Critical Appraisal of Clinical Practice Guidelines for Otitis Media in Asian and Western Countries with Consideration of Updates: A Narrative Review

Overview

Journal Malays Fam Physician

Specialty Public Health

Date 2024 Dec 10

PMID 39654866

Authors

Nabeel Ibraheem Jaafar Albazah

Hui Min Loh

Jin Yun Lee

Woon Khong Chen

Elena Ying Jie Khaw

Ping Kiat Ngu

Sherreen Yehia Zakaria Elhariri

Affiliations

Soon will be listed here.

Abstract

Introduction: Acute otitis media is a common disease in children under the age of 5 years due to their primitive ear anatomy. One of its consequences is otitis media with effusion (OME), which is a condition wherein serous secretion accumulates in the middle ear due to Eustachian tube dysfunction. OME results in conductive hearing loss, impacting children's learning and development. This review aimed to identify discrepancies in clinical practice guidelines (CPGs) for managing OME in children across Asian and Western countries, focusing on updates to these guidelines.

Methods: A comparative review involving critical appraisal using the Appraisal of Guidelines for Research and Evaluation II tool was conducted. CPGs for managing ear effusion in children in Western and Asian countries published in the PubMed, Cochrane Library, Scopus and Science Direct databases were reviewed. Four CPGs from Western countries (Scotland, England, the United States of America and France) and three CPGs from Asian countries (Japan, Korea and Malaysia) were selected.

Results: There was a mild discrepancy regarding conducting surgery after 3 months, particularly myringotomy and adenoidectomy with or without grommets, between the Scottish CPG and other CPGs.

Conclusion: Asian CPGs for the management of OME share many similarities with Western CPGs. However, Asian CPGs tend to be stronger in most domains and levels of evidence. Japanese and American CPGs are up to date as of 2022 and 2016, respectively, while other CPGs are outdated for about 10 years.

References

Crawford B, Mohd Hashim S, Prepageran N, See G, Meier G, Wada K . Impact of Pediatric Acute Otitis Media on Child and Parental Quality of Life and Associated Productivity Loss in Malaysia: A Prospective Observational Study. Drugs Real World Outcomes. 2016; 4(1):21-31. PMC: 5332310. DOI: 10.1007/s40801-016-0099-9. View

Grimshaw J, Eccles M, Thomas R, MacLennan G, Ramsay C, Fraser C . Toward evidence-based quality improvement. Evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966-1998. J Gen Intern Med. 2006; 21 Suppl 2:S14-20. PMC: 2557130. DOI: 10.1111/j.1525-1497.2006.00357.x. View

Siering U, Eikermann M, Hausner E, Hoffmann-Esser W, Neugebauer E . Appraisal tools for clinical practice guidelines: a systematic review. PLoS One. 2013; 8(12):e82915. PMC: 3857289. DOI: 10.1371/journal.pone.0082915. View

Burgers J, Fervers B, Haugh M, Brouwers M, Browman G, Philip T . International assessment of the quality of clinical practice guidelines in oncology using the Appraisal of Guidelines and Research and Evaluation Instrument. J Clin Oncol. 2004; 22(10):2000-7. DOI: 10.1200/JCO.2004.06.157. View

Monasta L, Ronfani L, Marchetti F, Montico M, Vecchi Brumatti L, Bavcar A . Burden of disease caused by otitis media: systematic review and global estimates. PLoS One. 2012; 7(4):e36226. PMC: 3340347. DOI: 10.1371/journal.pone.0036226. View

Rosenfeld R, Tunkel D, Schwartz S, Anne S, Bishop C, Chelius D . Clinical Practice Guideline: Tympanostomy Tubes in Children (Update). Otolaryngol Head Neck Surg. 2022; 166(1_suppl):S1-S55. DOI: 10.1177/01945998211065662. View

Holte L, Margolis R, Cavanaugh Jr R . Developmental changes in multifrequency tympanograms. Audiology. 1991; 30(1):1-24. DOI: 10.3109/00206099109072866. View

Lee D . How to improve the accuracy of diagnosing otitis media with effusion in a pediatric population. Int J Pediatr Otorhinolaryngol. 2009; 74(2):151-3. DOI: 10.1016/j.ijporl.2009.10.029. View

Ito M, Takahashi H, Iino Y, Kojima H, Hashimoto S, Kamide Y . Clinical practice guidelines for the diagnosis and management of otitis media with effusion (OME) in children in Japan, 2015. Auris Nasus Larynx. 2017; 44(5):501-508. DOI: 10.1016/j.anl.2017.03.018. View

10.

Rovers M . The burden of otitis media. Vaccine. 2008; 26 Suppl 7:G2-4. DOI: 10.1016/j.vaccine.2008.11.005. View

11.

Koc A, Ekinci G, Bilgili A, Akpinar I, Yakut H, Han T . Evaluation of the mastoid air cell system by high resolution computed tomography: three-dimensional multiplanar volume rendering technique. J Laryngol Otol. 2003; 117(8):595-8. DOI: 10.1258/002221503768199906. View

12.

Shekelle P, Woolf S, Grimshaw J, Schunemann H, Eccles M . Developing clinical practice guidelines: reviewing, reporting, and publishing guidelines; updating guidelines; and the emerging issues of enhancing guideline implementability and accounting for comorbid conditions in guideline development. Implement Sci. 2012; 7:62. PMC: 3503794. DOI: 10.1186/1748-5908-7-62. View

13.

Rosenfeld R, Schwartz S, Pynnonen M, Tunkel D, Hussey H, Fichera J . Clinical practice guideline: Tympanostomy tubes in children. Otolaryngol Head Neck Surg. 2013; 149(1 Suppl):S1-35. DOI: 10.1177/0194599813487302. View

14.

Lo P, Tong M, Wong E, Van Hasselt C . Parental suspicion of hearing loss in children with otitis media with effusion. Eur J Pediatr. 2006; 165(12):851-7. DOI: 10.1007/s00431-006-0181-5. View

15.

Brouwers M, Kho M, Browman G, Burgers J, Cluzeau F, Feder G . The Global Rating Scale complements the AGREE II in advancing the quality of practice guidelines. J Clin Epidemiol. 2011; 65(5):526-34. DOI: 10.1016/j.jclinepi.2011.10.008. View

16.

Young D, Ten Cate W, Ahmad Z, Morton R . The accuracy of otomicroscopy for the diagnosis of paediatric middle ear effusions. Int J Pediatr Otorhinolaryngol. 2009; 73(6):825-8. DOI: 10.1016/j.ijporl.2009.02.012. View

17.

Blanc F, Ayache D, Calmels M, Deguine O, Francois M, Leboulanger N . Management of otitis media with effusion in children. Société française d'ORL et de chirurgie cervico-faciale clinical practice guidelines. Eur Ann Otorhinolaryngol Head Neck Dis. 2018; 135(4):269-273. DOI: 10.1016/j.anorl.2018.04.008. View

18.

Brouwers M, Kho M, Browman G, Burgers J, Cluzeau F, Feder G . AGREE II: advancing guideline development, reporting and evaluation in health care. CMAJ. 2010; 182(18):E839-42. PMC: 3001530. DOI: 10.1503/cmaj.090449. View

19.

Csakanyi Z, Katona G, Josvai E, Mohos F, Sziklai I . Volume and surface of the mastoid cell system in otitis media with effusion in children: a case-control study by three-dimensional reconstruction of computed tomographic images. Otol Neurotol. 2010; 32(1):64-70. DOI: 10.1097/MAO.0b013e3181fcec84. View

20.

Lee H, Park S, Choi K, Park S, Chun Y, Kim K . Korean clinical practice guidelines: otitis media in children. J Korean Med Sci. 2012; 27(8):835-48. PMC: 3410229. DOI: 10.3346/jkms.2012.27.8.835. View