Question · asked by 1 review

Adenoidectomy and bilateral ventilation tubes vs bilateral ventilation tubes only: Hearing ‐ return to normal *Ventilation tubes versus laser myringotomy (6 to 12 months ‐ medium‐term) Adjusted for non‐independence of within‐individual measurements Assumed ICC of 0.5 № of participants: 132 (2 RCTs)

Population
children aged 6 months to 12 years with otitis media with effusion (OME)
Intervention
Adenoidectomy and bilateral ventilation tubes
Comparison
bilateral ventilation tubes only
Outcome
Hearing ‐ return to normal *Ventilation tubes versus laser myringotomy (6 to 12 months ‐ medium‐term) Adjusted for non‐independence of within‐individual measurements Assumed ICC of 0.5 № of participants: 132 (2 RCTs)

It is very uncertain whether adenoidectomy and bilateral ventilation tubes changes hearing: return to normal hearing at 6 to 9 months № of… compared with bilateral ventilation tubes only (very low certainty).

What each review found

Include earlier review versions
FindingEffectStudiesGRADE certainty
Adenoidectomy and bilateral ventilation tubes vs bilateral ventilation tubes only
Hearing: return to normal hearing at 6 to 9 months № of participants: 127 (1 RCT, 213 ears assessed) · children aged 6 months to 12 years with otitis media with effusion (OME)
It is very uncertain whether adenoidectomy and bilateral ventilation tubes changes hearing: return to normal hearing at 6 to 9 months № of… compared with bilateral ventilation tubes only (very low certainty).
Adenoidectomy for otitis media with effusion (OME) in children (2023) · Cochrane Headline outcomes only
RR 1.36 [0.98, 1.89]Not reportedVery low

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Adenoidectomy for otitis media with effusion (OME) in children
2023 · Cochrane Headline outcomes only
Not reportedNot extractedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.