Clinical Practice Guidelines: Whose Practice Are We Guiding?

The American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) has just released an update to the clinical practice guideline (CPG) on otitis media with effusion. This common condition is frequently managed by primary care providers; however, their awareness and utilization of the AAO-HNSF CPGs are unknown. We performed a cross-sectional survey to assess familiarity with otologic diagnoses, evaluation skills, and guidelines. Only 38.5% of respondents use pneumatic otoscopy, and roughly 50% utilize a CPG for management of otitis media or for referral for tympanostomy tube insertion. Providers predominantly use the acute otitis media guideline from the American Academy of Pediatrics. In this single-institution study, providers are largely unaware of the AAO-HNSF CPGs and could benefit from additional training, including workshops taught by otolaryngologists within individual health care systems or development of a national otolaryngology medical student curriculum. A more immediate option includes referencing our CPGs on specialty societies' websites or newsletters.

Harvey M ，Bowe SN ，Laury AM 《-》

Clinical practice guideline: Otitis media with effusion.

Rosenfeld RM ，Culpepper L ，Doyle KJ ，Grundfast KM ，Hoberman A ，Kenna MA ，Lieberthal AS ，Mahoney M ，Wahl RA ，Woods CR Jr ，Yawn B ，American Academy of Pediatrics Subcommittee on Otitis Media with Effusion ，American Academy of Family Physicians ，American Academy of Otolaryngology--Head and Neck Surgery ... -  《OTOLARYNGOLOGY-HEAD AND NECK SURGERY》

Otitis media with effusion.

American Academy of Family Physicians ，American Academy of Otolaryngology-Head and Neck Surgery ，American Academy of Pediatrics Subcommittee on Otitis Media With Effusion 《-》

Clinical Practice Guideline: Otitis Media with Effusion Executive Summary (Update).

The American Academy of Otolaryngology-Head and Neck Surgery Foundation has published a supplement to this issue of Otolaryngology-Head and Neck Surgery featuring the updated "Clinical Practice Guideline: Otitis Media with Effusion." To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 18 recommendations developed emphasize diagnostic accuracy, identification of children who are most susceptible to developmental sequelae from otitis media with effusion, and education of clinicians and patients regarding the favorable natural history of most otitis media with effusion and the lack of efficacy for medical therapy (eg, steroids, antihistamines, decongestants). An updated guideline is needed due to new clinical trials, new systematic reviews, and the lack of consumer participation in the initial guideline development group.

Rosenfeld RM ，Shin JJ ，Schwartz SR ，Coggins R ，Gagnon L ，Hackell JM ，Hoelting D ，Hunter LL ，Kummer AW ，Payne SC ，Poe DS ，Veling M ，Vila PM ，Walsh SA ，Corrigan MD ... -  《-》

AAO-HNS Releases Updated Guideline on Management of Otitis Media with Effusion.

Lambert M 《-》