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Ventilation Tube Placement in a Managed Care Population

Ventilation Tube Placement in a Managed Care Population Abstract To date, little information is available regarding the actual incidence of ventilation tube placement in a known population of pediatric patients. We evaluated the incidence of ventilation tube placement in a known population of pediatric patients whose health coverage is provided through a large managed care organization. Epidemiological data provided by a large managed care organization on a population of 67995 children from July 1, 1993, through June 30, 1994, were evaluated. A primary care physician referral to an otolaryngologist was required for assessment, and precertification for ventilation tube placement was obtained using explicit criteria developed by a large national health services utilization review organization. In children younger than 24 months, 30.11% underwent ventilation tube placement compared with an overall incidence of 4.49% for all children younger than 18 years. The details of this study are presented to understand better the implications of the epidemiology of otitis media and how it relates to a physician's participation in a managed care organization. Arch Otolaryngol Head Neck Surg. 1997;123:226-228 References 1. Kleiman LC, Kosecoff J, Dubois RW, Brook RH. The medical appropriateness of tympanostomy tubes Eproposed for children younger than 16 years in the United States . JAMA . 1994;271:1250-1255.Crossref 2. Teele DW, Klein JO, Rosner B, Greater Boston Otitis Media Study Group. Epidemiology of otitis media during the first seven years of life in children in greater Boston: a prospective cohort study . J Infect Dis . 1989;160:83-93.Crossref 3. Pukander J, Luotonen J, Sipila M, Karma P. Incidence of acute otitis media . Acta Otolaryngol . 1982;93:447-453.Crossref 4. Infante-Rivard C, Fernandez A. Otitis media in children: frequency, risk factors, and research avenues . Epidemiol Rev . 1993;15:444-464. 5. Grundfast KM. Management of otitis media and the new Agency for Health Care Policy and Research guideline . Arch Otolaryngol Head Neck Surg . 1994;120:797-798.Crossref 6. Bluestone CD, Klein JD, Gates GA. Appropriateness of tympanostomy tubes: setting the record straight . Arch Otolaryngol Head Neck Surg . 1994;120:1051-1053.Crossref 7. Johns ME. The medical appropriateness of tympanostomy tubes proposed for children younger than 16 years In the United States . Arch Otolaryngol Head Neck Surg . 1994;120:801-802.Crossref 8. Bright RA, Moore RM, Jeng LL. The prevalence of tympanostomy tubes in children in the United States, 1988 . Public Health Briefs . 1993;83:1026-1028.Crossref 9. Casselbrant ML. Epidemiology of otitis media in infants and preschool children . Pediatr Infect Dis J . 1989;8:510-511.Crossref 10. Berman S. Otitis media in children . N Engl J Med . 1995;332:1560-1565.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Ventilation Tube Placement in a Managed Care Population

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Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1997.01900020116018
Publisher site
See Article on Publisher Site

Abstract

Abstract To date, little information is available regarding the actual incidence of ventilation tube placement in a known population of pediatric patients. We evaluated the incidence of ventilation tube placement in a known population of pediatric patients whose health coverage is provided through a large managed care organization. Epidemiological data provided by a large managed care organization on a population of 67995 children from July 1, 1993, through June 30, 1994, were evaluated. A primary care physician referral to an otolaryngologist was required for assessment, and precertification for ventilation tube placement was obtained using explicit criteria developed by a large national health services utilization review organization. In children younger than 24 months, 30.11% underwent ventilation tube placement compared with an overall incidence of 4.49% for all children younger than 18 years. The details of this study are presented to understand better the implications of the epidemiology of otitis media and how it relates to a physician's participation in a managed care organization. Arch Otolaryngol Head Neck Surg. 1997;123:226-228 References 1. Kleiman LC, Kosecoff J, Dubois RW, Brook RH. The medical appropriateness of tympanostomy tubes Eproposed for children younger than 16 years in the United States . JAMA . 1994;271:1250-1255.Crossref 2. Teele DW, Klein JO, Rosner B, Greater Boston Otitis Media Study Group. Epidemiology of otitis media during the first seven years of life in children in greater Boston: a prospective cohort study . J Infect Dis . 1989;160:83-93.Crossref 3. Pukander J, Luotonen J, Sipila M, Karma P. Incidence of acute otitis media . Acta Otolaryngol . 1982;93:447-453.Crossref 4. Infante-Rivard C, Fernandez A. Otitis media in children: frequency, risk factors, and research avenues . Epidemiol Rev . 1993;15:444-464. 5. Grundfast KM. Management of otitis media and the new Agency for Health Care Policy and Research guideline . Arch Otolaryngol Head Neck Surg . 1994;120:797-798.Crossref 6. Bluestone CD, Klein JD, Gates GA. Appropriateness of tympanostomy tubes: setting the record straight . Arch Otolaryngol Head Neck Surg . 1994;120:1051-1053.Crossref 7. Johns ME. The medical appropriateness of tympanostomy tubes proposed for children younger than 16 years In the United States . Arch Otolaryngol Head Neck Surg . 1994;120:801-802.Crossref 8. Bright RA, Moore RM, Jeng LL. The prevalence of tympanostomy tubes in children in the United States, 1988 . Public Health Briefs . 1993;83:1026-1028.Crossref 9. Casselbrant ML. Epidemiology of otitis media in infants and preschool children . Pediatr Infect Dis J . 1989;8:510-511.Crossref 10. Berman S. Otitis media in children . N Engl J Med . 1995;332:1560-1565.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Feb 1, 1997

References