This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Michael E. Johns, MD

Arch Otolaryngol Head Neck Surg. 1994;120(8):801-802.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IT IS A REALITY of contemporary medical practice that many therapeutic interventions have never proved their worth through rigorous scientific investigation. Even when the benefit of a treatment (such as tympanostomy tube placement) has been documented, there is often little consensus among experts as to the most appropriate patients for whom it should be employed. These varying attitudes exist, in large part, because there is a dearth of the long-term efficacy data that are needed to generate convincing arguments for or against a particular indication. In this time of constricting health care resources, much interest has become focused on "outcomes research" as a means of improving both the quality and the cost-effectiveness of medical care. Only through careful study of the results of treatment can rational guidelines for its appropriate use be developed.

In their recent article on the medical appropriateness of tympanostomy tubes, Kleinman et al¹ reached the . . . [Full Text PDF of this Article]

Author Affiliations
Archives of Otolaryngology–Head & Neck Surgery The Johns Hopkins University School of Medicine SOM Administration 100 720 Rutland Ave Baltimore, MD 21205-2196

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?