Evidence map›Paper›PMID 10796824›Full record

SynthesisThe Cochrane database of systematic reviews2000

Tonsillectomy versus non-surgical treatment for chronic / recurrent acute tonsillitis.

M J Burton, B Towler, P Glasziou

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Adenoidectomy for recurrent or chronic nasal symptoms in children.The Cochrane database of systematic reviews · 2010
    Pooled it
  4. Tonsillitis.BMJ clinical evidence · 2009
    Pooled it
  5. Trial
  6. Short-term outcomes of tonsillectomy in adult patients with recurrent pharyngitis: a randomized controlled trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2013
    Trial
  7. Trial
  8. Adenoid hypertrophy detection inventory in children for primary care physicians and pediatricians.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Surgical management of the tonsillectomy and adenoidectomy patient.World journal of otorhinolaryngology - head and neck surgery · 2017
    Review
  14. Article
  15. Conflicting Study Results.Deutsches Arzteblatt international · 2016
    Article
  16. Indications for tonsillectomy stratified by the level of evidence.GMS current topics in otorhinolaryngology, head and neck surgery · 2016
    Review
  17. Article
  18. Observational
  19. Tonsillitis and sore throat in children.GMS current topics in otorhinolaryngology, head and neck surgery · 2014
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

M J BurtonDepartment of Otolaryngology - Head and Neck Surgery, The Radcliffe Infirmary, Woodstock Road, Oxford, UK, OX2 6HE. mburton@cochrane-ent.org
B Towler
P Glasziou
Oxford University Hospitals NHS Trust · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical removal of the tonsils (tonsillectomy) is a common but controversial ENT operation.

objectivesTo determine the effect of tonsillectomy in patients with chronic/recurrent acute tonsillitis. SEARCH STRATEGY: Cochrane Controlled Trials Register, Medline, Embase, bibliographies. SELECTION CRITERIA: Randomised controlled trials comparing tonsillectomy with non-surgical treatment in adults and children with chronic/recurrent acute tonsillitis. Trials which included reduction in the number and severity of tonsillitis and sore throat as main outcome measures. DATA COLLECTION AND ANALYSIS: Two authors applied the inclusion/exclusion criteria independently. MAIN

resultsNo trials evaluating the effectiveness of tonsillectomy in adults were identified. Two trials from Pittsburgh assessed tonsillectomy in children. Significant baseline differences between the surgical and non-surgical groups and the inclusion of children who also underwent adenoidectomy prevent firm conclusions being drawn from the fully published trial. Limited and insufficient information is available from the second study; further details are awaited. REVIEWER'S

conclusionsThe effectiveness of tonsillectomy has not been formally evaluated. Further trials addressing relevant outcome measure are required.

Indexed as

TonsillectomyAcute DiseaseChronic DiseaseHumansRecurrenceTonsillitis

Identifiers

PMID10796824
OpenAlexW152723690

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.