Cochrane · systematic review · CD013057
Aural toilet (ear cleaning) for chronic suppurative otitis media
Bhutta, MF, Head, K, Chong, L-Y, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
ENTAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
5
No studies
8
Included studies
NR
No studies 8 · 57.1%Ungraded 1 · 7.1%Very low 5 · 35.7%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Aural toileting compared to no aural toileting for chronic suppurative otitis media
Population: children with chronic suppurative otitis media
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Resolution of ear discharge ‐ 1 to 2 weeks Aural toileting vs no aural toileting | no estimate extracted | NR | No studies |
Resolution of ear discharge ‐ 4 weeks or more Assessed by: otoscopically confirmed Aural toileting vs no aural toileting | RR 1.01 [0.6, 1.72] | 1 study · 217 participants | Very low Downgraded: risk of bias, imprecision, indirectness, publication bias |
Health‐related quality of life Aural toileting vs no aural toileting | no estimate extracted | NR | No studies |
Ear pain (otalgia) or discomfort or local irritation Aural toileting vs no aural toileting | no estimate extracted | NR | No studies |
Hearing Aural toileting vs no aural toileting | no estimate extracted | NR | No studies |
Serious complications Aural toileting vs no aural toileting | no estimate extracted | 1 study · 48 participants | Very low Downgraded: risk of bias, imprecision, indirectness, publication bias |
Adverse events: dizziness/vertigo/balance problems Aural toileting vs no aural toileting | no estimate extracted | NR | No studies |
Daily aural toileting compared to single aural toileting episode for chronic suppurative otitis media
Population: people (of any age) with otorrhoea for a duration of at least 6 weeks
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Resolution of ear discharge ‐ 1 to 2 weeks Assessed by: unknown ‐ unclear if otoscopically confirmed Daily aural toileting vs single aural toileting episode | RR 1.09 [0.91, 1.3] | 1 study · 80 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Resolution of ear discharge ‐ 4 weeks or more Assessed by: unknown ‐ unclear if otoscopically confirmed Daily aural toileting vs single aural toileting episode | no estimate extracted | 1998 participants | Ungraded |
Health‐related quality of life Daily aural toileting vs single aural toileting episode | no estimate extracted | NR | No studies |
Ear pain (otalgia) or discomfort or local irritation Daily aural toileting vs single aural toileting episode | no estimate extracted | NR | No studies |
Hearing Daily aural toileting vs single aural toileting episode | no estimate extracted | 1 study · 80 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Serious complications Daily aural toileting vs single aural toileting episode | no estimate extracted | NR | No studies |
Adverse events: dizziness Assessed by: self reported Daily aural toileting vs single aural toileting episode | RR 0.33 [0.01, 7.95] | 1 study · 80 participants | Very low Downgraded: risk of bias, imprecision, indirectness |