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 journalArticle

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 (US)
Pages (from-to)S1-S21
JournalOtolaryngology - Head and Neck Surgery (United States)
Volume156
Issue number4_suppl
DOIs
StatePublished - Apr 1 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

Keywords

  • chronic suppurative otitis media
  • diagnostics
  • epidemiology
  • genetics
  • guidelines
  • hearing loss
  • microbiology
  • otitis media
  • quality of life
  • risk factors

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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 (United States), 156(4_suppl), 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 (United States), Vol. 156, No. 4_suppl, 01.04.2017, p. S1-S21.

Research output: Contribution to journalArticle

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 (United States), vol. 156, no. 4_suppl, pp. S1-S21. https://doi.org/10.1177/0194599816643510
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 (United States). 2017 Apr 1;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 (United States). 2017 ; Vol. 156, No. 4_suppl. pp. S1-S21.
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