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Paediatric tonsillectomy: Impact assessment using a validated patient reported outcome measure (PROM)

Archana Soni‐Jaiswal (Department of ENT, Royal Albert Edward Infirmary, Wigan, UK)
Nadiah Parry (Otolaryngology, Blackpool Victoria Hospital, Blackpool, UK)
Nirmal Kumar (Wrightington, Wigan and Leigh NHS Trust, Wigan, UK)

Clinical Governance: An International Journal

ISSN: 1477-7274

Article publication date: 19 April 2013

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Abstract

Purpose

The published evidence in support of a tonsillectomy is equivocal relying on historical studies using objective outcome measures. Based on this, NICE have suggested that tonsillectomy is a “low clinical value treatment” and its funding curtailed by PCTs. This paper aims to prospectively evaluate the effect of a tonsillectomy on quality of life (QOL) of children affected by recurrent infective tonsillitis using a qualitative patient reported outcome measure (PROM).

Design/methodology/approach

Parents of children under the age of 16, undergoing a tonsillectomy, were enrolled. Parents completed a paediatric throat disorders outcome (PTDO) test prior to their child's surgery and then six months post‐operatively. Results were analysed using the Mann‐Whitney U test. The power of the study was 0.8 to detect a difference of 10 in a total score of 70.

Findings

A total of 63 children participated and an 86 per cent response rate was received at six months. The mean total score improved from 31.29 pre‐op to 7.41 post‐op (p<0.001). The mean score for the first two subgroups remained static but for the remaining 12 sub‐groups significantly improved post‐op.

Originality/value

The study demonstrates that performing tonsillectomies in a carefully selected cohort of children, significantly improves their QOL. It adds to a growing body of evidence that tonsillectomy is not a “low clinical value procedure” and has a substantial impact on the patients' symptoms.

Keywords

Citation

Soni‐Jaiswal, A., Parry, N. and Kumar, N. (2013), "Paediatric tonsillectomy: Impact assessment using a validated patient reported outcome measure (PROM)", Clinical Governance: An International Journal, Vol. 18 No. 2, pp. 132-138. https://doi.org/10.1108/14777271311317918

Publisher

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Emerald Group Publishing Limited

Copyright © 2013, Emerald Group Publishing Limited