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Reduction in the use of surgery for glue ear: did national guidelines have an impact?
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  • Published on: 13 May 2016
    GRiP: did it have an effect?
    • Nick A Black, Professor of Health Services Research
    • Other Contributors:
      • Andrew Hutchings

    Dear Editor

    Milne and Hill suggest the 'Getting Research into Practice' programme may have contributed to the decline in surgery for glue ear that we have reported. We cannot, however provide any evidence to support this suggestion. The rate of decline in surgery throughout England was similar to that observed in 13 former health districts in the Oxford/Anglia region. The ratio of change in rates after 1992 over the...

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    Conflict of Interest:
    None declared.
  • Published on: 13 May 2016
    Response to Milne and Hill
    • Nick A Black, University Professor
    • Other Contributors:
      • Andrew Hutchings

    Dear Editor

    Milne and Hill raise an interesting hypothesis - that the decline in surgical rates may have been due to a programme of Getting Research Into Practice. We intend to test this hypothesis by comparing our data with that for the whole of England and, within the area of our study, to compare the two Berkshire districts with districts in the former East Anglian region. We will report the results on this site...

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    Conflict of Interest:
    None declared.
  • Published on: 13 May 2016
    GRiP and the decline in surgery for glue ear
    • Ruairidh Milne, Senior Lecturer in Public Health Medicine
    • Other Contributors:
      • Alison Hill

    Dear Editor

    Black and Hutchings present an intriguing account of the rise and fall of glue ear surgery in two English regions.[1] They speculate that the acceleration of the decline from 1992 may have been due to the Effective Health Care bulletin on glue ear, helped by five "contextual features". One of these was the concurrent structural change to the NHS, arising from the introduction of health care commis...

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    Conflict of Interest:
    None declared.