Abstract
The objective of this study was to determine the benefits of tonsillectomy in adult patients with chronic tonsillitis with special emphasis on the influence of age and gender. Cross-sectional survey analysis of patients at least 1 year after undergoing adult tonsillectomy at a university department. We used the Glasgow Benefit Inventory and a specifically constructed illness inventory (Specific Benefits from Tonsillectomy Inventory). One hundred and nine patients completed the survey. Significant improvements were demonstrated in three out of four GBI scores [‘total score’ (+16.9), ‘general health’ (+12.9), ‘physical functioning’ (+46.6), all P<0.0001] and in all SBTI scores [‘symptom change’ (+58.3), ‘reduced use of resources’ (+70.9), ‘general benefit’ (+52.1), all P<0.0001]. Gender did not play a significant role in benefit evaluation whereby younger patients evaluated the surgery as more beneficial than older patients. Adult patients with chronic tonsillitis definitely benefit significantly from tonsillectomy. Younger adult patients perceived greater surgical benefits than older adult patients. Patient gender did not significantly influence tonsillectomy benefit evaluation.
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Federal Statistic Office Germany. Aus dem Krankenhaus entlassene vollstationäre Patientinnen und Patienten. Häufigste Diagnosen 2000. http://www.destatis.de/basis/d/gesu/gesutab11.htm
Stewart MG, Friedman EM, Sulek M, Hulka GF, Kuppersmith RB, Harrill WC, Bautista MH (2000) Quality of life and health status in pediatric tonsil and adenoid disease. Arch Otolaryngol Head Neck Surg 126:45–48
Goldstein NA, Fatima M, Campbell TF, Rosenfeld RM (2002) Child behaviour and quality of life before and after tonsillectomy and adenoidectomy. Arch Otolaryngol Head Neck Surg 128:770–775
Stewart MG, Friedman EM, Sulek M, DeJong A, Hulka GF, Bautista MH, Anderson SE (2001) Validation of an outcomes instrument for tonsil and adenoid disease. Arch Otolaryngol Head Neck Surg 127:29–35
Stewart MG (2000) Pediatric outcomes research: development of an outcomes instrument for tonsil and adenoid disease. Laryngoscope 110(Suppl 94):12–15
Fischer D, Stewart AL, Bloch DA, Lorig K, Laurent D, Holman H (1999) Capturing the patient’s view of change as a clinical outcome measure. JAMA 282:1157–1162
Deutsche Gesellschaft für Hals-Nasen-Ohrenheilkunde, Kopf- und Hals-Chirurgie. AWMF Reg.-Nr. 017–024 Leitlinie Chronische Tonsillitis. http://www.leitlinien.net/
Medical Research Council, Institute of Hearing Research, Scottish Section. Glasgow Health Status Questionnaires. http://www.ihr.gla.ac.uk./ghsq/
Robinson K, Gatehouse S, Browning GG (1996) Measuring patient benefit from otorhinolaryngological surgery and therapy. Ann Otol Rhinol Laryngol 105:415–422
Paradise JL, Bluestone CD, Bachman RZ, Colborn DK, Bernard BS, Taylor FH, Rogers KD, Schwarzbach RH, Stool SE, Friday GA (1984) Efficacy of tonsillectomy for recurrent throat infections in severely affected children: results of parallel randomized and nonrandomized clinical trials. N Engl J Med 310:674–683
Bhattacharyya N, Kepnes LJ, Shapiro J (2001) Efficacy and quality-of-life impact of adult tonsillectomy. Arch Otolaryngol Head Neck Surg 127:1347–1350
Bhattacharyya N, Kepnes LJ (2002) Economic benefit of tonsillectomy in adults with chronic tonsillitis. Ann Otol Rhinol Laryngol 111:983–988
Mui S, Rasgon BM, Hilsinger RL (1998) Efficacy of tonsillectomy for recurrent throat infection in adults. Laryngoscope 108:1325–1328
Timmerman A, Anteunis LJC, Meesters CMG (2003) Response-shift bias and parent-reported quality of life in children with otitis media. Arch Otolaryngol Head Neck Surg 129:987–991
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Baumann, I., Kucheida, H., Blumenstock, G. et al. Benefit from tonsillectomy in adult patients with chronic tonsillitis. Eur Arch Otorhinolaryngol 263, 556–559 (2006). https://doi.org/10.1007/s00405-006-0009-y
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DOI: https://doi.org/10.1007/s00405-006-0009-y