Consistency of Diagnostic Criteria for Acute Otitis Media: A Review of the Recent Literature

Clinicians use various criteria to diagnose acute otitis media (AOM). Using American Academy of Pediatrics (AAP) guidelines, we reviewed the consistency of AOM diagnosis in clinical trials (1994-2005). Eighty-one percent of the studies required at least one of the three AAP criteria. Only 20% of the...

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Veröffentlicht in:Clinical pediatrics 2007-03, Vol.46 (2), p.99-108
Hauptverfasser: Chandler, Stephanie M., Garcia, Shawn M. S., McCormick, David P.
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Garcia, Shawn M. S.
McCormick, David P.
description Clinicians use various criteria to diagnose acute otitis media (AOM). Using American Academy of Pediatrics (AAP) guidelines, we reviewed the consistency of AOM diagnosis in clinical trials (1994-2005). Eighty-one percent of the studies required at least one of the three AAP criteria. Only 20% of the 88 studies met all three AAP criteria for a diagnosis. We found no association between the number of criteria met and study quality or industry sponsorship. Better agreement on the definition of AOM using AAP criteria could facilitate a more accurate clinical diagnosis and provide standardization of research and patient care practices.
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subjects Acute Disease
Clinical trials
Ear diseases
Guideline Adherence
Humans
Medical disorders
Otitis Media - diagnosis
Pediatrics
Practice Guidelines as Topic
Randomized Controlled Trials as Topic
title Consistency of Diagnostic Criteria for Acute Otitis Media: A Review of the Recent Literature
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