van Dongen, T. M. A., Gunasekera, H., ... Weinreich, H. M. (2017). Panel 1: Epidemiology and Diagnosis. Otolaryngology - Head and Neck Surgery, 156(4_suppl), S1-S21. https://doi.org/10.1177/0194599816643510
    Homøe, Preben ; Kværner, Kari ; Casey, Janet R. ; Damoiseaux, Roger A.M.J. ; van Dongen, Thijs M.A. ; Gunasekera, Hasantha ; Jensen, Ramon G. ; Kvestad, Ellen ; Morris, Peter S. ; Weinreich, Heather M. / Panel 1 : Epidemiology and Diagnosis. In: Otolaryngology - Head and Neck Surgery. 2017 ; Vol. 156, No. 4_suppl. pp. S1-S21.
    @article{09c5bd9b10884d6182de0fc90bc70652,
    title = "Panel 1: Epidemiology and Diagnosis",
    abstract = "Objective: To create a literature review between 2011 and June 1, 2015, on advances in otitis media (OM) epidemiology and diagnosis (including relevant audiology studies). Data Sources: Electronic search engines (PubMed, EMBASE, and Cochrane Library) with a predefined search strategy. Review Methods: Articles with appropriate epidemiologic methodology for OM, including acute mastoiditis and eustachian tube dysfunction. Items included OM worldwide and in high-risk populations, OM-related hearing loss, news in OM diagnostics, prenatal risk factors and comorbidities, postnatal risk factors, genetics, microbiological epidemiology, guidelines, and quality of life. Conclusions: Diagnostic evidence and genetic studies are increasing; guidelines are introduced worldwide; and there is evidence of benefit of pneumococcal conjugate vaccines. New risk factors and comordities are identified in the study period, and quality of life is affected in children and their families. Implications for Practice: Chronic suppurative OM occurs worldwide and contributes to lifelong hearing loss. Uniform definitions are still lacking and should be provided. An association between HIV and chronic suppurative OM has been found. Tympanometry is recommended for diagnosis, with or without pneumatic otoscopy. Video otoscopy, algorithms, and validated questionnaires may assist clinicians. Childhood obesity is associated with OM. Heritability accounts for 20{\%} to 50{\%} of OM diagnoses. OM-prone children seem to produce weaker immunologic responses to pneumococcal conjugate vaccines. Clinicians tend to individualize treatment without adhering to guidelines.",
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    Homøe, P, Kværner, K, Casey, JR, Damoiseaux, RAMJ, van Dongen, TMA, Gunasekera, H, Jensen, RG, Kvestad, E, Morris, PS & Weinreich, HM 2017, 'Panel 1: Epidemiology and Diagnosis', Otolaryngology - Head and Neck Surgery, vol. 156, no. 4_suppl, pp. S1-S21. https://doi.org/10.1177/0194599816643510

    Panel 1 : Epidemiology and Diagnosis. / Homøe, Preben; Kværner, Kari; Casey, Janet R.; Damoiseaux, Roger A.M.J.; van Dongen, Thijs M.A.; Gunasekera, Hasantha; Jensen, Ramon G.; Kvestad, Ellen; Morris, Peter S.; Weinreich, Heather M.

    In: Otolaryngology - Head and Neck Surgery, Vol. 156, No. 4_suppl, 01.04.2017, p. S1-S21.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - Panel 1

    T2 - Epidemiology and Diagnosis

    AU - Homøe, Preben

    AU - Kværner, Kari

    AU - Casey, Janet R.

    AU - Damoiseaux, Roger A.M.J.

    AU - van Dongen, Thijs M.A.

    AU - Gunasekera, Hasantha

    AU - Jensen, Ramon G.

    AU - Kvestad, Ellen

    AU - Morris, Peter S.

    AU - Weinreich, Heather M.

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    Y1 - 2017/4/1

    N2 - Objective: To create a literature review between 2011 and June 1, 2015, on advances in otitis media (OM) epidemiology and diagnosis (including relevant audiology studies). Data Sources: Electronic search engines (PubMed, EMBASE, and Cochrane Library) with a predefined search strategy. Review Methods: Articles with appropriate epidemiologic methodology for OM, including acute mastoiditis and eustachian tube dysfunction. Items included OM worldwide and in high-risk populations, OM-related hearing loss, news in OM diagnostics, prenatal risk factors and comorbidities, postnatal risk factors, genetics, microbiological epidemiology, guidelines, and quality of life. Conclusions: Diagnostic evidence and genetic studies are increasing; guidelines are introduced worldwide; and there is evidence of benefit of pneumococcal conjugate vaccines. New risk factors and comordities are identified in the study period, and quality of life is affected in children and their families. Implications for Practice: Chronic suppurative OM occurs worldwide and contributes to lifelong hearing loss. Uniform definitions are still lacking and should be provided. An association between HIV and chronic suppurative OM has been found. Tympanometry is recommended for diagnosis, with or without pneumatic otoscopy. Video otoscopy, algorithms, and validated questionnaires may assist clinicians. Childhood obesity is associated with OM. Heritability accounts for 20% to 50% of OM diagnoses. OM-prone children seem to produce weaker immunologic responses to pneumococcal conjugate vaccines. Clinicians tend to individualize treatment without adhering to guidelines.

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    KW - epidemiology

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    KW - risk factors

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    Homøe P, Kværner K, Casey JR, Damoiseaux RAMJ, van Dongen TMA, Gunasekera H et al. Panel 1: Epidemiology and Diagnosis. Otolaryngology - Head and Neck Surgery. 2017 Apr 1;156(4_suppl):S1-S21. https://doi.org/10.1177/0194599816643510