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Factors associated with changing indications for adenotonsillectomy: A population-based longitudinal study
Jeng-Wen Chen1,2, Po-Wu Liao3, Chi-Jeng Hsieh4
1Department of Otolaryngology-Head and Neck Surgery, Catholic Cardinal Tien Hospital and School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan.
Adenotonsillectomy (AT) rates in Taiwan are low but pediatric AT incidence increased from 1997-2010. Changing indications include rising obstructive and neoplastic cases, with age and hospital level being key factors.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Health Services Research
Background:
- Adenotonsillectomy (AT) is a common surgical procedure for children and adults.
- Understanding trends in AT incidence and indications is crucial for healthcare planning.
Purpose of the Study:
- To assess factors associated with changes in adenotonsillectomy incidence and indications.
- To analyze population-level data on AT procedures in Taiwan.
Main Methods:
- Retrospective cohort study utilizing the Taiwan National Health Insurance Research Database (1997-2010).
- Examination of surgical rates and indications stratified by age, sex, hospital level, and geographic residence.
- Logistic regression analysis to identify significant correlating factors.
Main Results:
- The average annual AT incidence was 14.7 per 100,000 individuals.
- Pediatric AT rates showed an increasing trend (1997-2010).
- Adult AT saw decreasing infectious and increasing neoplastic indications, while pediatric AT showed increasing obstructive indications.
Conclusions:
- Taiwan's AT rate is lower compared to other countries.
- Pediatric AT incidence rose, with obstructive indications increasing.
- Age and hospital level significantly influenced changing AT indications in adults and children, respectively.
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