Consistency of Diagnostic Criteria for Acute Otitis Media: A Review of the Recent Literature
- 1 March 2007
- journal article
- review article
- Published by SAGE Publications in Clinical Pediatrics
- Vol. 46 (2) , 99-108
- https://doi.org/10.1177/0009922806297163
Abstract
Clinicians use various criteria to diagnose acute otitis media (AOM). Using American Academy of Pediatrics (AAP) guidelines, we reviewed the consistency of AOM diagnosis in clinical trials (1994-2005). Eighty-one percent of the studies required at least one of the three AAP criteria. Only 20% of the 88 studies met all three AAP criteria for a diagnosis. We found no association between the number of criteria met and study quality or industry sponsorship. Better agreement on the definition of AOM using AAP criteria could facilitate a more accurate clinical diagnosis and provide standardization of research and patient care practices.Keywords
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