{"id":3867,"date":"2000-09-01T00:00:00","date_gmt":"2000-09-01T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\/"},"modified":"2023-06-14T19:49:02","modified_gmt":"2023-06-14T23:49:02","slug":"referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\/","title":{"rendered":"Referral of children with otitis media: do family physicians and pediatricians agree?"},"content":{"rendered":"<p><strong>Objective<\/strong> &#x2014; To determine factors influencing family physicians&apos; and pediatricians&apos; decisions to refer children with recurrent acute otitis media (RAOM) and otitis media with effusion (OME) to otolaryngologists for an opinion about tympanostomy tube insertion.<\/p>\n<p><strong>Design<\/strong> &#x2014; Mailed survey.<\/p>\n<p><strong>Setting<\/strong> &#x2014; Physicians&apos; practices in Ontario.<\/p>\n<p><strong>Participants<\/strong> &#x2014; Random sample of 1459 family physicians and all 775 pediatricians in the province.<\/p>\n<p><strong>Main Outcome Measures<\/strong> &#x2014; Physicians&apos; reports of the influence of 17 factors on decisions to refer (more likely, no influence, less likely to refer) and number of episodes of otitis media, months with effusion, level of hearing loss, or months of continuous antibiotics without improvement prompting referral.<\/p>\n<p><strong>Results<\/strong> &#x2014; Physicians agreed (&gt; 80% concordance) on six out of 17 factors as indications for referring children with RAOM or OME. Opinions about the importance of other factors varied widely. Family physicians would refer children with otitis media after fewer episodes of illness, fewer months of effusion, lower levels of hearing loss, and fewer months of prophylactic antibiotic therapy than pediatricians (all P &lt; .001). Pediatricians would prescribe continuous antibiotics longer (11.8 weeks) than family physicians (8.9 weeks, P &lt; .0001), which correlated with lower referral thresholds for family physicians.<\/p>\n<p><strong>Conclusion<\/strong> &#x2014; Family physicians&apos; and pediatricians&apos; self-reported referral practices for surgical opinions on children with otitis media varied considerably. These observations raise questions about the consistency of care for children with otitis media and whether revised clinical guidelines would be helpful.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective &#x2014; To determine factors influencing family physicians&apos; and pediatricians&apos; decisions to refer children with recurrent acute otitis media (RAOM) and otitis media with effusion (OME) to otolaryngologists for an opinion about tympanostomy tube insertion. Design &#x2014; Mailed survey. Setting &#x2014; Physicians&apos; practices in Ontario. Participants &#x2014; Random sample of 1459 family physicians and all [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,27],"migration-helper-qa-sample-set":[],"class_list":["post-3867","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-pediatrics"],"acf":{"citation":"Mcisaac WJ, Coyte P, Croxford R, Harji S, Feldman W. <em>Can Fam Physician<\/em>. 2000; 46(9):1780-8.","source_url":"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2145027\/","ices_scientist":[],"site":[],"research_program":[],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"147B4E32-1717-45D5-8A85-8D1283DEDFF3","sitecore_item_name":"Referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree","sitecore_field_values":"{\n  \"Title\": \"Referral of children with otitis media: do family physicians and pediatricians agree?\",\n  \"Short title\": \"Referral of children with otitis media\",\n  \"Citation\": \"<p>Mcisaac WJ, Coyte P, Croxford R, Harji S, Feldman W. <em>Can Fam Physician<\/em>. 2000; 46(9):1780-8.<\/p>\",\n  \"Abstract\": \"<p><strong>Objective<\/strong> &mdash; To determine factors influencing family physicians' and pediatricians' decisions to refer children with recurrent acute otitis media (RAOM) and otitis media with effusion (OME) to otolaryngologists for an opinion about tympanostomy tube insertion.<\/p>n<p><strong>Design<\/strong> &mdash; Mailed survey.<\/p>n<p><strong>Setting<\/strong> &mdash; Physicians' practices in Ontario.<\/p>n<p><strong>Participants<\/strong> &mdash; Random sample of 1459 family physicians and all 775 pediatricians in the province.<\/p>n<p><strong>Main Outcome Measures<\/strong> &mdash; Physicians' reports of the influence of 17 factors on decisions to refer (more likely, no influence, less likely to refer) and number of episodes of otitis media, months with effusion, level of hearing loss, or months of continuous antibiotics without improvement prompting referral.<\/p>n<p><strong>Results<\/strong> &mdash; Physicians agreed (&gt; 80% concordance) on six out of 17 factors as indications for referring children with RAOM or OME. Opinions about the importance of other factors varied widely. Family physicians would refer children with otitis media after fewer episodes of illness, fewer months of effusion, lower levels of hearing loss, and fewer months of prophylactic antibiotic therapy than pediatricians (all P &lt; .001). Pediatricians would prescribe continuous antibiotics longer (11.8 weeks) than family physicians (8.9 weeks, P &lt; .0001), which correlated with lower referral thresholds for family physicians.<\/p>n<p><strong>Conclusion<\/strong> &mdash; Family physicians' and pediatricians' self-reported referral practices for surgical opinions on children with otitis media varied considerably. These observations raise questions about the consistency of care for children with otitis media and whether revised clinical guidelines would be helpful.<\/p>n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2145027\/\" title=\"External link opens\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{6E1A5357-6A8A-44DE-BFEF-FA9DE2A8463D}|{3520E276-FC47-4BE8-BC0D-5FD075E6DBEF}|{F52AE291-FA47-48CD-836B-020B1B98C101}\",\n  \"Posted Date\": \"20000901T000000\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2000\/January\/Referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Referral of children with otitis media: do family physicians and pediatricians agree?<\/title>\n<meta name=\"description\" content=\"Objective &#x2014; To determine factors influencing family physicians&amp;apos; and pediatricians&amp;apos; decisions to refer children with recurrent acute\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Referral of children with otitis media: do family physicians and pediatricians agree?\" \/>\n<meta property=\"og:description\" content=\"Objective &#x2014; To determine factors influencing family physicians&amp;apos; and pediatricians&amp;apos; decisions to refer children with recurrent acute\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-14T23:49:02+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\\\/\",\"name\":\"ICES | Referral of children with otitis media: do family physicians and pediatricians agree?\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2000-09-01T04:00:00+00:00\",\"dateModified\":\"2023-06-14T23:49:02+00:00\",\"description\":\"Objective &#x2014; To determine factors influencing family physicians&apos; and pediatricians&apos; decisions to refer children with recurrent acute\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Journal Articles\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Referral of children with otitis media: do family physicians and pediatricians agree?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"name\":\"ICES\",\"description\":\"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\"},\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\",\"name\":\"ICES\",\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"width\":\"676\",\"height\":\"618\",\"caption\":\"ICES\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/ICESOntario\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/ices-research-institute\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ICES | Referral of children with otitis media: do family physicians and pediatricians agree?","description":"Objective &#x2014; To determine factors influencing family physicians&apos; and pediatricians&apos; decisions to refer children with recurrent acute","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\/","og_locale":"fr_FR","og_type":"article","og_title":"ICES | Referral of children with otitis media: do family physicians and pediatricians agree?","og_description":"Objective &#x2014; To determine factors influencing family physicians&apos; and pediatricians&apos; decisions to refer children with recurrent acute","og_url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\/","og_site_name":"ICES","article_publisher":"https:\/\/www.facebook.com\/ICESOntario\/","article_modified_time":"2023-06-14T23:49:02+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\/","url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\/","name":"ICES | Referral of children with otitis media: do family physicians and pediatricians agree?","isPartOf":{"@id":"https:\/\/www.ices.on.ca\/fr\/#website"},"datePublished":"2000-09-01T04:00:00+00:00","dateModified":"2023-06-14T23:49:02+00:00","description":"Objective &#x2014; To determine factors influencing family physicians&apos; and pediatricians&apos; decisions to refer children with recurrent acute","breadcrumb":{"@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/referral-of-children-with-otitis-media-do-family-physicians-and-pediatricians-agree\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ices.on.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Journal Articles","item":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/"},{"@type":"ListItem","position":3,"name":"Referral of children with otitis media: do family physicians and pediatricians agree?"}]},{"@type":"WebSite","@id":"https:\/\/www.ices.on.ca\/fr\/#website","url":"https:\/\/www.ices.on.ca\/fr\/","name":"ICES","description":"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE","publisher":{"@id":"https:\/\/www.ices.on.ca\/fr\/#organization"},"alternateName":"Institute for Clinical Evaluative Sciences","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ices.on.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ices.on.ca\/fr\/#organization","name":"ICES","alternateName":"Institute for Clinical Evaluative Sciences","url":"https:\/\/www.ices.on.ca\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","contentUrl":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","width":"676","height":"618","caption":"ICES"},"image":{"@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ICESOntario\/","https:\/\/www.linkedin.com\/company\/ices-research-institute\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article\/3867","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article"}],"about":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/types\/journal_article"}],"wp:attachment":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=3867"}],"wp:term":[{"taxonomy":"migration-helper-automated","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-automated?post=3867"},{"taxonomy":"migration-manual","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-manual?post=3867"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/topic?post=3867"},{"taxonomy":"migration-helper-qa-sample-set","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-qa-sample-set?post=3867"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}