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Boonacker CWB, Rovers MM, Browning GG, et al. Adenoidectomy with or without grommets for children with otitis media: an individual patient data meta-analysis. Southampton (UK): NIHR Journals Library; 2014 Jan. (Health Technology Assessment, No. 18.5.)
Adenoidectomy with or without grommets for children with otitis media: an individual patient data meta-analysis.
Show detailsRecurrent AOM, n/N (%) | Persistent OME, n/N (%) | Improvement in hearing level < 10 dB, n/N (%) | Additional surgery, n/N (%) | Composite end point, n/N (%) | |
---|---|---|---|---|---|
Adenoidectomy with unilateral or bilateral grommets | |||||
Black 199052 | – | 39/75 (52.0) | – | 1/75 (1.3) | 40/75 (53.3) |
Casselbrant 200911 | 0/31 (0.0) | 0/24 (0.0) | – | 1/32 (3.1) | 1/32 (3.1) |
Dempster 199312 | – | 24/37 (64.9) | 7/37 (18.9) | NA | 25/37 (67.6) |
Hammarén-Malmi 200515,51 | 17/102 (16.7) | – | – | 10/110 (9.1) | 22/110 (20.0) |
Kujala 201217 | 4/101 (4.0) | 0/40 (0.0) | – | 6/101 (5.9) | 9/101 (8.9) |
Mattila 200318 | 4/45 (8.9) | – | – | 0/73 (0.0) | 4/73 (5.5) |
Maw 1986,19 199310 | – | 52/83 (62.7) | 18/49 (36.7) | 7/80 (8.8) | 56/83 (67.5) |
MRC Multicentre Otitis Media Study Group 201220 | 10/117 (8.5) | 38/114 (33.3) | 30/111 (27.0) | 2/128 (1.6) | 61/128 (47.7) |
Nguyen 200421 | 0/17 (0.0) | 0/13 (0.0) | – | 0/33 (0.0) | 0/33 (0.0) |
Adenoidectomy alone | |||||
Casselbrant 200911 | 1/35 (2.9) | 0/29 (0.0) | – | 6/35 (17.1) | 7/35 (20.0) |
Koivunen 200416 | 16/60 (26.7) | 0/60 (0.0) | – | 5/60 (8.3) | 20/60 (33.3) |
Unilateral or bilateral grommets | |||||
Black 199052 | – | 39/74 (52.7) | – | 7/77 (9.1) | 44/77 (57.1) |
Casselbrant 200911 | 0/31 (0.0) | 0/27 (0.0) | – | 3/31 (9.7) | 3/31 (9.7) |
Dempster 199312 | – | 21/35 (60.0) | 11/35 (31.4) | NA | 22/35 (62.9) |
Hammarén-Malmi 200515,51 | 7/96 (7.3) | – | – | 13/107 (12.1) | 17/107 (15.9) |
Kujala 201217 | 9/98 (9.2) | 0/48 (0.0) | – | 13/98 (13.3) | 17/98 (17.3) |
Mattila 200318 | 3/32 (9.4) | – | – | 5/57 (8.8) | 5/57 (8.8) |
Maw 1986,19 199310 | – | 67/83 (80.7) | 28/56 (50.0) | 31/83 (37.3) | 72/83 (86.7) |
MRC Multicentre Otitis Media Study Group 201220 | 15/119 (12.6) | 44/113 (38.9) | 47/110 (42.7) | 4/126 (3.2) | 71/126 (56.3) |
Nguyen 200421 | 0/28 (0.0) | 0/19 (0.0) | – | 0/37 (0.0) | 0/37 (0.0) |
Non-surgical | |||||
Koivunen 200416 | 41/120 (34.2) | 0/120 (0.0) | – | 30/120 (25.0) | 54/120 (45.0) |
Kujala 201217 | 17/101 (16.8) | 0/21 (0.0) | – | 23/101 (22.8) | 30/101 (29.7) |
MRC Multicentre Otitis Media Study Group 201220 | 19/112 (17.0) | 83/112 (74.1) | 40/100 (40.0) | 43/122 (35.2) | 109/122 (89.3) |
NA, surgery not allowed during follow-up.
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