{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T15:01:27Z","timestamp":1770908487919,"version":"3.50.1"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":3911,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2005,9]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To undertake cost\u2010utility analysis for tympanomastoid surgery to analyze its cost\u2010effectiveness in treating adult chronic suppurative otitis media (CSOM).<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Seventy\u2010seven patients with CSOM were evaluated with the Chronic Ear Survey (CES) before and 1 year after tympanomastoid surgery. Direct health care cost data during the 1st year after operation were retrieved. The utility gain was defined as change in the CES total score. The cost\u2010utility ratio (CUR) was defined as cost per utility gain. Patients were stratified by disease type into wet\u2010ear and dry\u2010ear groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The average total direct cost attributable to tympanomastoid surgery is (in New Taiwan dollars [NT$]) 45,716.3\u00a0in the 1st postoperative year, and the average CUR is NT$ 1850.9. The lower CUR of NT$ 1280.9 for the wet\u2010ear group is due to the greater utility gain (37.6 \u00b1 3.4 versus 24.4 \u00b1 6.8, <jats:italic>P<\/jats:italic> &gt;0.05) despite its higher cost (NT$ 48,163.2 versus NT$ 38,419.7, <jats:italic>P<\/jats:italic> &gt;0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Treating continuously or intermittently draining ears is more cost\u2010effective, as compared with managing a quiescent infection, because of its favorable utility gain.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2005.05.045","type":"journal-article","created":{"date-parts":[[2005,9,7]],"date-time":"2005-09-07T15:58:28Z","timestamp":1126108708000},"page":"352-356","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Cost\u2010Utility Analysis of Tympanomastoidectomy for Adults with Chronic Suppurative Otitis Media"],"prefix":"10.1002","volume":"133","author":[{"given":"Pa\u2010Chun","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Cathay General Hospital Fu Jen Catholic University School of Medicine Taipei Taiwan"},{"name":"Department of Public Health China Medical University Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chul\u2010Ho","family":"Jang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Cathay General Hospital Fu Jen Catholic University School of Medicine Taipei Taiwan"},{"name":"Department of Otolaryngology Chonnam National University Medical School Chonnam National University Hospital Gwangju South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu\u2010Hsiang","family":"Shu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Cathay General Hospital Fu Jen Catholic University School of Medicine Taipei Taiwan"},{"name":"Graduate School of Epidemiology College of Public Health National Taiwan University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih\u2010Jaan","family":"Tai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology China Medical University Taichung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ko\u2010Tsung","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Cathay General Hospital Fu Jen Catholic University School of Medicine Taipei Taiwan"},{"name":"Graduate Institute of Management of Technology National Chiao Tung University Hsin\u2010Chu Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1996.03540140060028"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1996.03540150055031"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1996.03540160061034"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010900302"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940311200116"},{"key":"e_1_2_6_7_1","first-page":"199","volume-title":"Surgery of the ear and temporal bone","author":"Nadol JB","year":"2004"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2003.07.006"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199707000-00007"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198504000-00008"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198408000-00006"},{"key":"e_1_2_6_12_1","first-page":"507","article-title":"Long\u2010term results of surgical treatment in different cholesteatoma types","volume":"14","author":"Vartiainen E","year":"1993","journal-title":"Am J Otol"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198509000-00003"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197712000-00001"},{"key":"e_1_2_6_15_1","first-page":"451","article-title":"Cholesteatoma surgery: residual and recurrent disease. 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