Otitis media surgery:: Large variability between Finland and Norway
Otitis media surgery:: Large variability between Finland and Norway
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DOI：
10.1016/j.ijporl.2007.03.010
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发表时间：
2007-07-01
影响因子：
1.5
通讯作者：
Kvaerner, Kari Jorunn
中科院分区：
文献类型：
--
作者：
Karevold, Gunnhild;Haapkyla, Johanna;Kvaerner, Kari Jorunn
目的：Bi-national comparison of surgical treatment for paediatric otitis media.Methods：Registry based cross-sectional study with complete data on surgery for otitis media in 2002; 21，811 Finnish and Norwegian children aged 0-16 years.Results：Total rates for otitis media surgery were 82.5 and 146.5 per 10，000 children in Norway and Finland，either.在芬兰，腺样体切除术的频率是其他国家的4倍，鼓膜造口管插入率相差23倍，芬兰的比率更高。手术率的对比在0-2岁年龄组中最为显著。此外，人口更稀少的地区有显着更高的整体surgery rates.Conclusion：中耳炎手术的发病率在两个类似的国家之间的大的变化的问题，目前的指南是否确保平等对待同样受影响的儿童和精确定位的困难，在年龄，时间和手术类型的建议。(C)2007爱思唯尔爱尔兰有限公司保留所有权利。
Objective: Bi-national comparison of surgical treatment for paediatric otitis media.Methods: Registry based cross-sectional study with complete data on surgery for otitis media in 2002; 21,811 Finnish and Norwegian children aged 0-16 years.Results: Total rates for otitis media surgery were 82.5 and 146.5 per 10,000 children in Norway and Finland, respectively. Adenoidectomies were four times more frequently performed in Finland and rates for tympanostomy tube insertions differed 23-fold, Finland having the higher rate. The contrast in surgery rates was most striking in the age group 0-2 years. Further, the more sparsely populated regions had significantly higher overall surgery rates.Conclusion: The large variability in the incidence of otitis media surgery between two similar countries questions whether present guidelines ensure equal treatment in similarly affected children and pinpoints the difficulty in giving advice on age, time and type of surgery. (C) 2007 Elsevier Ireland Ltd. All rights reserved.