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Vol. 45. Issue 1.
Pages 25-32 (January - February 2017)
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Vol. 45. Issue 1.
Pages 25-32 (January - February 2017)
Original Article
DOI: 10.1016/j.aller.2016.03.004
Allergic rhinitis and allergy are risk factors for otitis media with effusion: A meta-analysis
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X. Chenga,b,c,d, H. Shenga,b,c,d, R. Mab,c, Z. Gaoa,b,c, Z. Hana,b,c,d,1, F. Chia,b,c,d,1,
Corresponding author
chifanglu@126.com

Corresponding author.
, N. Congb,c, J. Wanga,b,c,d, X. Liua,b,c, X. Luoa,b,c, J. Yua,b,c, Y. Rad,e
a Department of Otology and Skull Base Surgery, Eye Ear Nose & Throat Hospital, Fudan University, Shanghai 200031, China
b Shanghai Auditory Medical Center, Shanghai, China
c Key Laboratory of Hearing Science, Ministry of Health, Shanghai, China
d Fudan University, Shanghai, China
e Department of ENT-Head and Neck Surgery, Hospital of Pyong Yang Medical University, Pyong Yang, Democratic People's Republic of Korea
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Table 1. Characteristics of the chosen studies and their participants, and quality assessments obtained using the Newcastle-Ottawa Scale.
Abstract
Objective/Hypothesis

We systematically reviewed the associations between allergic rhinitis or allergy and otitis media with effusion, by reference to published data.

Study design

A meta-analysis of case-controlled studies.

Data source

Five databases (Pubmed, Highwire, Medline, Wanfang, and China National Knowledge Infrastructure) were searched for relevant studies in the English language published prior to November 12, 2015.

Studies chosen

Studies with clearly defined experimental and control groups, in which the experimental groups had otitis media with effusion together with allergic rhinitis or allergy, were selected.

Methods

We performed a meta-analysis on data from the identified cross-sectional and case-controlled studies using fixed- or random-effects models (depending on heterogeneity). We used Reviewer Manager 5.3 software to this end.

Results

Seven studies met the inclusion criteria. The prevalence of allergic rhinitis in patients with otitis media with effusion and the control groups differed significantly in three studies (P<0.00001), as did the prevalence of allergy (in six studies; P=0.003).

Conclusion

Allergic rhinitis and allergy appear to be risk factors for otitis media with effusion.

Keywords:
Allergic rhinitis
Allergy
Meta-analysis
Otitis media with effusion

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