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Cost-effectiveness of tonsillectomy for recurrent acute tonsillitis
Keiji Fujihara1, Peter J Koltai, Masaki Hayashi
1Department of Otolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama City, Japan.
The Annals of Otology, Rhinology, and Laryngology
|June 3, 2006
Summary
Tonsillectomy is clinically effective and cost-effective for recurrent acute tonsillitis in Japanese children and adults. Economic costs for tonsillectomy were recovered within 1.6 years for children and 2.5 years for adults.
Area of Science:
- Otolaryngology
- Health Economics
- Public Health
Background:
- Recurrent acute tonsillitis poses significant clinical and economic burdens.
- Tonsillectomy is a common surgical intervention for this condition.
Purpose of the Study:
- To evaluate the clinical effectiveness of tonsillectomy for recurrent acute tonsillitis.
- To assess the cost-effectiveness of tonsillectomy using break-even time analysis.
Main Methods:
- A retrospective case series of 25 children and 16 adults undergoing tonsillectomy.
- Questionnaires assessed tonsillectomy efficacy; medical and work disability costs were calculated.
- Break-even time analysis determined cost recovery periods.
Main Results:
- In children, total economic costs were recovered 1.6 years post-tonsillectomy.
- In adults, total economic costs were recovered 2.5 years post-tonsillectomy.
Conclusions:
- Tonsillectomy is a clinically effective treatment for recurrent acute tonsillitis.
- The procedure demonstrates significant cost-effectiveness for both pediatric and adult populations in Japan.