Prioritisation: focusing our work on the questions and outcomes that matter to patients

It is increasingly important that we focus our efforts on the right topics for new reviews and updates, in the context of 'fewer, better reviews'.

Cochrane has identified priority review topics.

We have 10 on the list, all of which are now in progress:

  1. Antibiotics versus topical antiseptics for chronic suppurative otitis media
  2. Aural toilet (ear cleaning) for chronic suppurative otitis media
  3. Betahistine for tinnitus
  4. Cognitive behavioural therapy for tinnitus
  5. Systemic antibiotics for chronic suppurative otitis media
  6. Sound therapy (using amplification devices and/or sound generators) for tinnitus in adults
  7. Topical versus systemic antibiotics for chronic suppurative otitis media
  8. Topical antibiotics for chronic suppurative otitis media
  9. Topical antibiotics with steroids for chronic suppurative otitis media
  10. Topical antiseptics for chronic suppurative otitis media

We are also interested in topics where antibiotic use may be reduced, e.g. prophylactics in surgery.

While we wait for the outcome of ongoing prioritisation work in ENT in general, we have prioritised our work by carrying out formal scoping exercises in chronic rhinosinusitis and chronic suppurative otitis media, consulting with our editorial panel, looking at which reviews feature in clinical practice guidelines, monitoring our top cited and accessed reviews, and using previous prioritisation exercises.