Kamrava Kamran, Jalessi Maryam, Asghari Alimohamad, Farhadi Mohammad, Ahmadvand Alireza, Ghalehbaghi Babak, Saffari Jourshari Mehdi, Motiei Jouibari Mir Abolfazl
Assistant professor of otolaryngology, ENT, Head & Neck Department and Research Center, Hazrat Rasoul Akram Hospital, Tehran University of medical sciences.
Iran J Otorhinolaryngol. 2012 Spring;24(67):55-62.
The Ministry of Health and Medical Education of Iran, and similar institutions in many other countries, advises physicians to use current guidelines for the diagnosis and treatment of acute otitis media (AOM). However, there has been no evaluation of the effectiveness of such guidelines or whether physicians in Iran adhere to them. Thus, as laryngologists are the most important group of people who interact with patients with AOM, the aim of this study was to evaluate the attitude of laryngologists to the established guidelines.
A total of 120 anonymous surveys were mailed to 120 otolaryngologists in Tehran, Iran, to evaluate the patterns of diagnosis and treatment of AOM used by these physicians. The survey included questions regarding the otolaryngologists' age, gender, place of work, and attitude towards diagnosis and treatment of AOM.
Sixty-two completed surveys were received, for a response rate of 51%. There was no significant difference between respondents to these surveys according to sex, age, practice setting, graduation year, or the number of patients with AOM seen each month.
Our study adds new insights to the previous literature on the use of guidelines in the management of AOM. We can now assess the impact of guidelines on the usual practice of physicians in evidenced-based management of AOM.
伊朗卫生与医学教育部以及许多其他国家的类似机构，建议医生采用当前的急性中耳炎（AOM）诊断和治疗指南。然而，尚未对这类指南的有效性或伊朗医生是否遵循这些指南进行评估。因此，由于耳鼻喉科医生是与AOM患者互动的最重要人群，本研究的目的是评估耳鼻喉科医生对既定指南的态度。
总共向伊朗德黑兰的120名耳鼻喉科医生邮寄了120份匿名调查问卷，以评估这些医生使用的AOM诊断和治疗模式。该调查包括有关耳鼻喉科医生的年龄、性别、工作地点以及对AOM诊断和治疗态度的问题。
共收到62份完成的调查问卷，回复率为51%。根据性别、年龄、执业环境、毕业年份或每月诊治的AOM患者数量，这些调查的受访者之间没有显著差异。
我们的研究为先前关于AOM管理中指南使用的文献增添了新的见解。现在我们可以评估指南对医生在AOM循证管理中的常规实践的影响。
