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370 results

Page 1 of 19

The Practice and Politics of Reading, 650-1500
  • Necrotising otitis externa: the increasing financial burden on the National Health Service
  • J Godbehere, K H Hutson, G J Watson
  • Journal: The Journal of Laryngology & Otology / Volume 136 / Issue 8 / August 2022
  • Published online by Cambridge University Press: 10 November 2021, pp. 730-733
  • Print publication: August 2022
  • View abstract
    Objective

    Necrotising otitis externa is increasingly being seen and treated within the UK. The aim of this study was to explore the potential cost of a cohort of patients with necrotising otitis externa presenting to a single tertiary NHS trust.

    Method

    This was a retrospective study with data from 14 patients with confirmed necrotising otitis externa who were treated, monitored, discharged or who died between October 2016 and November 2018. Direct costs using the tariffs from the 2018 to 2019 financial year included in-patient stay, imaging, peripheral inserted central catheter line cost, ENT and out-patient parenteral antibiotic therapy visits and antimicrobial duration.

    Results

    The mean cost of treatment per patient was £17 615 (range, £9407 to £38 230) with an extreme outlier costing more than £122 000.

    Conclusion

    Awareness and education at a primary care level and research into robust imaging to aid termination of treatment may lower costs in the future by catching pathology early and reducing treatment duration.

  • Emerging themes in necrotising otitis externa: a scoping review of the literature from 2011 to 2020 and recommendations for future research
  • E Stapleton, G Watson
  • Journal: The Journal of Laryngology & Otology / Volume 136 / Issue 7 / July 2022
  • Published online by Cambridge University Press: 20 October 2021, pp. 575-581
  • Print publication: July 2022
  • View abstract
    Objective

    Necrotising otitis externa is an invasive, infective condition, with minimal evidence underpinning its diagnosis and management. This work aimed to analyse literature from the past decade, to identify emerging themes and important topics for future research.

    Methods

    A robust literature search and review were conducted by two researchers. Sixty studies were filtered into the final review. A grounded theory approach was used to identify core themes. Data within these themes formed the basis of the review.

    Results

    There is no consensus regarding a clinical definition or outcome measures of necrotising otitis externa, and there exists no level 1, 2 or 3 evidence to diagnose, investigate, monitor or treat necrotising otitis externa. Emerging themes in the literature direct researchers to important topics for future clinical trials, including risk factors, microbiological culture, management strategies and radiology.

    Conclusion

    In order to optimise understanding and management of necrotising otitis externa, future research requires robust clinical trials and consistently reported outcome measures.

Page 1 of 19