Quality‐of‐life Effect of Tonsillectomy in a Young Adult Group

Richards, Amanda L.; Bailey, Michael; Hooper, Robin; Thomson, Peter

doi:10.1111/j.1445-2197.2007.04296.x

Cited by 21 publications

(26 citation statements)

References 13 publications

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“…All eight studies reported a general improvement in QoL after tonsillectomy in adults (Table II). [4][5][6][7][8][9][10][11] Several studies had a relatively low response rate, below 50 per cent. 4,[6][7][8] This could possibly have contributed to a selection bias, since patients with an improvement in their QoL may be more likely to respond.…”

Section: Generalmentioning

confidence: 99%

“…15-25 years). 8 This potentially allowed these authors to make specific observations on that particular age group. Agreeing with Baumann et al, and in contrast with Bhattacharya et al, Richard and colleagues' social functioning subscale results indicated a non-significant change, and thus the possibility of no social benefit from tonsillectomy.…”

Section: Studies Using the Glasgow Benefit Inventorymentioning

confidence: 99%

“…less than 30 years old) compared with older patients. 6,8 This age-related difference could possibly be due to the value placed by younger patients on their physical well-being.…”

Section: Lessons Learnedmentioning

confidence: 99%

“…8 This is perhaps not surprising for a procedure aimed primarily at improving health. However, the social benefits of tonsillectomy appeared to be ambiguous.…”

Section: Lessons Learnedmentioning

confidence: 99%

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

Andreou

Hadjisymeou²,

Panesar³

2013

J. Laryngol. Otol.

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Eight studies were identified. The Glasgow Benefit Inventory and the Short Form questionnaire were the main tools used to assess quality of life changes. Tonsillectomy is likely to improve the overall quality of life as it particularly improves patients' physical and general health. The social benefits of tonsillectomy appear to be non-significant. The effects are likely to be long-lasting and have a greater impact on younger patients. The presence of coexisting chronic conditions and the severity of infective symptoms due to tonsillitis are also influencing factors.

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Section: Generalmentioning

confidence: 99%

Section: Studies Using the Glasgow Benefit Inventorymentioning

confidence: 99%

“…less than 30 years old) compared with older patients. 6,8 This age-related difference could possibly be due to the value placed by younger patients on their physical well-being.…”

Section: Lessons Learnedmentioning

confidence: 99%

“…8 This is perhaps not surprising for a procedure aimed primarily at improving health. However, the social benefits of tonsillectomy appeared to be ambiguous.…”

Section: Lessons Learnedmentioning

confidence: 99%

See 2 more Smart Citations

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

Andreou

Hadjisymeou²,

Panesar³

2013

J. Laryngol. Otol.

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show abstract

“…Our response rate of 48.8% should be considered when examining how potential biases may have led to greater than true improvements in the scores of the questionnaires used. However, this response rate is higher when compared with similar QoL and by mail survey conducted studies, which mention rates ranging from 30-38.5% [26][27][28][29]. Also of note is that patients with CRS were not categorised into groups with respect to the presence or absence of nasal polyps or aspirin intolerance, which was not an exclusion criterion.…”

Section: Discussionmentioning

confidence: 86%

Medical and surgical treatment in divers with chronic rhinosinusitis and paranasal sinus barotrauma

Skevas

Baumann

Brückner

et al. 2011

Eur Arch Otorhinolaryngol

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Aim of the study is to evaluate the effects of medical and surgical treatment in divers with paranasal sinus barotrauma (PSB) secondary to chronic rhinosinusitis (CRS). In this retrospective, cross-sectional, descriptive study 40 adult divers with CRS were included. Treatment of divers implied a 5-day course of a systemic steroid and a 6-week course of saline nasal irrigations and topical nasal steroid with mometasone in maximal dosage. If symptoms persisted, functional endoscopic sinus surgery (FESS) was performed. Questionnaires included the Sinonasal Outcome Test-20 German Adapted Version (SNOT-20 GAV), dive-related questions (DRQ) and general questions. Questionnaires were completed retrospectively by recalling the symptoms before and after therapy. Forty of 82 divers completed the questionnaires. Mean follow-up was 42 months (range 13-95 months). There was a statistically significant improvement of the Total score (TS) and of every subscore, except the General Quality of Life score, in the SNOT-20 GAV as well as of the TS in the DRQ. Before treatment, divers who required surgery reported significantly more symptoms than divers who were treated conservatively. Post treatment there were no significant differences between the medical and surgical group. Overall, 35 divers could resume diving after therapy even though PSB still occurred but without complications. Divers with sinus problems can successfully be managed medically and if conservative treatment fails, FESS shows a statistically significant improvement of symptoms and no serious long-term hazards for diving.

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Long‐term outcomes of tonsillectomy for recurrent tonsillitis in adults

et al. 2019

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Background There is uncertainty regarding the effectiveness of tonsillectomy for recurrent tonsillitis in the adult population. Several studies have described a reduced number and severity of tonsillitis episodes; however, the impact of tonsillectomy on healthcare burden has yet to be studied. The aim of the present study was to evaluate the long‐term outcomes of tonsillectomy in the adult population. Methods A retrospective review of the central database of Clalit Health Services, Tel Aviv, Israel, between 2003 and 2009 was performed. The study included all adult patients (>18 years) who underwent tonsillectomy due to recurrent tonsillitis. Clinical and epidemiological data from 3 years before and after surgery were collected and analyzed. Results A total of 3,701 patients were included in the study. Mean age was 37.4 years, and 42.9% were males. Following surgery, there was a significant decrease in the total number of tonsillitis episodes, otolaryngologist clinic visits, consumption of pertinent antibiotics, and respiratory complaints. Moreover, a reduced number of hospitalizations to the otolaryngology department and shorter hospitalization duration were also noted. Although the total number of hospitalizations was unaffected, there was an increase in the number of primary care office visits. Finally, a break‐even time analysis revealed an average of 2.7 years following tonsillectomy. Conclusion Tonsillectomy for recurrent tonsillitis is effective in decreasing the number and severity of tonsillitis episodes and might also have an economic benefit. The impact of tonsillectomy on general health needs to be further evaluated; however, it appears that there is no increase in overall morbidity. Level of Evidence NA Laryngoscope, 130:328–331, 2020

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Quality‐of‐life Effect of Tonsillectomy in a Young Adult Group

Abstract: Tonsillectomy in a young adult group results in significant improvement in overall quality of life, physical health and general well-being.

Cited by 21 publications

References 13 publications

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

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

Medical and surgical treatment in divers with chronic rhinosinusitis and paranasal sinus barotrauma

Long‐term outcomes of tonsillectomy for recurrent tonsillitis in adults

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