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[Tonsil surgery in Brandenburg-trends between 2013 and 2017].

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Summary

Tonsillectomy rates significantly decreased in Brandenburg following 2015 German guidelines. Tonsillotomy increased, with most tonsillectomies now performed on adults, highlighting a need for research on adult tonsillitis treatment.

Keywords:
Abscess tonsillectomyAntibiotic treatmentGuidelinesTonsillectomyTonsillotomyTonsils

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Area of Science:

  • Otolaryngology
  • Health Services Research

Background:

  • Analysis of tonsil surgery frequency in Brandenburg (BB) from 2013-2017.
  • Investigation into the causes and consequences of observed trends in tonsil operations.

Purpose of the Study:

  • To analyze trends in tonsil surgery frequency in Brandenburg between 2013 and 2017.
  • To explore the impact of the 2015 German guidelines on tonsillectomy indications.

Main Methods:

  • OPS code-based survey across 10 ENT hospitals in Brandenburg.
  • Interviews with heads of ENT departments regarding tonsillectomy indications.
  • Comparison of operation numbers between 2013/2014 and 2017 (BB) and 2016 (national data).

Main Results:

  • A 45.6% decrease in tonsillectomy (TE) in BB led to a 21.1% overall reduction in surgeries.
  • Tonsillotomy (TT) and abscess TE increased by 32% and 18% respectively in BB.
  • National data (395,674 cases) showed a 30.7% decrease in TE, a 14% decrease in abscess TE, and a 27.5% increase in TT, with an overall 21.3% decrease.

Conclusions:

  • The significant decline in TE in BB correlates with the 2015 German guidelines for inflammatory tonsil diseases.
  • Tonsillectomy is now predominantly performed on adult patients.
  • Further research is needed on conservative versus surgical treatment options for recurrent tonsillitis in adults.