Compliance with tympanostomy tube insertion guidelines in Finland.
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| Title: | Compliance with tympanostomy tube insertion guidelines in Finland. |
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| Authors: | Lahdes, Vesa (AUTHOR), Puhakka, Tuomo (AUTHOR), Vahlberg, Tero (AUTHOR), Haavisto, Lotta (AUTHOR) |
| Source: | Acta Oto-Laryngologica. Jul2025, Vol. 145 Issue 7, p589-593. 5p. |
| Subjects: | Medical protocols, Otitis media, Pearson correlation (Statistics), Research funding, Academic medical centers, Data analysis, Questionnaires, Visual analog scale, Kruskal-Wallis Test, Retrospective studies, Descriptive statistics, Mann Whitney U Test, Chi-squared test, Middle ear ventilation, Quality of life, Medical records, Acquisition of data, Statistics, Data analysis software, Ear surgery |
| Geographic Terms: | Finland |
| Abstract (English): | Backround: Tympanostomy tube insertion (TTI) is the most common pediatric surgical procedure in otorhinolaryngology. Objectives: To evaluate the appropriateness of TTI in relation to national recommendations in Finland. As a secondary aim, we assessed long term ear-related quality of life if surgical criteria are unmet. Materials and methods: We retrospectively reviewed all TTI procedures performed on children under 10 years of age in 2019 in Turku University Hospital, Finland. Factors contributing to the operation were identified and evalued in detail. In 2021, caregivers received a questionnaire including Otitis Media 6 -questionnaire to assess ear-related quality of life. Results: A total of 355 operations were analyzed. The national criteria for recurrent acute otitis media were met in 119/355 cases (33%) and chronic otitis media with effusion criteria in 81/355 (23%), while 155/355 (44%) did not fulfil either criterion. Ear-related quality of life was high across all groups with no significant differences observed. Conclusions and significance: The substantial proportion of procedures conducted outside Finnish recommendations underlines the necessity for continuous professional education and systematic evaluation of clinical decision-making. Observed discrepancies between Finnish and international guidelines further support the re-evaluation of Finnish criteria to ensure alignment with global standards and evidence-based practice. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): | 鼓膜置管术 (TTI) 是耳鼻咽喉科最常见的儿科手术。 评估 TTI 与芬兰国家议案的适用性。作为第二目的, 我们评估了未满足手术标准的儿童的与耳部相关的长期生活质量。 我们回顾性分析了 2019 年在芬兰图尔库大学医院对 10 岁以下儿童实施的所有 TTI 手术, 并详细评估了促成手术的因素。2021 年, 护理人员收到了一份问卷, 其中包括中耳炎 6 项问卷, 以评估耳部相关生活质量。 共分析了 355 例手术。 355例中有119例(33%)符合复发性急性中耳炎的国家标准, 81例(23%)符合慢性渗出性中耳炎的国家标准, 而155例(44%)不符合任何一项标准。所有组的耳部相关生活质量均较高, 且未观察到显著差异。 相当一部分手术未遵循芬兰议案, 这突显了持续进行专业教育和系统评估临床决策的必要性。所观察到的芬兰指南和国际指南之间的差异进一步支持对芬兰标准进行重新评估, 以确保与全球标准和循证实践保持一致。 [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Backround: Tympanostomy tube insertion (TTI) is the most common pediatric surgical procedure in otorhinolaryngology. Objectives: To evaluate the appropriateness of TTI in relation to national recommendations in Finland. As a secondary aim, we assessed long term ear-related quality of life if surgical criteria are unmet. Materials and methods: We retrospectively reviewed all TTI procedures performed on children under 10 years of age in 2019 in Turku University Hospital, Finland. Factors contributing to the operation were identified and evalued in detail. In 2021, caregivers received a questionnaire including Otitis Media 6 -questionnaire to assess ear-related quality of life. Results: A total of 355 operations were analyzed. The national criteria for recurrent acute otitis media were met in 119/355 cases (33%) and chronic otitis media with effusion criteria in 81/355 (23%), while 155/355 (44%) did not fulfil either criterion. Ear-related quality of life was high across all groups with no significant differences observed. Conclusions and significance: The substantial proportion of procedures conducted outside Finnish recommendations underlines the necessity for continuous professional education and systematic evaluation of clinical decision-making. Observed discrepancies between Finnish and international guidelines further support the re-evaluation of Finnish criteria to ensure alignment with global standards and evidence-based practice. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00016489 |
| DOI: | 10.1080/00016489.2025.2494827 |
