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  1. Theoretical cost effectiveness of management options for children with persisting middle ear effusions.

    Article - En anglais

    Objective

    The purpose of this theoretical study is to assess the cost effectiveness of options involving observation, antibiotics alone, corticosteroids alone, corticosteroids plus antibiotics, and surgery to clear persisting middle ear effusions during three visits.

    Methodology

    In a hypothetical case the expected average per patient expenditures are calculated using the efficacy rates determined by the meta-analysis of randomized controlled clinical trials involving corticosteroids plus an antibiotic (six trials), corticosteroids alone (three trials), and antibiotic alone (four trials).

    In this analysis, all children whose bilateral middle ear effusions persist for 12 weeks despite medical management are referred for ventilating tubes.

    Mots-clés Pascal : Otite moyenne séreuse, Enfant, Homme, Arbre décision, Etude statistique, Traitement, Aspect économique, Coût, ORL pathologie, Oreille moyenne pathologie

    Mots-clés Pascal anglais : Secretory otitis media, Child, Human, Decision tree, Statistical study, Treatment, Economic aspect, Costs, ENT disease, Middle ear disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 94-0292973

    Code Inist : 002B10D02. Création : 199406.