{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:47:12Z","timestamp":1787014032341,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T00:00:00Z","timestamp":1699920000000},"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":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Otitis media with effusion (OME) is common, affecting up to 90% of children. Around 25% will have a persistent effusion with conductive hearing loss which can impact their development. Ventilation tubes (VTs) can improve their hearing in the short term. This study aims to analyse the trends in VT insertion rates across Scotland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>All mainland Scottish health boards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All children aged 0\u201316 who underwent a VT insertion procedure from 2001 to 2018 were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Data were provided by the Scottish Public Health Observatory, using Scottish Morbidity Records. Mid\u2010year population estimates were obtained from the National Records Office of Scotland. Socioeconomic deprivation was estimated based on area of residence using the Scottish Index of Multiple Deprivation. VT insertion rates were calculated and trends analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 35\u2009878 VT procedures were performed in total with a mean rate of 2.02 per 1000 children per year. The highest insertion rates were observed in children aged 4\u20136. VT insertion rates reduced during the study period (\n                      <jats:italic>R<\/jats:italic>\n                      \u2009=\u2009\u22120.729,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.001). Variability in VT insertion rates between health boards reduced. There was a significant association between socioeconomic deprivation and VT insertion rate, with the most deprived children having the highest rate (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>VT insertion rates and the variability between Scottish health boards have reduced over the past two decades, suggesting a more equitable system. Our data intimates that the decision to perform VT insertion is based upon disease prevalence rather than clinician preference.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.14112","type":"journal-article","created":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T15:25:19Z","timestamp":1700061919000},"page":"199-206","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Retrospective observational study analysing the trends in ventilation tube insertion in children in Scotland between 2001 and 2018"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5118-4562","authenticated-orcid":false,"given":"Robert A.","family":"Wescott","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Royal Infirmary of Edinburgh  Edinburgh Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura S.","family":"Downie","sequence":"additional","affiliation":[{"name":"Scottish Public Health Observatory  Glasgow Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3245-5117","authenticated-orcid":false,"given":"Haytham","family":"Kubba","sequence":"additional","affiliation":[{"name":"Department of Paediatric Otolaryngology Royal Hospital for Sick Children  Glasgow Scotland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815623467"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1990.tb00787.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2000.00350.x"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200310000-00004"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.74.2.282"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.85.2.91"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/002221948601900307"},{"key":"e_1_2_11_9_1","unstructured":"NICE.Otitis media with effusion in under 12s: surgery [CG60].2008."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812468849"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2017.11.009"},{"key":"e_1_2_11_12_1","first-page":"51","article-title":"Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children","volume":"1","author":"Lous J","year":"2005","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_13_1","first-page":"47","article-title":"Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children","volume":"10","author":"Browning GG","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.3.e42"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3228"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100143865"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.08.006"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2015.11.003"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.99971"},{"issue":"3","key":"e_1_2_11_20_1","first-page":"1905","article-title":"Complications and sequelae following tympanostomy tube placement in children with effusion otitis media: single center experience and review of literature","volume":"36","author":"Ferlito S","year":"2020","journal-title":"Acta Med Mediterranea"},{"key":"e_1_2_11_21_1","unstructured":"SurgeonsRCo.Procedures of Limited Clinical Value\u2014Royal College of Surgeons Briefing.2011."},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.290.6486.1963"},{"key":"e_1_2_11_23_1","unstructured":"Public Health Scotland11\/06\/2021; 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