ENT Burden Atlas

Research attention vs disease burden in otolaryngology, 1995–2024 — a preregistered dynamic census

Otitis media

Tier: Burden tier · Matched burden cause: Otitis media (GBD cause 329), GBD 2023 (DALYs primary).

Publication share of the 14-area pool

8.47.55.74.53.62.98.42.9

Pool share (%) by five-year period. Pool totals: 1995–1999 26,544, 2000–2004 36,611, 2005–2009 50,051, 2010–2014 65,755, 2015–2019 85,380, 2020–2024 128,117.

Period1995–19992000–20042005–20092010–20142015–20192020–2024
Publications2,2292,7402,8732,9553,1043,706
Share of pool (%)8.40%7.48%5.74%4.49%3.64%2.89%

First-to-last share change: -65.5% (relative). Dynamics label: Resolution-dilution.

Attention–burden ratio (ABR)

+1.39+1.36+1.15+0.82+0.60+0.34+1.39+0.00

log2 ABR by period (dashed line = parity, ABR 1). Last period pairs publications 2020–24 with burden 2020–23 (see Methods).

Period1995–19992000–20042005–20092010–20142015–20192020–2024
log2 ABR+1.39+1.36+1.15+0.82+0.60+0.34
ABR2.612.562.211.761.521.27
Publication share of 7-cause pool (%)13.8%12.7%10.3%7.5%5.9%4.5%
DALY share of 7-cause pool (%)5.3%4.9%4.6%4.3%3.9%3.5%

Burden–research centroid distance

10,1809,4117,1365,4263,6542,01310,1802,013

Great-circle distance (km) between the DALY-weighted burden centroid and the first-author research centroid (arithmetic mean centres; see Methods).

Period1995–19992000–20042005–20092010–20142015–20192020–2024
Distance (km)10,1809,4117,1365,4263,6542,013

First-to-last change: -80.2% (10,180 → 2,013 km). Last-period distances remain large in absolute terms for every cause.

First-author geography

LMIC share of parsed first-author records: 9.4% → 34.4% (this area; pooled across all 14 areas: 7.9% → 39.8%). Share of first authors located in this cause's ten highest-DALY countries: 44.1% → 42.4%.

Decoupling typology

SignalValueDirection (main thresholds)
S — relative change in pool publication share-65.5%down
B — relative change in DALY share of the 7-cause pool-33.0%down
A — change in log2 ABR-1.04down
Threshold setAssigned type
Low (±15% / ±0.3)Resolution-dilution
Main (±25% / ±0.5)Resolution-dilution
High (±35% / ±0.7)Unclassified

Annualised absolute DALYs for this cause changed +12.9% between the first and last periods. B is a share: a falling B means relative dilution inside the pool, never an absolute decline.

← All areas · Full frozen tables: Downloads