{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T13:06:35Z","timestamp":1773493595190,"version":"3.50.1"},"reference-count":6,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2018,9,13]],"date-time":"2018-09-13T00:00:00Z","timestamp":1536796800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215118001603_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Grommet insertion is a common surgical procedure in children. Long waiting times for grommet insertion are not unusual. This project aimed to streamline the process by introducing a pathway for audiologists to directly schedule children meeting National Institute for Health and Care Excellence Clinical Guideline 60 (\u2018CG60\u2019) for grommet insertion.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118001603_sec_a2\"><jats:title>Method and results<\/jats:title><jats:p>A period from June to November 2014 was retrospectively audited. Mean duration between the first audiology appointment and grommet insertion was 294.5 days (median = 310 days). Implementing the direct-listing pathway reduced the duration between first audiology appointment and grommet insertion (mean = 232 days; median = 231 days). There has been a reduction in the time between the first audiology appointment and surgery (mean difference of 62.5 days; <jats:italic>p<\/jats:italic> = 0.024), and a reduction in the time between second audiology appointment and surgery (28 days; <jats:italic>p<\/jats:italic> = 0.009).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118001603_sec_a3\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Direct-listing pathways for grommet insertion can reduce waiting times and expedite surgery. Implementation involves a simple alteration of current practice, adhering to National Institute for Health and Care Excellence Clinical Guideline 60. The ultimate decision regarding surgery still rests with ENT specialists.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215118001603","type":"journal-article","created":{"date-parts":[[2018,9,13]],"date-time":"2018-09-13T02:56:19Z","timestamp":1536807379000},"page":"881-884","source":"Crossref","is-referenced-by-count":6,"title":["Streamlining grommet pathways for otitis media with effusion and hearing loss in children: our experience"],"prefix":"10.1017","volume":"132","author":[{"given":"O","family":"McLaren","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E C","family":"Toll","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Easto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Willis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Harris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Rainsbury","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,9,13]]},"reference":[{"key":"S0022215118001603_ref1","unstructured":"Hospital Episode Statistics: Admitted Patient Care \u2013 Procedures and Interventions (2014\u201315). NHS Digital. In: http:\/\/content.digital.nhs.uk\/statisticsa-z [15 October 2016]"},{"key":"S0022215118001603_ref5","unstructured":"National Institute for Health and Care Excellence. Otitis media with effusion in under 12s: surgery (Clinical guideline CG60). In: https:\/\/www.nice.org.uk\/guidance\/cg60 [12 July 2017]"},{"key":"S0022215118001603_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001801.pub2"},{"key":"S0022215118001603_ref3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.5.1412"},{"key":"S0022215118001603_ref6","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005610.pub2"},{"key":"S0022215118001603_ref2","unstructured":"Berkman ND , Wallace IF , Steiner MJ , Harrison M , Greenblatt AM , Lohr KN Otitis Media With Effusion: Comparative Effectiveness of Treatments, Report No.: 13-EHC091-EF; AHRQ Comparative Effectiveness Reviews. Rockville, MD: Agency for Healthcare Research and Quality, 2013"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215118001603","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,13]],"date-time":"2019-04-13T15:49:34Z","timestamp":1555170574000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215118001603\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,13]]},"references-count":6,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["S0022215118001603"],"URL":"https:\/\/doi.org\/10.1017\/s0022215118001603","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9,13]]}}}