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Pediatric pre-tonsillectomy education programs: A systematic review.

Marc Levin1, Nicole L Seligman2, Heather Hardy3

  • 1Michael G. DeGroote School of Medicine, McMaster University, Canada.

International Journal of Pediatric Otorhinolaryngology
|March 29, 2019
PubMed
Summary
This summary is machine-generated.

Pre-tonsillectomy education programs show mixed results in improving postoperative care and reducing emergency department visits after tonsillectomy. Further research is needed to optimize their implementation and effectiveness.

Keywords:
Parent educationPatient educationPediatric tonsillectomyPerioperative educationTonsillectomy systematic review

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Area of Science:

  • Health Services Research
  • Patient Education
  • Surgical Outcomes

Background:

  • Tonsillectomy is a common procedure in Ontario, with over 14,000 performed annually.
  • Postoperative care challenges frequently result in emergency department (ED) visits.
  • Integrating patient education into tonsillectomy care was recommended in 2013 to improve outcomes.

Purpose of the Study:

  • To systematically review existing pre-tonsillectomy patient education programs.
  • To understand the current landscape of educational services for tonsillectomy patients.
  • To inform the optimal implementation of patient education programs in clinical settings.

Main Methods:

  • A systematic review was conducted using PRISMA guidelines.
  • Searches were performed across Ovid Medline, Cochrane, CINAHL, and EMBASE Classic databases.
  • Ten studies were included in the final analysis.

Main Results:

  • The review identified various educational resources, including booklets, a smartphone app, text-message programs, videos, internet resources, and caregiver programs.
  • Most resources demonstrated improvements in reducing post-tonsillectomy ED visits, managing patient anxiety, and improving pain management.
  • Some educational interventions showed no significant effect on these perioperative outcomes.

Conclusions:

  • Current data on the efficacy of pre-tonsillectomy education programs for perioperative outcomes is mixed.
  • Further research is necessary to fully understand the utility and optimal implementation of these programs.
  • Evidence-based patient education strategies are crucial for enhancing tonsillectomy care and reducing healthcare utilization.