Volume 132, Issue 9 pp. 1869-1876
Original Reports

Evaluating Strength of Evidence of Pediatric Otolaryngology Research Literature: A 20-Year Review

Jennifer A. Silver MD

Corresponding Author

Jennifer A. Silver MD

Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, Québec, Canada

Send correspondence to Jennifer A. Silver, MD, Department of Otolaryngology-Head and Neck Surgery, McGill University Health Center, 1001 Boulevard Decarie, Montreal, Quebac H4A 3J1, Canada. E-mail: [email protected]

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Jeffrey C. Yeung MD, MAS, FRCSC

Jeffrey C. Yeung MD, MAS, FRCSC

Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, Québec, Canada

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Deema Almutawa MD

Deema Almutawa MD

Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, Québec, Canada

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Rachel Szwimer MSc

Rachel Szwimer MSc

Faculty of Medicine, McGill University, Montreal, Quebec, Canada

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Lily H. P. Nguyen MD, MSc, MPHE, FRCSC

Lily H. P. Nguyen MD, MSc, MPHE, FRCSC

Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, Québec, Canada

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First published: 16 November 2021
Citations: 1

Editor's Note: This Manuscript was accepted for publication on November 05, 2021.

The authors have no funding, financial relationships, or conflicts of interest to disclose.

Abstract

Objectives/Hypothesis

Quantity and quality of Otolaryngology-Head and Neck Surgery (OTL-HNS) research are increasing, yet patterns within Pediatric OTL-HNS publications are unknown. This study examines trends in the level of evidence of pediatric OTL-HNS articles over a 20-year period to quantify the growth and characterize contributing factors.

Study Design

Review article.

Methods

A retrospective review was conducted on 12 peer-reviewed OTL-HNS journals at three time-points: 1996, 2006, and 2016. Pediatric-specific OTL-HNS journals were selected; all were among the top 10 highest impact factor journals, with one pediatric-specific and one Canadian journal. Publication details, author characteristics, and study focus were collected. Papers were classified based on the Oxford Centre for Evidence-Based Medicine Levels of Evidence by two independent reviewers.

Results

Of the 1,733 articles reviewed, 727 met inclusion criteria. A greater absolute number of pediatric OTL-HNS articles were published over the years studied: from 95 in 1996 to 359 in 2016 (P < .001). As well, the absolute number of high-quality studies has increased over the study period, from 28 articles in 1996 to 100 articles in 2016. However, the relative percentage of high-quality papers remained stable between 27.9% and 32.2% with an average of 29.7% (P = .89). Higher impact factor journals did not tend to publish higher-quality pediatric OTL-HNS articles (P = .48).

Conclusions

Over the past 20 years, there is no appreciable improvement in the proportion of high-quality publications in pediatric OTL-HNS; however, there is an overall greater number of high-quality papers within OTL-HNS literature. These findings likely relate to challenges of research within pediatric surgical specialties.

Level of Evidence

NA Laryngoscope, 132:1869–1876, 2022

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