Audiometric Testing Guideline Adherence in Children Undergoing Tympanostomy Tubes: A Population-Based Study

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Jason A BeyeaStephen F Hall

Abstract

Objective Tympanostomy tube (TT) insertion is the most common ambulatory surgery performed on children. American Academy of Otolaryngology-Head and Neck Surgery Founda-tion (AAO-HNSF) Clinical Practice Guidelines (CPGs) recommend hearing testing for all pediatric TT candidates. The aim of this study was to assess audiometric testing in this population. Study Design Retrospective population-based cohort study. Setting All hospitals in the Canadian province of Ontario. Subjects and Methods All patients 12 years of age and younger who underwent at least 1 TT procedure between January 1993 and June 2016. The primary outcomes were the percentage of patients who underwent a hearing test within 1 year before and/or 1 year after surgery. Results A total of 316,599 bilateral TT procedures were performed during the study period (1993 to 2016). Presurgical hearing tests increased from 55.7% to 74.9%, and postsurgical hearing tests increased from 42.2% to 68.9%. Younger surgeons demonstrated a greater adherence to the CPGs (relative risk [RR], 1.22; 95% CI, 1.08-1.38; P = .001). Remarkably, there was not a spike in preoperative hearing tests following the introduction of the CPGs in 2013 (RR, 1.12; 95% CI, 0.85-1.47; P = .432). Presurgical...Continue Reading

References

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Jul 17, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Richard M RosenfeldKenneth G Schellhase
Apr 8, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Douglas SidellEllis Arjmand
May 28, 2014·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Jonathan A Micieli
Aug 9, 2016·International Journal of Pediatric Otorhinolaryngology·Carrie L NiemanEmily F Boss
Apr 8, 2017·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Jack V TuUNKNOWN Cardiovascular Health in Ambulatory Care Research Team (CANHEART)
Jul 12, 2017·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Marisa A Ryan
Sep 13, 2017·The Laryngoscope·Jason A BeyeaStephen F Hall
Sep 22, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Florence Saillour-GlénissonPhilippe Michel

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Citations

May 27, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Marisa A RyanJonathan M Walsh
Oct 27, 2020·The Laryngoscope·Zahrah TaufiqueDavid R Friedmann
Jul 1, 2021·Journal of Evaluation in Clinical Practice·Joanna M M DionJason A Beyea

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