- The goal of the study was to establish a selective follow-up strategy
and potentially reduce the number of office visits required for otitis
- The study suggested that without post-treatment otitis media follow-up,
approximately ~10% of kids with persistent otitis media would be missed,
however, since 75% of cases resolve the absolute number of missed cases
would be small.
- The observations made as a result of this study were done by extrapolating
data from a rather small sample size (45/181) - hence broad confidence
- Selection bias was present as 95% of enrolled patients were Caucasian.
- Measurement bias was present since such a large number of children
were lost to follow-up.
TJ, Katz HP, Dershewitz RA, Marx TJ. Acute otitis media: Who needs posttreatment
follow-up? Pediatrics 1994; 94:143-7.
on Management of Acute Otitis Media. Diagnosis and management of acute
otitis media. Pediatrics 2004;113:1451-65.