Changing trends in pediatric tonsil surgery

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Sakki , A , Mäkinen , L K , Roine , R P & Nokso-Koivisto , J 2019 , ' Changing trends in pediatric tonsil surgery ' , International Journal of Pediatric Otorhinolaryngology , vol. 118 , pp. 84-89 .

Title: Changing trends in pediatric tonsil surgery
Author: Sakki, Anniina; Mäkinen, Laura K.; Roine, Risto P.; Nokso-Koivisto, Johanna
Contributor organization: Korva-, nenä- ja kurkkutautien klinikka
HUS Head and Neck Center
Date: 2019-03
Language: eng
Number of pages: 6
Belongs to series: International Journal of Pediatric Otorhinolaryngology
ISSN: 0165-5876
Abstract: Objectives: We analyzed trends in tonsil surgery over a 10-year period in a single tertiary care hospital and evaluated the effects of these changes on use of hospital services and healthcare costs. Methods: This was a retrospective cohort study based on data from databases at the Department of Otorhinolaryngology, Helsinki University Hospital, Helsinki, Finland. Children under 16 years of age with tonsillectomy (TE) or tonsillotomy (TT) performed during 2007-2016 were included in the study. Results: In 10 years, 4979 tonsil surgeries were performed on 4951 children: TE in 3170 (64%) and TT in 1781 (36%) children. The total number of tonsil surgeries stayed nearly constant. TT operations commenced in the study hospital in 2009 and from 2012 onwards have been more common than TE procedures. Altogether 279 patients visited the emergency department because of complications; TE patients had 9.0 visits/100 surgeries and TT patients 1.8 visits/100 surgeries. The most common complication was postoperative hemorrhage: 200 cases (6.3%) in the TE group and 11 cases (0.6%) in the TT group. During the two-year follow-up after tonsil surgery the total costs of healthcare services were significantly lower in the TT group than in the TE group. Conclusion: Considerable changes have occurred in tonsil surgery in children during the 10-year study period; TT is today performed more often than TE. As a consequence, complications, readmissions to hospital, and number of patients treated in the operating room because of postoperative hemorrhage have decreased, lowering the costs of healthcare.
Subject: Tonsil surgery
Children, Healthcare costs
3125 Otorhinolaryngology, ophthalmology
3123 Gynaecology and paediatrics
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: publishedVersion

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