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Miriam Mills, C. Henley, Laura Barnes, Jane Carreiro, B. Degenhardt (2003)
The use of osteopathic manipulative treatment as adjuvant therapy in children with recurrent acute otitis media.Archives of pediatrics & adolescent medicine, 157 9
M. Pichichero, M. Poole (2001)
Assessing diagnostic accuracy and tympanocentesis skills in the management of otitis media.Archives of pediatrics & adolescent medicine, 155 10
Guidance for Industry: Evaluating Clinical Studies of Antimicrobials in the Division of Anti-infective Drug Products.
EDITORIAL Osteopathic Manipulation to Prevent Otitis Media—Does It Work? LTERNATIVE AND complimentary thera- tervention and control groups at baseline. This imbal- pies for acute otitis media (AOM) are of ance generates some concern that the results may be in- growing interest to physicians and par- fluenced by the observed bias. Statistical adjustment may ents. Osteopathic manipulation treat- be helpful but is not a complete remedy. From an ex- A ment (OMT) is a frequently used alterna- amination of the tables, it would appear that the groups tive therapy for AOM among practitioners trained and were unbalanced, with the OMT group being older, hav- skilled in the technique. In this issue of ARCHIVES, Mills ing a higher mean number of monthly episodes of AOM, et al introduce the allopathic community to the modali- and having a higher mean monthly antibiotic prescrip- ties applied by osteopathic physicians as treatment for AOM tion rate. Although both groups showed dramatic im- and their effect on outcomes. Using a randomized con- provement from their baseline values during observa- trolled trial design, the investigators looked for differ- tion, part of the improvement in the OMT group may have ences in frequency of AOM episodes, surgical
JAMA Pediatrics – American Medical Association
Published: Sep 1, 2003
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