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Pediatric adenoid surgery in Sweden 2004-2013: Incidence, indications and concomitant surgical procedures
Hanna Gerhardsson1, Joacim Stalfors2, Erik Odhagen3
1Department of Otorhinolaryngology, Ryhov County Hospital, Jönköping, Sweden.
Insights
Adenoid surgery, often combined with tonsillectomy for hypertrophy, is most common in children aged 2-5 years. Boys show higher incidence rates for adenoid surgery than girls.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Epidemiology
Background:
- Adenoid surgery is a common pediatric ENT procedure.
- Understanding its incidence, indications, and associated procedures is crucial for healthcare planning.
Purpose of the Study:
- To determine the incidence and indications for adenoid surgery.
- To analyze concomitant ENT surgical procedures performed with adenoidectomy.
- To examine trends in a nationwide pediatric cohort.
Main Methods:
- Retrospective analysis of the Swedish National patient registry (2004-2013).
- Inclusion of all first-time adenoidectomy patients born between 2004 and 2013.
- Evaluation of patient demographics, surgical indications, and concurrent procedures.
Main Results:
- Over 40,000 children underwent adenoid surgery; 60% were boys.
- Adenotonsillar surgery (43%) was more frequent than solitary adenoidectomy (26%).
- Hypertrophy (60%) was the primary indication, followed by hypertrophy with otitis media (21%).
- Peak incidence occurred between 2-5 years of age, with higher rates in boys.
Conclusions:
- Adenoidectomy is frequently combined with tonsillectomy for hypertrophy.
- Surgery is most common in early childhood (2-5 years), with higher rates in boys.
- Significant international variations in incidence suggest a need for best practice guidelines.
Objectives:
To describe the incidence and indications of adenoid surgery and concomitantly performed ENT surgical procedures in a nationwide cohort covering several years of practice.
Methods:
A retrospective study based on data from the National patient registry in Sweden. All children born from 1st of January 2004 to December 31st, 2013 who underwent adenoidectomy for the first time in Sweden during 2004-2013 were included in the study. Patient characteristics (age and gender), indications for surgery and performed ENT surgery were evaluated.
Results:
40,829 children underwent adenoid surgery during the studied period. Of these, 24,537 (60%) were boys. Mean and median age at surgery in the studied population was 4 years and 3.5 years respectively for both boys and girls. The most frequently performed surgical procedure was adenotonsillar surgery 43% (n = 17,434) followed by solitary adenoid surgery 26% (n = 10,749). The most frequent registered indication was hypertrophy 60% (n = 24,422) followed by hypertrophy and otitis media 21% (n = 8425). The highest age related incidence for all types of adenoid surgery taken together was 2-4 years of age for both genders. Boys had higher incidence rates than girls for all ages and all types of surgery except at eight years of age.
Conclusions:
The main findings were that adenoidectomy most commonly was performed together with surgery of the tonsils on the indication hypertrophy, that adenoid- and adenoid related ENT surgery were most commonly performed between 2 and 5 years of age and that the incidence in surgical rates was higher for boys than girls. There seem to be large unwarranted variations between countries regarding incidence rates and we believe that there is a need for further studies in order to establish recommendations for best practice regarding adenoid and related ENT surgeries.
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