Ear tubes in children with otitis media reduce parental sick leave from work and socioeconomic costs.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Danish medical journal Pub Date : 2023-07-03

Louise Jürgens, Michael Lyscher, Thomas Qvist Barrett, Peter Koefoed Tingsgaard, Lene Dahl Siggard

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引用次数: 0

Abstract

Introduction: This study aimed to investigate changes in parental sick leave after tympanostomy tube (TT) insertion in children with otitis media (OM) and to estimate the overall cost reduction in case of decreased caregiver sick leave from work during a 12-month period after TT insertion.

Methods: A total of 4,708 children less-than 12 years from the database of the Danish ENT Specialists Organisation were included. Questionnaires were sent two days prior to TT insertion and subsequently 1, 3, 6, 9, 12, 15, 18, 21 and 24 months after TT insertion. The questions included symptom duration, patient satisfaction and symptom relief. Furthermore, parental sick leave occurrence was registered before and after TT insertion. The overall cost reduction estimate was based on comparison of the direct and indirect costs of two treatment regimes. Treatment A was non-surgical and antibiotics only. Treatment B comprised TT insertion and antibiotics as needed.

Results: The main results were that the risk of parental sick leave decreased significantly (p less-than 0.005) one month after TT insertion compared with baseline; odds ratio = 0.21 (95% confidence interval: 0.19-0.24). The decrease remained stable during the entire follow-up period. The estimate of the total cost reduction between Treatment A (non-TT insertion) and Treatment B (TT insertion) was 3,118.34 DKK/child/year.

Conclusion: TT insertion is associated with a significant decrease in parental sick leave and may possibly contribute to substantial socioeconomic savings.

Funding: None.

Trial registration: Not relevant.

本刊更多论文

中耳炎儿童的耳管减少了父母的病假和社会经济成本。

前言:本研究旨在调查中耳炎(OM)患儿中耳炎植入鼓膜造瘘管(TT)后父母病假的变化，并估计在TT植入后12个月期间护理人员病假减少的情况下，总体成本降低。方法:从丹麦耳鼻喉科专家组织的数据库中共纳入4708名12岁以下的儿童。问卷分别于TT植入前2天及TT植入后1、3、6、9、12、15、18、21、24个月发放。问题包括症状持续时间、患者满意度和症状缓解程度。此外，在TT插入之前和之后，父母请病假的情况都被记录下来。总费用减少估计数是根据比较两种治疗方案的直接和间接费用得出的。治疗A为非手术和抗生素治疗。治疗B包括TT插入和必要的抗生素。结果:主要结果为:TT插入1个月后父母请病假的风险较基线显著降低(p < 0.005);优势比= 0.21(95%可信区间:0.19-0.24)。在整个随访期间，这种下降保持稳定。治疗A(非TT插入)和治疗B (TT插入)之间的总成本减少估计为3,118.34丹麦克朗/儿童/年。结论:TT的插入与父母病假的显著减少有关，可能有助于大量的社会经济节约。资金:没有。试验注册:不相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.