Table 1

Allergic rhinitis in children with otitis media

CitationStudy groupStudy type (level of evidence)OutcomeKey resultsComments
Caffarelli et al (1998)172 children with OME referred because of symptoms to the Centre for the Study of OME. 200 healthy children as controlsCase-control study (level 2b)Prevalence of allergic rhinitis16.3% in children with OME; 5.5% in controls. OR = 3.34 (95%CI 1.6 to 6.3), p<0.001Well defined and rigorous diagnostic criteria of OME and AR. Presence of an adequate random control population. Sufficient sample size
Kayhan et al (2002)22 children with OME; 21 children with no symptoms of otolaryngological disease as controlsCase-control study (level 2b)Prevalence of allergic rhinitis23% in children with OME; 4.8% in controls. OR = 5.9 (95% CI 0.6 to 55.4), p>0.05Good quality of definition of diagnosis of OME and AR. Small numbers. Article in Turkish
Alles et al (2001)209 children with OMECase series (level 4)Prevalence of atopy and allergic disease (rhinitis, asthma, eczema)Prevalence of AR = 89%Poor quality of definition of diagnosis of OME and AR. Lack of a control population
Ogawa (2002)185 children with OMECase series (level 4)Description of various outcomes (allergic and non-allergic)Prevalence of AR = 14%Unknown quality of definition of diagnosis of OME and AR. Lack of a control population. Article in Japanese