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Related Experiment Videos

Large international differences in (adeno)tonsillectomy rates.

E H Van Den Akker1, A W Hoes, M J Burton

  • 1Department of Otorhinolaryngology, Wilhelmina Children's Hospital/University Medical Center Utrecht, Utrecht, the Netherlands. e.h.vandenakker@wkz.azu.nl

Clinical Otolaryngology and Allied Sciences
|April 29, 2004
PubMed
Summary

Paediatric and adolescent tonsillectomy (T +/- Ads) rates vary significantly across countries. Declining childhood surgery rates do not appear to increase the need for later tonsil surgery.

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Public Health

Background:

  • Tonsillectomy (T +/- Ads) is a common surgical procedure in children and adolescents.
  • International variations in T +/- Ads rates suggest differing clinical practices and healthcare policies.

Purpose of the Study:

  • To compare recent paediatric and adolescent T +/- Ads rates across multiple countries.
  • To analyze historical trends of T +/- Ads rates in the Netherlands and the UK.
  • To investigate the relationship between childhood T +/- Ads rates and later tonsil-related disease.

Main Methods:

  • Comparative analysis of T +/- Ads rates in the EU, US, Canada, and Australia.
  • Time-series analysis of paediatric and adolescent T +/- Ads rates in the Netherlands and UK (1974-1998).

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Main Results:

  • In 1998, paediatric T +/- Ads rates ranged from 19/10,000 (Canada) to 118/10,000 (Northern Ireland).
  • Adolescent T +/- Ads rates in 1998 varied from 19/10,000 (Canada) to 76/10,000 (Finland).
  • The Netherlands saw a decrease in paediatric T +/- Ads rates from 1974-1985, followed by an increase in adolescent rates (1985-1998). The UK showed increases in T +/- Ads for both age groups.

Conclusions:

  • Significant international disparities in paediatric and adolescent T +/- Ads rates persist.
  • No conclusive evidence links decreasing childhood T +/- Ads rates to an increased incidence of tonsil-related diseases requiring surgery later in life.