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Comparative audit of tonsillectomy.

R V Faulconbridge1, S Fowler, J Horrocks

  • 1Department of ENT, Guy's Hospital, London, UK.

Clinical Otolaryngology and Allied Sciences
|May 18, 2000
PubMed
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This 1997 audit of tonsillectomy in England and Wales found that most patients had improved throat symptoms after surgery. While 92% reported symptom improvement, 88% were satisfied with undergoing the tonsillectomy procedure.

Area of Science:

  • Otolaryngology
  • Surgical Audit
  • Health Services Research

Background:

  • Tonsillectomy is a common surgical procedure with varying indications and outcomes.
  • Auditing surgical practices is crucial for quality improvement and patient safety.
  • Previous comprehensive audits of tonsillectomy in England and Wales were limited.

Purpose of the Study:

  • To conduct a comprehensive audit of tonsillectomy practices and outcomes in England and Wales.
  • To assess patient indications for tonsillectomy, inpatient management, and postoperative experiences.
  • To evaluate patient satisfaction and complication rates following tonsillectomy.

Main Methods:

  • A multi-part audit was conducted by the Royal College of Surgeons of England's Comparative Audit Service in 1997.

Related Experiment Videos

  • Data collection involved three questionnaires: management, inpatient, and postoperative patient questionnaires.
  • Responses were received from 114 ENT consultants, 132 consultants (for 2450 inpatient cases), and 1408 patients.

    • Main Results:

    • Recurrent acute tonsillitis was the indication for tonsillectomy in two-thirds of patients.
    • Most patients (97%) were not day cases, with the majority staying one night in hospital.
    • Postoperative hemorrhage occurred in 0.75% of patients, requiring return to theatre; 7% were readmitted post-discharge.

    Conclusions:

    • The audit provided valuable insights into tonsillectomy indications, management, and outcomes across England and Wales.
    • While a high percentage of patients experienced symptom improvement (92%), overall satisfaction (88%) was slightly lower.
    • The cross-referencing capability across audit components enhanced data utility for individual patient analysis.