Otitis media surgery: Large variability between Finland and Norway

All snoring is not adenoids in young children

“…In Finland, the adenoidectomy rate for young children has been very high compared to that of other countries [17,18], and in our study population the overall adenoidectomy rate was 15%. Most of the adenotomies were likely to be performed because of recurrent ear infections, not because of snoring.…”

Variability of adenoidectomy/tonsillectomy rates among children of the Veneto Region, Italy

“…A/T rates show a wide variability between countries [ 8 , 9 ], but it has been long recognized that, despite differences in average rates across countries, even more striking variations always exist from area to area of the same country [ 10 - 13 ]. A wide small-area variation in intervention rates suggests that there is a high degree of "clinical uncertainty" about the indications [ 14 ].…”

Effectiveness of the Ten-valent Pneumococcal Conjugate Vaccine Against Tympanostomy Tube Placements in a Cluster-randomized Trial

“…The variation has been documented in Finland and internationally also earlier 19,20 and was mainly because of the private office procedures (Fig. 3).…”