Impact of our evidence: impact factor and reviews cited in guidelines

2016 Impact Factor

The 2016 impact factor for The Cochrane Library is 6.124 and it is ranked 14th (of 154) in the category Medicine, General & Internal. The unofficial Cochrane ENT impact factor is 5.381 (21 publications cited 113 times), higher than any other journal in ENT.

Guideline citations

Cochrane ENT reviews have been cited in recent clinical practice and evidence-based guidelines, for example:

Institute for Quality and Efficient in Health Care (IQwiG). [N15-11] Tonsillectomy for recurreny acute tonsillitis and for hyperplasia of the tonsils, 2016. Cites:

  • Coblation versus other surgical techniques for tonsillectomy
  • Dissection versus diathermy for tonsillectomy
  • Tonsillectomy or adenotonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis
  • Tonsillectomy or adenotonsillectomy versus non-surgical management for obstructive sleep disordered breathing in children

National Collaborating Centre for Cancer. National Institute for Health and Care Excellence. Upper aerodigestive tract cancer, 2016. Cites:

  • Hyperfractionated or accelerated radiotherapy for head and neck cancer
  • De-escalation treatment protocols for human papillomavirus-associated oropharyngeal squamous cell carcinoma
  • Exercise interventions for shoulder dysfunction in patients treated for head and neck cancer
  • Radiotherapy versus open surgery versus endolaryngeal surgery (with or without laser) for early laryngeal squamous cell cancer

American Academy of Otolaryngology - Head and Neck Surgery Foundation. Clinical Practice Guidelines: Otitis Media with Effusion (update), 2016. Cites:

  • Antibiotics for otitis media with effusion in children
  • Antihistamines and/or decongestants for otitis media with effusion (OME) in children
  • Identification of children in the first four years of life for early treatment for otitis media with effusion
  • Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children
  • Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children
  • Autoinflation for hearing loss associated with otitis media with effusion

National Institute for Health and Care Excellance. Clinical Knowledge Summaries: Epstaxis (nosebleeds), 2015. Cites:

  • Interventions for recurrent idiopathic epistaxis (nosebleeds) in children

National Institute for Health and Care Excellence. Clinical Knowledge Summaries: Otitis externa, 2015. Cites:

  • Interventions for acute otitis externa

National Institute for Health and Care Excellence. Clinical Knowledge Summaries: Sore throat - acute, 2015. Cites:

  • Tonsillectomy or adenotonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis

National Institute for Health and Care Excellence. Clinical Knowledge Summaries: Allergic Rhinitis, 2015. Cites:

  • Interventions for recurrent idiopathic epistaxis (nosebleeds) in children

American Academy of Otolaryngology - Head and Neck Surgery Foundation. Clinical Practice Guideline: Adult Sinusitis, 2015. Cites:

  • Topical steroids for nasal polyps
  • Nasal saline irrigations for the symptoms of chronic rhinosinusitis
  • Topical steroid for chronic rhinosinusitis without polyps
  • Topical and systemic antifungal therapy for the symptomatic treatment of chronic rhinosinusitis

American Academy of Otolaryngology - Head and Neck Surgery Foundation. Clinical Practice Guideline: Allergic Rhinits, 2015. Cites:

  • House dust mite avoidance measures for perennial allergic rhinitis
  • Antihistamines used in addition to topical nasal steroids for intermittent and persistent allergic rhinitis in children
  • Allergen injection immunotherapy for seasonal allergic rhinitis
  • Sublingual immunotherapy for allergic rhinitis

Deutsche Gesellschaft für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie (DGKJP), Deutsche Gesellschaft für Kinder- und Jugendmedizin e.V. (DGKJ), 

Deutsche Gesellschaft für Phoniatrie und Pädaudiologie e.V. (DGPP), Deutsche Gesellschaft für Sozialpädiatrie und Jugendmedizin e.V. (DGSPJ), Deutsche Ophthalmologische Gesellschaft e. V. (DOG). Diagnostik und Behandlung von Kindern und Jugendlichen mit Lese- und / oder Rechtschreibstörung. [Diagnosis and treatment of children and adolescents with reading and / or spelling disorders]. München: Deutsche Gesellschaft für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie (DGKJP), 2015. Cites:

  • Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children

S3-Leitlinie 017/064: Chronischer Tinnitus. [S3-Guideline 017/064: Chronic Tinnitus]. Tübingen: Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V, 2015. Cites:

  • Antidepressants for patients with tinnitus
  • Hyperbaric oxygen for idiopathic sudden sensorineural hearing loss and tinnitus
  • Ginkgo biloba for tinnitus
  • Amplification with hearing aids for patients with tinnitus and co-existing hearing loss
  • Sound therapy (masking) in the management of tinnitus in adults
  • Anticonvulsants for tinnitus
  • Cognitive behavioural therapy for tinnitus
  • Repetitive transcranial magnetic stimulation for tinnitus
  • Tinnitus Retraining Therapy (TRT) for tinnitus

NHG-Werkgroep Acute keelpijn. NHG-Standaard Acute keelpijn (Derde herziening). [Dutch College of General Practitioners Guideline on acute sore throat (third update)]. Utrecht: Nederlands Huisartsen Genootschap, 2015. Cites:

  • Tonsillectomy or adenotonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis

Scottish Intercollegiate Guidelines Network (SIGN). Antibiotic Prophylaxis in Surgery, 2014. Cites:

  • Antibiotic prophylaxis in clean and clean-contaminated ear surgery

NHG (NL) - Dutch College of General Practitioners. Slechthorendheid (M61) [Hearing disorders], 2014. Cites:

  • Steroids for idiopathic sudden sensorineural hearing loss
  • Vasodilators and vasoactive substances for idiopathic sudden sensorineural hearing loss
  • Antivirals for idiopathic sudden sensorineural hearing loss
  • Hyperbaric oxygen for idiopathic sudden sensorineural hearing loss and tinnitus
  • Ear drops for the removal of ear wax

American Academy of Otolaryngology - Head and Neck Surgery Foundation. Clinical Practice Guideline: Tinnitus, 2014. Cites:

  • Sound therapy (masking) in the management of tinnitus in adults
  • Tinnitus retraining therapy (TRT) for tinnitus
  • Cognitive behavioural therapy for tinnitus
  • Antidepressants for patients with tinnitus
  • Anticonvulsants for tinnitus
  • Ginkgo biloba for tinnitus
  • Repetitive transcranial magnetic stimulation for tinnitus

American Academy of Otolaryngology - Head and Neck Surgery Foundation. Clinical Practice Guideline: Acute Otitis Externa, 2014. Cites:

  • Interventions for acute otitis externa

Joint Task Force on Practice Parameters, representing the American Academy of Allergy, Asthma and Immunology, the American College of Allergy, Asthma and Immunology,and the Joint Council of Allergy, Asthma and Immunology. Diagnosis and management of rhinosinusitis: a practice parameter update, 2014. Cites:

  • Systemic antibiotics for chronic rhinosinusitis without nasal polyps in adults
  • Oral steroids for nasal polyps
  • Nasal saline irrigations for the symptoms of chronic rhinosinusitis
  • Functional endoscopic sinus surgery for chronic rhinosinusitis

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V. Leitlinie der Dt. Ges. f. Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie: Hörsturz (Akuter idiopathischer sensorineuraler Hörverlust). Guideline of the Dt. Ges. F. Oto-Rhino-Laryngology, Head and Neck Surgery:  Sudden Hearing Loss (Acute idiopathic sensorineural hearing loss), 2014. Cites:

  • Vasodilators and vasoactive substances for idiopathic sudden sensorineural hearing loss
  • Antivirals for idiopathic sudden sensorineural hearing loss
  • Hyperbaric oxygen for idiopathic sudden sensorineural hearing loss and tinnitus
  • Intratympanic glucocorticoids for sudden sensorineural hearing loss (Protocol)
  • Steroids for idiopathic sudden sensorineural hearing loss

SFORL Work Group. How to replace codeine after tonsillectomy in children under 12 years of age? Guidelines of the French Oto-Rhino-Laryngology-Head and Neck Surgery Society (SFORL), 2014. Cites:

  • Steroids for improving recovery following tonsillectomy in children

SFORL Work Group. Guidelines (short version) of the French Oto-Rhino-Laryngology-Head and Neck Surgery Society (SFORL) for the management of post-tonsillectomy pain in adults, 2014. Cites:

  • Perioperative local anaesthesia for reducing pain following tonsillectomy

Guideline on allergen-specific immunotherapy in IgE-mediated allergic diseases: S2k Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the Society for Pediatric Allergy and Environmental Medicine (GPA), the Medical Association of German Allergologists (AeDA), the Austrian Society for Allergy and Immunology (ÖGAI), the Swiss Society for Allergy and Immunology (SGAI), the German Society of Dermatology (DDG), the German Society of Oto- Rhino-Laryngology, Head and Neck Surgery (DGHNO-KHC), the German Society of Pediatrics and Adolescent Medicine (DGKJ), the Society for Pediatric Pneumology (GPP), the German Respiratory Society (DGP), the German Association of ENT Surgeons (BV-HNO), the Professional Federation of Paediatricians and Youth Doctors (BVKJ), the Federal Association of Pulmonologists (BDP) and the German Dermatologists Association (BVDD), 2014:

  • Allergen injection immunotherapy for seasonal allergic rhinitis
  • Sublingual immunotherapy for allergic rhinitis

S1-Leitlinie: Funktionsdiagnostik und Therapie von Kommunikationsstörungen bei neurogenen Sprech- und Stimmstörungen im Erwachsenenalter. [S1 guideline: functional diagnosis and treatment of communication disorders in neurogenic speech and voice disorders in adulthood], 2014. Cites:

  • Botulinum toxin injections for the treatment of spasmodic dysphonia

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V. Chronisch-mesotympanale Otitis media. [Chronic otitis media mesotympanale], 2014:

  • Systemic antibiotics versus topical treatments for chronically discharging ears with underlying eardrum perforations
  • Topical antibiotics without steroids for chronically discharging ears with underlying eardrum perforations

ENT-UK, Royal College of Surgeons of England. Commissioning guide: Rhinosinusitis, 2013. Cites:

  • Nasal saline irrigations for the symptoms of chronic rhinosinusitis
  • Topical steroid for chronic rhinosinusitis without polyps
  • Topical steroids for nasal polyps

Spanish Society of Medical Oncology (SEOM). SEOM clinical guidelines for the treatment of nasopharyngeal carcinoma, 2013. Cites:

  • Chemotherapy as an adjunct to radiotherapy in locally advanced nasopharyngeal carcinoma.

Alberta Provincial Head and Neck Tumour Team, Alberta Health Services. Nasopharyngeal cancer treatment. (Clinical Practice Guideline HN-003), 2013. Cites:

  • Chemotherapy as an adjunct to radiotherapy in locally advanced nasopharyngeal carcinoma

Canadian Paediatric Society. Acute otitis externa. 2013. Cites:

  • Interventions for acute otitis externa

AWMF (DE) - Association of Scietific Medical Societies. Periphere Hörstörungen im Kindesalter. S2k-LL (DGPP, DGKJ, DGHNOKHC) [Hearing disorders in childhood]. 2013. Cites:

  • Antihistamines and/or decongestants for otitis media with effusion (OME) in children
  • Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children
  • Topical antibiotics without steroids for chronically discharging ears with underlying eardrum perforations
  • Systemic antibiotics for chronically discharging ears with underlying eardrum performations
  • Autoinflation for hearing loss associated with otitis media with effusion
  • Identification of children in the first four years of life for early treatment for otitis media with effusion
  • Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children
  • Interventions for ear discharge associated with grommets (ventilation tubes)
  • Steroids for idiopathic sudden sensorineural hearing loss

National Comprehensive Cancer Network. Head and Neck Cancers, Version 2.2013: Featured updates to the NCCN Guidelines, 2013. Cites:

  • Enteral feeding methods for nutritional management in patients with head and neck cancers being treated with radiotherapy and/or chemotherapy

Canadian Guidelines for Chronic Rhinosinusitus, 2013. Cites:

  • Oral steroids for nasal polyps
  • Nasal saline irrigations for the symptoms of chronic rhinosinusitis
  • Functional endoscopic sinus surgery for chronic rhinosinusitis

AHRQ, Evaluation and Treatment of Tinnitus: Comparative Effectiveness, 2013. Cites:

  • Anticonvulsants for tinnitus
  • Ginkgo biloba for tinnitus
  • Antidepressants for patients with tinnitus
  • Repetitive transcranial magnetic stimulation for tinnitus

HTA, A systematic review and economic evaluation of subcutaneous and sublingual allergen immunotherapy in adults and children with seasonal allergic rhinitis, 2013. Cites:

  • Allergen injection immunotherapy for seasonal allergic rhinitis
  • Sublingual immunotherapy for allergic rhinitis

American Academy of Otolaryngology - Head and Neck Surgery Foundation. Clinical Practice Guideline: Tympanostomy Tubes in Children, 2013. Cites:

  • Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children

AHRQ, Otitis Media with Effusion: Comparative Effectiveness of Treatments, 2013. Cites:

  • Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children
  • Adenoidectomy for otitis media in children
  • Autoinflation for hearing loss associated with otitis media with effusion
  • Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children
  • Antihistamines and/or decongestants for otitis media with effusion (OME) in children
  • Antibiotics for otitis media with effusion in children
  • Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children

German Society of Otorhinolaryngology, Head and Neck Surgery. Guideline "Otitis media with effusion", 2012. Cites:

  • Identification of children in the first four years of life for early treatment for otitis media with effusion

German Society of Otorhinolaryngology, Head and Neck Surgery. Rhinosinusitis guidelines: S2 guidelines, 2012. Cites:

  • Nasal saline irrigations for the symptoms of chronic rhinosinusitis

American College of Radiology (ACR). ACR Appropriateness Criteria treatment of stage I T1 glottic cancer, 2012. Cites:

  • Radiotherapy versus open surgery versus endolaryngeal surgery (with or without laser) for early laryngeal squamous cell cancer

NICE Clinical Knowledge Summaries, Allergic rhinitis, 2012. Cites:

  • Topical nasal steroids for intermittent and persistent allergic rhinitis in children
  • House dust mite avoidance measures for perennial allergic rhinitis

American Academy of Otolaryngology - Head and Neck Surgery Foundation. Clinical Practice Guideline: Sudden Hearing Loss, 2012. Cites:

  • Steroids for idiopathic sudden sensorineural hearing loss.
  • Hyperbaric oxygen for idiopathic sudden sensorineural hearing loss and tinnitus.
  • Vasodilators and vasoactive substances for idiopathic sudden sensorineural hearing loss

BMJ Clinical Evidence Review, Chronic Suppurative Otitis Media, 2012. Cites:

  • Systemic antibiotics versus topical treatments for chronically discharging ears with underlying eardrum perforations
  • Topical antibiotics without steroids for chronically discharging ears with underlying eardrum perforations

Lee HJ, et al. Korean Clinical Practice Guidelines: Otitis Media in Children, Aug 2012.. Cites:

  • Antihistamines and/or decongestants for otitis media with effusion (OME) in children
  • Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children
  • Autoinflation for hearing loss associated with otitis media with effusion
  • Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children
  • Adenoidectomy for otitis media in children
  • Antihistamines and/or decongestants for otitis media with effusion (OME) in children
  • Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children
  • Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children
  • Adenoidectomy for otitis media in children

Malaysia Minstry of Health, HTA-DoH (MY). Management of Otitis Media with Effusion in Children, July 2012. Cites:

  • Grommets (ventilation tubes) for hearing loss associated with otitis media
  • Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children
  • Antihistamines and/or decongestants for otitis media with effusion (OME) in children
  • Autoinflation for hearing loss associated with otitis media with effusion

Association of Scientific Medical Societies, AWMF (DE). Periphere Hšrstšrungen im Kindesalter. S2e-LL (DGPP) [Hearing disorders in childhood], June 2012. Cites:

  • Interventions for chronic suppurative otitis media
  • Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children
  • Screening children in the first four years of life to undergo early treatment for otitis media with effusion

Fokkens et al. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. Cites:

  • Topical and systemic antifungal therapy for the symptomatic treatment of chronic rhinosinusitis
  • Systemic antibiotics for chronic rhinosinusitis without nasal polyps in adults
  • Nasal saline irrigations for the symptoms of chronic rhinosinusitis
  • Functional endoscopic sinus surgery for chronic rhinosinusitis
  • Functional endoscopic balloon dilation of sinus ostia for chronic rhinosinusitis

NICE Evidence. Improving outcomes in head and neck cancer: Evidence Update May 2012. Cites:

  • Hyperfractionated or accelerated radiotherapy for head and neck cancer
  • Enteral feeding methods for nutritional management in patients with head and neck cancers being treated with radiotherapy and/or chemotherapy

Calderon MA, et al. Perspectives on allergen-specific immunotherapy in childhood: An EAACI position statement, 2012. Cites:

  • Allergen injection immunotherapy for seasonal allergic rhinitis

Association of Scientific Medical Societies, AWMF (DE). Rhinosinusitis. S2k-LL (DGHNOKHC), March 2011. Cites:

  • Nasal saline irrigations for the symptoms of chronic rhinosinusitis

Prodigy. Benign paroxysmal positional vertigo, Feb 2011. Cites:

  • Vestibular rehabilitation for unilateral peripheral vestibular dysfunction
  • The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo

BAHNO, BAPRAS, BAOMS, BAETS, ENT UK. Head and neck cancer: multidisciplinary management guidelines, September 2011. Cites:

  • Radiotherapy versus open surgery versus endolaryngeal surgery (with or without laser) for early laryngeal squamous cell cancer

Lautermann J, et al. Guideline "Otitis media with effusion" - long version. S1 Guideline of the German Society of Otorhinolaryngology, Head and Neck Surgery, 2011. Cites:

  • Identification of children in the first four years of life for early treatment for otitis media with effusion

Prodigy. Otitis media with effusion, 2011. Cites:

  • Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children
  • Antihistamines and/or decongestants for otitis media with effusion (OME) in children
  • Autoinflation for hearing loss associated with otitis media with effusion
  • Identification of children in the first four years of life for early treatment for otitis media with effusion
  • Oral or topical nasal steroids for hearing loss associated with otitis media with effusion in children
  • Interventions for ear discharge associated with grommets (ventilation tubes)
  • Adenoidectomy for otitis media in children

Prodigy. Vestibular neuronitis, 2011. Cites:

  • Vestibular rehabilitation for unilateral peripheral vestibular dysfunction

Desrosiers M, et al. Canadian clinical practice guidelines for acute and chronic rhinosinusitis, 2011. Cites:

  • Oral steroids for nasal polyps
  • Nasal saline irrigations for the symptoms of chronic rhinosinusitis
  • Functional endoscopic sinus surgery for chronic rhinosinusitis

Clinical Oncological Society of Australia. Evidence based practice guidelines for the nutritional management of adult patients with head and neck cancer, 2011. Cites:

  • Enteral feeding methods for nutritional management in patients with head and neck cancers being treated with radiotherapy and/or chemotherapy

Stuck BA, et al. Guideline on "Rhinosinusitis" - Long Version S2 Guideline of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery, 2012. Cites:

  • Functional endoscopic sinus surgery for chronic rhinosinusitis
  • Nasal saline irrigations for the symptoms of chronic rhinosinusitis

Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI). Immunotherapy for allergic rhinitis, 2011. Cites:

  • Allergen injection immunotherapy for seasonal allergic rhinitis
  • Sublingual immunotherapy for allergic rhinitis

American Academy of Allergy, Asthma & Immunology. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines, 2010. Cites:

  • House dust mite avoidance measures for perennial allergic rhinitis
  • Topical nasal steroids for intermittent and persistent allergic rhinitis in children
  • Steroids for improving recovery following tonsillectomy in children
  • Allergen injection immunotherapy for seasonal allergic rhinitis
  • Sublingual immunotherapy for allergic rhinitis

WHO. Chronic suppurative otitis media, 2004. Cites:

  • Treatments for chronic suppurative otitis media

Check out the Cochrane UK website for more details on where Cochrane Reviews are cited in national clinical guidelines.