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Updated: Sep 2, 2025

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Surgeon Preference on Sending Routine Tonsillectomy Specimens for Pathological Evaluation.

Nicholas A Rossi1, Cecilia G Freeman2, Jason F Ohlstein2

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|August 8, 2022
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Summary
This summary is machine-generated.

Most pediatric otolaryngologists do not support routine pathology analysis for uncomplicated tonsillectomy specimens. This practice may not be cost-effective, suggesting judicious use of surgical pathology for potential cost savings.

Keywords:
cost savingsotolaryngologistspathologypatient caresurgicalsurveys and questionnairestonsillectomy

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Area of Science:

  • Otolaryngology
  • Pathology
  • Healthcare Economics

Background:

  • Growing evidence suggests routine pathology analysis of tonsillectomy specimens is not cost-effective.
  • Little is known about current institutional policies and practice patterns among pediatric otolaryngologists regarding this issue.

Purpose of the Study:

  • To determine the prevalence of routine pathological evaluation of tonsillectomy specimens for pediatric adenotonsillectomy.
  • To assess opinions of board-certified pediatric otolaryngologists on routine pathology analysis.

Main Methods:

  • Cross-sectional survey study distributed to board-certified pediatric otolaryngologists.
  • Assessed current institutional policies, practice experiences, and opinions on routine pathology analysis.
  • Basic statistical analysis was performed on collected data.

Main Results:

  • Majority of respondents (85.1%) do not agree with routine pathology analysis for uncomplicated pediatric tonsillectomy specimens.
  • Most respondents practice in academic settings (68.4%).

Conclusions:

  • Most surveyed pediatric otolaryngologists oppose routine pathology analysis for uncomplicated tonsillectomy specimens.
  • Results may be biased due to low survey response rate.
  • Judicious use of surgical pathology could lead to significant cost savings for patients, payers, and hospitals.