Abstract
Program Description: Clinical practice must change and evolve in response to the regular, systematic review of new high quality evidence, considered alongside the existing knowledge base. Clinical effectiveness and cost-effectiveness must be evaluated and up-to-date practice guidance must reflect these evaluations. The three speakers are practicing clinicians with expertise in the critical appraisal and synthesis of clinical research evidence, including formal systematic review and meta-analysis. They will discuss three important areas of pediatric otolaryngological practice in this session: the use of 1) pneumococcal conjugate vaccination against acute otitis media (AOM) in children, 2) antibiotics for AOM, and 3) ventilation tubes for otitis media with effusion (OME). The session will emphasize the practical implementation of research evidence.
Educational Objectives: 1) Appreciate the role of high-quality systematic reviews in implementing best clinical practice. 2) Understand the advantages and disadvantages of pneumococcal conjugate vaccines in managing children with acute otitis media (AOM). 3) Understand the benefits and harms of anti-microbial chemotherapy in managing children with AOM and understand the implications and limitations of the evidence-base for ventilation tubes in children with OME derived from randomized controlled trials.
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