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How Appropriate Are Surgically Inserted Tubes for Otitis Media?

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How Appropriate Are Surgically Inserted Tubes for Otitis Media?

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The April 27, 1994 issue of the Journal of the American Medical Association (JAMA) revealed that most tympanostomy tube surgery may not be appropriate for children. GA_googleFillSlot(“chiroweb_com_Articles_Pages_Rectangle”); In their paper, “The medical appropriateness of tympanostomy tubes proposed for children younger than 16 years in the United States,” the authors examined 6,429 cases utilizing “explicit criteria developed by an expert panel using the RAND/University of California – Los Angeles, modified Delphi method.” The results: “A total of 6,429 (97%) of the cases were proposed for recurrent acute otitis media, otitis media with effusion, or both. Making generous clinical assumptions, 41% of the proposals for these reasons had appropriate indications, 32% had equivocal indications, and 27% had inappropriate ones. Considering the additional information available from the subsample review, the proportion appropriate was 42%, equivocal 35%, and inappropriate 23%.” With less than

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