{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:54:32Z","timestamp":1778201672038,"version":"3.51.4"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T00:00:00Z","timestamp":1620086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate how the coronavirus disease 2019 (COVID\u201019) pandemic has affected tympanostomy tube placement and practice patterns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A retrospective review of billing data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A large\u2010volume practice with both community and tertiary care providers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>As part of a quality initiative, billing data were queried to identify children &lt;18 years of age who underwent tympanostomy tube placement between January 2019 and December 2020. Patient age, practice location, and case numbers were gathered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included data from 2652 patients. Prior to state\u2010mandated clinic and operating room restrictions, there were no significant differences in the number of tympanostomy tubes placed (<jats:italic>P<\/jats:italic> =. 64), including month\u2010to\u2010month comparisons, the distribution of patients being cared for at community vs tertiary care sites (<jats:italic>P<\/jats:italic> =. 63), or patient age at the time of surgery (<jats:italic>P<\/jats:italic> =. 97) between 2019 and 2020. After resumption of outpatient clinical and elective surgical activities, the number of tympanostomy tubes placed decreased significantly between 2019 and 2020 (831 vs 303 cases, <jats:italic>P<\/jats:italic> =. 003), with a persistent month\u2010to\u2010month difference. In addition, patients undergoing tube placement were older (4.5 vs 3.2 years, <jats:italic>P<\/jats:italic> &lt;. 001). The distribution of cases performed in the community setting decreased during this time period as well (<jats:italic>P<\/jats:italic> &lt;. 001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>During the COVID\u201019 pandemic, the rate of pediatric tympanostomy tube placement has significantly decreased. The age of patients undergoing surgery has increased, and more children are being cared for in a tertiary setting. These findings may reflect changes in the prevalence of acute and chronic otitis media as the result of the pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1177\/01945998211008916","type":"journal-article","created":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T04:03:34Z","timestamp":1620101014000},"page":"167-170","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["The Effect of the COVID\u201019\u00a0Pandemic on Pediatric Tympanostomy Tube Placement"],"prefix":"10.1002","volume":"166","author":[{"given":"Gillian R.","family":"Diercks","sequence":"first","affiliation":[{"name":"Massachusetts Eye and Ear Infirmary Boston Massachusetts USA"},{"name":"Newton Wellesley Hospital Newton Massachusetts USA"},{"name":"Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Massachusetts Eye and Ear Infirmary Boston Massachusetts USA"},{"name":"Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,4]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"GhebreyesusTA.WHO Director\u2010General\u2019s opening remarks at the media briefing on COVID\u201019 11\u00a0March 2020. Accessed April 20 2021.https:\/\/www.who.int\/director\u2010general\/speeches\/detail\/who\u2010director\u2010general\u2010s\u2010opening\u2010remarks\u2010at\u2010the\u2010media\u2010briefing\u2010on\u2010covid\u201019\u201411\u2010march\u20102020."},{"key":"e_1_2_8_3_1","unstructured":"Centers for Disease Control and Prevention.Coronavirus disease 2019 (COVID\u201019) for healthcare professionals. PublishedApril 1 2020. Accessed April 7 2020.https:\/\/www.cdc.gov\/coronavirus\/2019\u2010nCoV\/hcp\/index.html"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(93)90004-M"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.129.3.293"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820923633"},{"key":"e_1_2_8_7_1","unstructured":"United Nations Educational Scientific and Cultural Organization.COVID\u201019 educational disruption and response. Accessed March 19 2020.https:\/\/en.unesco.org\/themes\/education\u2010emergencies\/coronavirus\u2010school\u2010closures"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cix941"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199901283400402"},{"key":"e_1_2_8_10_1","article-title":"Incidental lowering of otitis\u2010media complaints in otitis\u2010prone children during COVID\u201019 pandemic: all evil comes to hurt","author":"Torretta A","year":"2020","journal-title":"Eur J Pediatr"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000002883"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/01945998211008916","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/01945998211008916","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/01945998211008916","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:57:38Z","timestamp":1760961458000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/01945998211008916"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,4]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1177\/01945998211008916"],"URL":"https:\/\/doi.org\/10.1177\/01945998211008916","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,4]]},"assertion":[{"value":"2021-02-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}