September 2018. Volume 14. Number 2

Does watchful waiting reduce costs in acute otitis media?

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Sun D, McCarthy TJ, Liberman DB. Cost-Effectiveness of Watchful Waiting in Acute Otitis Media. Pediatrics. 2017;139:e20163086.
Reviewers: Cabrera Morente L1, Gimeno Díaz de Atauri Á2.
1CS San Felipe. Distrito Sanitario de Jaen. Jaen. España.
2Servicio de Pediatría. Hospital 12 de Octubre. Madrid. España.
Correspondence: Laura Cabrera Morente. Email: auramorente@hotmail.com
Reception date: 03/09/2018
Acceptance date: 12/09/2018
Publication date: 19/09/2018

Abstract

Author’s conclusions: the appropriate use of watchful waiting for the management of acute otitis media could simultaneously improve health outcomes and save costs for society. In contrast, the authors interpret that this attitude could imply an increase in visits, requiring additional education from parents and health personnel.

Reviewer’s commentary: this cost-effectiveness analysis demonstrates that watchful waiting management for acute otitis media in patients meeting criteria of the AAP guidelines, stratifying by age and severity symptoms, is associated with lower total costs and also avoids the loss of years of life due to disability. It would be necessary to conduct cost studies in Primary Care, adapted to our environment where it can be ensured a more exhaustive monitoring of patients and the costs could be even lower.

How to cite this article

Morente Cabrera L, Gimeno Díaz de Atauri A. La actitud expectante en la otitis media aguda ¿reduce los costes? Evid Pediatr. 2018;14:21.

AVC | Critically appraised articles

Sun D, McCarthy TJ, Liberman DB. Cost-Effectiveness of Watchful Waiting in Acute Otitis Media. Pediatrics. 2017;139:e20163086.
Reviewers: Cabrera Morente L1, Gimeno Díaz de Atauri Á2.
1CS San Felipe. Distrito Sanitario de Jaen. Jaen. España.
2Servicio de Pediatría. Hospital 12 de Octubre. Madrid. España.
Correspondence: Laura Cabrera Morente. Email: auramorente@hotmail.com
Reception date: 03/09/2018
Acceptance date: 12/09/2018
Publication date: 19/09/2018

How to cite this article

Morente Cabrera L, Gimeno Díaz de Atauri A. La actitud expectante en la otitis media aguda ¿reduce los costes? Evid Pediatr. 2018;14:21.

19/09/2018

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