Cochrane · systematic review · CD015252
Adenoidectomy for otitis media with effusion (OME) in children
MacKeith, S, Mulvaney, CA, Galbraith, K, et al. · Cochrane Database of Systematic Reviews · 2023 · 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
16
current version
GRADE rated
11
No studies
5
Included studies
NR
No studies 5 · 31.3%Ungraded 0 · 0%Very low 8 · 50%Low 1 · 6.3%Moderate 2 · 12.5%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
Adenoidectomy (with or without myringotomy) compared to no treatment/watchful waiting for otitis media with effusion (OME) in children
Population: children aged 6 months to 12 years with otitis media with effusion (OME)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hearing: proportion with normal hearing ‐ up to 12 months № of participants: 42 (1 RCT) Adenoidectomy (with or without myringotomy) vs no treatment/watchful waiting | RR 0.97 [0.65, 1.46] | NR | Very low Downgraded: risk of bias |
Disease‐specific quality of life Adenoidectomy (with or without myringotomy) vs no treatment/watchful waiting | no estimate extracted | NR | No studies |
Presence or persistence of OME ‐ over 12 months № of participants: 354(3 RCTs) Adenoidectomy (with or without myringotomy) vs no treatment/watchful waiting | RR 0.9 [0.81, 1] | NR | Very low Downgraded: risk of bias, imprecision |
Adverse event: haemorrhage № of participants: 480(1 RCT) Adenoidectomy (with or without myringotomy) vs no treatment/watchful waiting | Peto OR 6.77 | NR | Moderate Downgraded: risk of bias, imprecision |
Adenoidectomy and bilateral ventilation tubes compared to bilateral ventilation tubes only for otitis media with effusion (OME) in children
Population: children aged 6 months to 12 years with otitis media with effusion (OME)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hearing: return to normal hearing at 6 to 9 months № of participants: 127 (1 RCT, 213 ears assessed) Adenoidectomy and bilateral ventilation tubes vs bilateral ventilation tubes only | RR 1.36 [0.98, 1.89] | NR | Very low Downgraded: risk of bias |
Disease‐specific quality of life Adenoidectomy and bilateral ventilation tubes vs bilateral ventilation tubes only | no estimate extracted | NR | No studies |
Presence/persistence of OME ‐ over 12 months № of participants: 254 (1 RCT) Adenoidectomy and bilateral ventilation tubes vs bilateral ventilation tubes only | RR 0.96 [0.86, 1.07] | NR | Very low Downgraded: risk of bias, imprecision |
Adverse event: haemorrhage № of participants: 791(2 RCTs) Adenoidectomy and bilateral ventilation tubes vs bilateral ventilation tubes only | Peto OR 6.68 [0.42, 107.18] | NR | Low Downgraded: risk of bias, imprecision |
Adenoidectomy and unilateral ventilation tube compared to unilateral ventilation tube only for otitis media with effusion (OME) in children
Population: children aged 6 months to 12 years with otitis media with effusion (OME)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hearing: proportion of children with hearing returned to normal (12 months ‐ medium‐term) ‐ normal hearing ≤ 15 dB № of participants: 72 (1 RCT) Adenoidectomy and unilateral ventilation tube vs unilateral ventilation tube only | RR 1.24 [0.79, 1.96] | NR | Very low Downgraded: risk of bias |
Disease‐specific quality of life Adenoidectomy and unilateral ventilation tube vs unilateral ventilation tube only | no estimate extracted | NR | No studies |
Presence or persistence of OME (3 years ‐ long‐term) № of participants: 74 (1 RCT) Adenoidectomy and unilateral ventilation tube vs unilateral ventilation tube only | RR 0.67 [0.35, 1.29] | NR | Very low Downgraded: risk of bias, imprecision |
Adverse event: haemorrhage Adenoidectomy and unilateral ventilation tube vs unilateral ventilation tube only | no estimate extracted | NR | No studies |
Adenoidectomy and ventilation tubes compared to no treatment/watchful waiting for otitis media with effusion (OME) in children
Population: children aged 6 months to 12 years with otitis media with effusion (OME)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hearing: hearing threshold (at 2 years ‐ long‐term) № of participants: 211(1 RCT) Adenoidectomy and ventilation tubes vs no treatment/watchful waiting | no estimate extracted | NR | Very low Downgraded: risk of bias |
Disease‐specific quality of life Adenoidectomy and ventilation tubes vs no treatment/watchful waiting | no estimate extracted | NR | No studies |
Presence/persistence of OME (at 2 years ‐ long‐term) № of participants: 232(1 RCT) Adenoidectomy and ventilation tubes vs no treatment/watchful waiting | RR 0.91 [0.82, 1.01] | NR | Very low Downgraded: risk of bias, imprecision |
Adverse event: haemorrhage № of participants: 416(2 RCTs) Adenoidectomy and ventilation tubes vs no treatment/watchful waiting | no estimate extracted | NR | Moderate Downgraded: risk of bias, imprecision |