The 14-item Paediatric Throat Disorders Outcome Test: a valid, sensitive, reliable, parent-reported outcome measure for paediatric throat disorders

Hopkins, Claire; Fairley, J.W.; Yung, Matthew; Hore, Ian; Balasubramaniam, S.; Haggard, Mark

doi:10.1017/s0022215109992386

Cited by 42 publications

(82 citation statements)

References 19 publications

(18 reference statements)

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“…7 Despite this, in the literature, there are currently very few PROM studies assessing the impact of tonsillectomy, with only one study assessing the validated T-14 questionnaire on symptom scores, prior to and following tonsillectomy. 3 This study by Hopkins et al outlines for the first time the T-14 tool as well as validation evidence for its use as a PROM in otolaryngology. 3 They revealed a preoperative mean score of 24.0 (33.3 in this study), dropping to 7.01 (1.5 in this study) six months following surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Prior to data collection, a power calculation was conducted (using the results of the validation study by Hopkins et al) 3 to decide on a suitable sized study population. This preliminary calculation revealed the Hopkins study to be powered at over 90%.…”

Section: Methodsmentioning

confidence: 99%

“…3 It is recommended for use prior to and following surgery in order to assess patient reported outcome measures (PROMs). The T-14 questionnaire (Fig 1) was validated through a prospective study conducted by Hopkins et al measuring scores both preoperatively and six months postoperatively, revealing tonsillectomy to be an excellent procedure for the reduction of patient related symptom scores in the paediatric population.…”

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confidence: 99%

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Application of the paediatric throat disorders outcome test (T-14) for tonsillectomy and adenotonsillectomy

Konieczny

Biggs

Caldera

2013

annals

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Introduction The T-14 questionnaire is a validated patient reported outcome measure (PROM) used to assess the value of paediatric tonsillectomy from the patient’s perspective. Tonsillectomy is a procedure under threat. As such, this study aimed to provide further evidence supporting the role of tonsillectomy in the management of recurrent tonsillitis and obstructive sleep apnoea. Methods A prospective uncontrolled observational study was undertaken examining 54 paediatric patients undergoing tonsillectomy at our institution. Parents of children having surgery were invited to complete a T-14 questionnaire preoperatively as well as at three and six months postoperatively. Results The questionnaire was completed for 52 of the 54 patients preoperatively as well as at 3 and 6 months postoperatively (96% response rate). The mean difference between the preoperative and six-month T-14 score was 31.8 (p<0.0001). T-14 scores at three months were also significantly improved compared with those taken preoperatively (mean difference: 29.9, p<0.0001). Conclusions This is the first study in the literature to assess T-14 questionnaires at three and six months following paediatric tonsillectomy, providing evidence of the early benefit on PROMs. Tonsillectomy is the most common surgical procedure performed in the UK, and it is regarded highly by patients and otolaryngologists alike. This study provides significant evidence that tonsillectomy improves PROMs, thereby demonstrating its ongoing clinical value as a funded National Health Service procedure.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Application of the paediatric throat disorders outcome test (T-14) for tonsillectomy and adenotonsillectomy

Konieczny

Biggs

Caldera

2013

annals

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“…[33][34][35][36][37][38] A number of other questionnaires were infrequently described, related to other specific otolaryngology conditions (Table I). 39,40 Each tool was of a varying length and underwent variable degrees of validation (Table I).…”

Section: Resultsmentioning

confidence: 99%

“…31,66,67 Paediatric throat health related QoL was almost entirely reported on using the Paediatric Throat Disorders Outcome Test ('T-14'). [33][34][35][36][37] Designed by Hopkins et al, 34 this 14-item disease-specific questionnaire has been extensively validated and reported upon in children. The only other identified measure was the infrequently used Tonsil and Adenoid Health Status Instrument ('TAHSI'), from which the Paediatric Throat Disorders Outcome Test derives many question items.…”

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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Scoping review of pediatric tonsillectomy quality of life assessment instruments

et al. 2017

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The 14-item Paediatric Throat Disorders Outcome Test: a valid, sensitive, reliable, parent-reported outcome measure for paediatric throat disorders

Abstract: The 14-item Paediatric Throat Disorders Outcome Test is an appropriate, disease-specific, parent-reported outcome measure for children with throat disorders, for which we have demonstrated internal consistency, reliability, responsiveness to change and two forms of construct validity.

Cited by 42 publications

References 19 publications

Application of the paediatric throat disorders outcome test (T-14) for tonsillectomy and adenotonsillectomy

Application of the paediatric throat disorders outcome test (T-14) for tonsillectomy and adenotonsillectomy

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

Scoping review of pediatric tonsillectomy quality of life assessment instruments

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