{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:16:45Z","timestamp":1777526205384,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2014,5,9]],"date-time":"2014-05-09T00:00:00Z","timestamp":1399593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:p>We determined the cost of care for 2 diagnosis and management approaches for acute otitis media (AOM) among children 6 to 30 months old. A case\u2013control design was used. Cases included 208 children diagnosed with AOM based on a bulging tympanic membrane (TM) and treated with amoxicillin\/clavulanate. Controls (5:1 ratio) included 1020 children with AOM diagnosed not requiring bulging of the TM and treated with amoxicillin. Fewer cases (49%) than controls (69%) were diagnosed with AOM ( P &lt; .001), fewer were diagnosed with recurrent AOM or AOM treatment failure (0.34 vs 1.6\/child; P &lt; .0001), and fewer had insertion of tympanostomy tubes (6.3% vs 14.8%) due to recurrent AOM ( P &lt; .0001). The combined direct payments and indirect costs for management of AOM were $539\/case versus $1,023\/control. Using Rochester NY payments generalized to the US birth cohort, this case diagnosis and treatment strategy could save $1.008 billion per year.<\/jats:p>","DOI":"10.1177\/0009922814533592","type":"journal-article","created":{"date-parts":[[2014,5,10]],"date-time":"2014-05-10T00:11:25Z","timestamp":1399680685000},"page":"865-873","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Payment Analysis of Two Diagnosis and Management Approaches of Acute Otitis Media"],"prefix":"10.1177","volume":"53","author":[{"given":"Janet R.","family":"Casey","sequence":"first","affiliation":[{"name":"Legacy Pediatrics, Rochester, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael E.","family":"Pichichero","sequence":"additional","affiliation":[{"name":"Rochester General Hospital Research Institute, Rochester, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,5,9]]},"reference":[{"key":"bibr1-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1542\/peds.105.6.e72"},{"key":"bibr2-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-1482"},{"key":"bibr3-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.5.1451"},{"key":"bibr4-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-3488"},{"key":"bibr5-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.15.1772"},{"key":"bibr6-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e3181c1bc48"},{"key":"bibr7-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e31828d9acc"},{"key":"bibr8-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000101851.57263.63"},{"key":"bibr9-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1163"},{"key":"bibr10-0009922814533592","first-page":"11","volume":"132","author":"Pokras R","year":"1997","journal-title":"Vital Health Stat 13"},{"key":"bibr11-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1992.02160160053013"},{"key":"bibr12-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000066798.69778.07"},{"key":"bibr13-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e31829e3779"},{"key":"bibr14-0009922814533592","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.114311"},{"key":"bibr15-0009922814533592","unstructured":"Healthgrades. http:\/\/www.healthgrades.com\/consumer\/index.cfm?fuseaction=modnw&modtype=hospitals&modact=mcc_report&copay_unknown=Unknown%20or%20N\/A&coinsurance_unknown=Unknown%20or%20N\/A&coinsurance=&orderitemhash=59651003CE830F4FEA50661B9CE358BA&rptsubject=Ear%20Tube%20Placement&agegroup=0009&copay=&topicid=18&showmedicare=1&gender=B&zipcode=14534&category=procedure. 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