{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T08:51:42Z","timestamp":1768899102000,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T00:00:00Z","timestamp":1537315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Determine if demographic disparities exist between the diagnosis of otitis media (OM) and the provision of myringotomy and tubes in children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional analysis of a national database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The National Ambulatory Medical Care Survey 2010 and the National Hospital Ambulatory Medical Care Survey\u2013Ambulatory Surgery 2010 were abstracted for cases with a diagnosis of OM and myringotomy and tube (MT) procedures in children, respectively. Sex, race, ethnic, and insurance distributions were computed for OM and MT and then compared for healthcare disparities between rates of OM diagnoses and MT procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 13.6 million ambulatory pediatric OM diagnoses were identified in 2010 (55.9% male; 82.4% white, 11.3% black, and 6.3% other; 14.3% Hispanic, 85.7% non\u2010Hispanic). A total of 413 thousand ambulatory myringotomy procedures were identified (59.6% male; 86.0% white, 11.0% black, and 3.0% other; 13.0% Hispanic, 87.0% non\u2010Hispanic). There was no statistically significant difference in the provision of MT versus OM diagnosis according to sex (<jats:italic>P<\/jats:italic>\u2009=\u20090.400), race (<jats:italic>P<\/jats:italic>\u2009=\u20090.313), or ethnicity (<jats:italic>P<\/jats:italic>\u2009=\u20090.228). There was also no statistically significant difference in the percentage of Medicaid coverage for OM children (37.0%) versus those undergoing MT (31.1%; <jats:italic>P<\/jats:italic>\u2009=\u20090.376). There does, however, appear to be a statistically higher percentage of non\u2010Hispanic children being diagnosed with otitis media than Hispanic children (<jats:italic>P<\/jats:italic>\u2009=\u20090.049).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There were no significant demographic differences in the incidence of children with OM undergoing MT with respect to sex, race, ethnicity, or insurance status. As a specialty, otolaryngology does not appear to exhibit any disparate healthcare access bias in providing MT to children with OM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA <jats:italic>Laryngoscope<\/jats:italic>, 128:2898\u20132901, 2018<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27396","type":"journal-article","created":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T12:00:32Z","timestamp":1537358432000},"page":"2898-2901","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Do demographic disparities exist in the diagnosis and surgical management of otitis media?"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8073-5968","authenticated-orcid":false,"given":"Janice Erica","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery University of California, Los Angeles, David Geffen School of Medicine  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina Lisbeth","family":"Shapiro","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery University of California, Los Angeles, David Geffen School of Medicine  Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil","family":"Bhattacharyya","sequence":"additional","affiliation":[{"name":"the Department of Otology and Laryngology Harvard Medical School  Boston Massachusetts U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,19]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-012-0308-x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0188"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26240"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811431228"},{"key":"e_1_2_6_6_1","first-page":"1","article-title":"Ambulatory health care visits by children: principal diagnosis and place of visit. 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