Improvement in quality of life by adenotonsillectomy in children with adenotonsillar disease

Naiboğlu, Barış; Külekçi, Semra; Kalaycık, Çiğdem; Sheidaei, Shahrouz; Toros, Sema Zer; Egeli, Erol

doi:10.1111/j.1749-4486.2010.02190.x

Cited by 15 publications

(12 citation statements)

References 23 publications

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“…Many papers using standardised quality of life measures before and after tonsillectomy report benefit from the procedure. [16][17][18][19][20] In the study by Hsu et al, tonsillectomy would even seem to pass the 'friends and family' test. 19 …”

Section: No Overall Savings?mentioning

confidence: 99%

The rising rate of admissions for tonsillitis and neck space abscesses in England, 1991–2011

Lau

Upile

Wilkie

et al. 2014

annals

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INTRODUCTION Sore throats and tonsillitis represent a considerable health burden as well as a significant source of expenditure for the National Health Service (NHS). As part of the recent NHS savings drive, the introduction of 'procedures of low clinical effectiveness' (PoLCE) lists has reinforced a large reduction in the number of tonsillectomies performed. We carried out a crosssectional study of trends in emergency sore throat admissions in the context of the number of tonsillectomies performed. METHODS Hospital Episode Statistics (HES) data were extracted. Office for National Statistics data were also used. RESULTS Between 1991 and 2011, the overall tonsillectomy rate fell by 44%. In the same time, the admission rate for tonsillitis rose by 310% (Pearson's r=-0.67, p=0.01). The peritonsillar abscess admission rate rose by 31% (r=-0.79, p<0.01). Between 1996 and 2011, the overall tonsillectomy rate fell by 41% and the retro and parapharyngeal abscess admission rate rose by 39% (r=-0.55, p=0.026). There was a 14% overall increase in tonsillectomy and sore throat associated bed days. This was despite the large fall in tonsillectomy numbers and the reduction in length of hospital stay. CONCLUSIONS Efforts to reduce the tonsillectomy rate are correlated with a significant rise in emergency admissions. The rise in the retro and parapharyngeal abscess rate is perhaps most alarming given the very high mortality of these conditions. Bed day data suggest that no net saving has been made despite the new measures.

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Section: No Overall Savings?mentioning

confidence: 99%

The rising rate of admissions for tonsillitis and neck space abscesses in England, 1991–2011

Lau

Upile

Wilkie

et al. 2014

annals

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“…It gives a global health overview, and usefully has two forms: the parent proxy report form and the age-specific child self-report form. [49][50][51] Similarly, the KINDL-R questionnaire for measuring health-related QoL in children and adolescents, 60,61 the Child Health Questionnaire ('CHQ') 38,[54][55][56] and the Child Behavior Checklist ('CBCL') 20,21,62 are general patient-reported outcome measures that have different forms for various age groups. These tools have the benefit of age-appropriate questions, but their use would potentially limit comparison of the findings outside of that age group.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of patient-reported outcome measures in paediatric otolaryngology

Powell

Robson

2017

J. Laryngol. Otol.

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Background:Recently, there has been increased emphasis on the development and application of patient-reported outcome measures. This drive to assess the impact of illness or interventions, from the patient's perspective, has resulted in a greater number of available questionnaires. The importance of selecting an appropriate patient-reported outcome measure is specifically emphasised in the paediatric population. The literature on patient-reported outcome measures used in paediatric otolaryngology was reviewed.Methods:A comprehensive literature search was conducted using the databases Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycInfo, using the terms: ‘health assessment questionnaire’, ‘structured questionnaire’, ‘questionnaire’, ‘patient reported outcome measures’, ‘PROM’, ‘quality of life’ or ‘survey’, and ‘children’ or ‘otolaryngology’. The search was limited to English-language articles published between 1996 and 2016.Results:The search yielded 656 articles, of which 63 were considered relevant. This included general paediatric patient-reported outcome measures applied to otolaryngology, and paediatric otolaryngology disease-specific patient-reported outcome measures.Conclusion:A large collection of patient-reported outcome measures are described in the paediatric otolaryngology literature. Greater standardisation of the patient-reported outcome measures used in paediatric otolaryngology would assist in pooling of data and increase the validation of tools used.

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“…Tonsillectomy remains an effective treatment for recurrent tonsillitis however, with many publications reporting improved patient quality of life from the procedure 7 8. Furthermore, with a 53% net increase in bed days for the complication rates of sore throats, much financial saving has been negated 2…”

Section: Discussionmentioning

confidence: 99%

Zygomatic haematoma in an 11-month-old helps diagnose retropharyngeal abscess, with concurrent tonsillitis and subsequent infant tonsillectomy

Collis

Sanu

2016

BMJ Case Reports

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An 11-month-old boy presented with a 2-day history of non-specific symptoms and a zygomatic haematoma. With aetiology uncertain after admission clerking and blood tests, a CT head scan was arranged for suspected traumatic injury and revealed a retropharyngeal abscess (RPA) with significant airway narrowing in the transverse plane. The patient received urgent intraoral abscess drainage and bilateral tonsillectomy in theatre. This case highlights the need for a high index of suspicion regarding RPAs. These abscesses have potentially fatal sequelae and are difficult to diagnose in the infant paediatric population.

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Improvement in quality of life by adenotonsillectomy in children with adenotonsillar disease

Cited by 15 publications

References 23 publications

The rising rate of admissions for tonsillitis and neck space abscesses in England, 1991–2011

The rising rate of admissions for tonsillitis and neck space abscesses in England, 1991–2011

A systematic review of patient-reported outcome measures in paediatric otolaryngology

Zygomatic haematoma in an 11-month-old helps diagnose retropharyngeal abscess, with concurrent tonsillitis and subsequent infant tonsillectomy

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