Does tonsillectomy improve quality of life in adults? A systematic literature review

Andreou, N; Hadjisymeou, S; Panesar, J

doi:10.1017/s0022215113000273

Cited by 29 publications

(31 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Within each group, in the CHT and separately in the PTA group, the correlation of serology parameters at T-1 with the functional outcome at T180 was examined with via Pearson product–moment correlations. In reference to the results of previous studies [6], the four most important functional outcome subscales (GBI social subscale; GBI physical subscale; SBTI resources subscale; SBTI benefit subscale) were selected for multiple comparisons (Additional file 1: Table S1 and Additional file 2: Table S2). The Bonferroni correction was used to adjust the P value while performing multiple comparisons: As four outcome subscales were examined, the level of significance was set at p < 0.0125 (=0.05/4).…”

Section: Methodsmentioning

confidence: 99%

“…Furthermore, the severity of the systemic reaction that might be beyond this chronic focal inflammation is not specified yet and taken into account for decision making for surgery. Nevertheless, even with limited criteria for patient selection for tonsillectomy the rates of satisfaction with the outcome following surgery are high [4-6]. Although a frequent illness, the literature on surgery for recurrent tonsillitis is limited, especially on surgery in adults [1].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical significance and diagnostic usefulness of serologic markers for improvement of outcome of tonsillectomy in adults with chronic tonsillitis

Bohne

Siggel

Sachse

et al. 2013

J Negat Results BioMed

View full text Add to dashboard Cite

BackgroundThe aim of the present study was to explore serological biomarkers which predict the outcome of tonsillectomy for chronic tonsillitis.MethodsA case study in a University ENT department of 24 adult patients with chronic tonsillitis (CHT) in comparison to 24 patients with acute peritonsillar abscess (PTA) was performed. Blood samples for clinical routine hematological and serological parameters were assessed prior to surgery (T-1) and five days (T5) after tonsillectomy. Outcome 6 months later (T180) was documented using the Glasgow Benefit Inventory (GBI) and the Specific Benefits from Tonsillectomy Inventory (SBTI). Correlation analyses between CHT and PTA group as well as between the different time points within each group concerning the serological parameters and the outcome parameters were performed.ResultsAt T-1, patients in the CHT group presented with significantly higher lymphocytes counts (relative and absolute), basophils (relative and absolute) and eosinophils but less white-cells, monocytes, neutrophils (absolute and relative), alpha-1, alpha-2, beta globulins, immunoglobulin and lower C-reactive protein and procalcitonin values than patients in the PTA group (all p < 0.05, respectively). Within each group, different significant changes of the serum parameters (often in opposite direction) were observed between T-1 and T5. SBTI scores at T-1 were significantly lower in the CHT group. In contrast, most GBI scores at T180 were significantly higher in the CHT group. Between T-1 and T180 the SBTI scores improved in three quarters of the CHT patients but only in three fifths of the PTA patients. Higher eosinophil counts and immunoglobulin E levels at T-1 predicted higher GBI scores at T180 in the CHT group.ConclusionsThis pilot study showed a specific serological pattern for patients with chronic tonsillitis with a specific pattern of changes after tonsillectomy. But there is no established role for biomarkers currently used in clinical practice to predict the outcome of tonsillectomy for chronic tonsillitis.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical significance and diagnostic usefulness of serologic markers for improvement of outcome of tonsillectomy in adults with chronic tonsillitis

Bohne

Siggel

Sachse

et al. 2013

J Negat Results BioMed

View full text Add to dashboard Cite

show abstract

“…In a recent review, Andreou and coworkers reported that the SF- 36 and the Glasgow Benefit Inventory are most frequently used [20]. The SF-36 is a universal HRQL assessment tool with well documented psychometric characteristics [6].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a German version of the tonsil and adenoid health status instrument

Steinbichler

Bender

Blassnigg

et al. 2014

Journal of Otolaryngology - Head & Neck Surgery

View full text Add to dashboard Cite

BackgroundTo create and validate a German version of the Tonsil and Adenoid Health Status Instrument (TAHSI) for evaluation of tonsillectomy outcome in adult patients with chronic or recurrent tonsillitis.Subjects and methods46 healthy volunteers were assessed twice in a 6 week interval with the TAHSI questionnaire. Their results were compared with 45 patients suffering from chronic tonsillitis before tonsillectomy and 6 months following surgery. For internal consistency, Cronbach’s alpha was calculated; to identify normal score values, the optimum cutoff between healthy and diseased individuals was identified with receiver operating characteristic analysis; and responsiveness was assessed using Guyatt’s Responsiveness Index (GRI).ResultsCronbach’s alpha for all questions was 0.92. Test- retest intraclass correlation coefficient was 0.89 (95% confidence interval 0.80-0.94 p < 0.001). Mean score for the healthy individuals was 7.0 (95% confidence interval 4.2-9.7). The optimum cut off score between healthy and diseased was 20 with a sensitivity of 80% and a specificity of 90% to differentiate controls from tonsillectomy patients.ConclusionThe TAHSI performed well in this validation tests and is considered a favorable instrument to evaluate the effectiveness of tonsillectomy in adults with chronic or recurrent tonsillitis.

show abstract

“…Erwachsene -Die TE kann die Zahl rezidivierender akuter Tonsillitiden und deswegen notwendiger erapien/Arztbesuche reduzieren und die Lebensqualität steigern [10,11]. -Je schwerer erkrankt und je jünger die Patienten sind, umso besser ist der E ekt der TE.…”

Section: Kinderunclassified

Wieviel Tonsillektomie darf es noch sein?

Stelter¹,

Kisser²

2016

HNO Nachrichten

View full text Add to dashboard Cite

Die Tonsillitis gehört zweifelsohne zu jenen Erkrankungen, mit denen der HNO-Arzt besonders häu g konfrontiert ist. Die Therapie wird jedoch sehr unterschiedlich gehandhabt und insbesondere hinsichtlich des operativen Vorgehens herrscht Uneinigkeit. Die im August 2015 erschienene neue Leitlinie zur Behandlung der Tonsillitis beschäftigt sich ausführlich mit der operativen Therapie und gibt interessante neue Empfehlungen.

show abstract

Does tonsillectomy improve quality of life in adults? A systematic literature review

Cited by 29 publications

References 12 publications

Clinical significance and diagnostic usefulness of serologic markers for improvement of outcome of tonsillectomy in adults with chronic tonsillitis

Clinical significance and diagnostic usefulness of serologic markers for improvement of outcome of tonsillectomy in adults with chronic tonsillitis

Evaluation of a German version of the tonsil and adenoid health status instrument

Wieviel Tonsillektomie darf es noch sein?

Contact Info

Product

Resources

About