Evidence map›Paper›PMID 28199053›Full record

Observational studyClinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery2017

The effect of tonsillectomy on the morbidity from recurrent tonsillitis.

C M Douglas, K Lang, W M Whitmer, J A Wilson, K Mackenzie

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Quality of life after tonsillectomy in adult patients with recurrent acute tonsillitis: a systematic review.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 · 2022
    Pooled it
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  9. Does a tonsillectomy indicated according to the German S2k guideline affect short-term quality of life in adults?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 · 2023
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  12. Normative tonsillectomy outcome inventory 14 values as a decision-making tool for tonsillectomy.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 · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

C M DouglasDepartment of Otolaryngology - Head and Neck Surgery, Glasgow Royal Infirmary, Glasgow, UK.ORCID http://orcid.org/0000-0002-5564-1513
K LangDepartment of Otolaryngology - Head and Neck Surgery, Glasgow Royal Infirmary, Glasgow, UK.
W M WhitmerMRC/CSO Institute of Hearing Research - Scottish Section, Glasgow Royal Infirmary, Glasgow, UK.
J A WilsonDepartment of Otolaryngology - Head and Neck Surgery, Freeman Hospital, Newcastle upon Tyne, UK.
K MackenzieDepartment of Otolaryngology - Head and Neck Surgery, Glasgow Royal Infirmary, Glasgow, UK.
Glasgow Royal Infirmary · GBFreeman Hospital · GB

Funding

Department of Health 12/146/06Medical Research Council MC_U135097131
6 · The paper itself

Abstract

backgroundTonsillitis is a common condition with an incidence in UK general practice of 37 per 1000 population a year.

objectivesTo describe disease-specific and global quality of life for adults with recurrent tonsillitis 6 months after tonsillectomy, using two instruments: the health impact of throat problems (HITP) and EuroQol-visual analogue scale questionnaire. To assess the overall health benefit from tonsillectomy as an intervention using the Glasgow Benefit Inventory (GBI). To assess potential predictors of tonsillectomy benefit.

designA prospective, observational cohort audit of patients who have fulfilled Scottish Intercollegiate Guideline Network (SIGN) criteria for tonsillectomy.

participantsSeventy patients (57 female), median age 20 years (range 13-41).

resultsMedian preoperative HITP was 47 (range 15-67), compared to 4 (0-72), (P<.001) 6 months following surgery. Median HITP difference was 39.5 (range -20 to 75). There was no significant change in global Quality of Life. Median overall 6 months GBI was 39 (-3 to 100). Patients had an average of 27 episodes of tonsillitis over a period of seven years before "achieving" tonsillectomy, significantly higher than the SIGN guidelines of three or more episodes over three years.

conclusionsRecurrent tonsillitis causes a poor disease-specific quality of life. Patients experienced a median of three episodes per year for seven years before tonsillectomy. Following tonsillectomy, patients had a significant improvement in their disease-specific quality of life. Baseline HITP significantly improved after tonsillectomy. The results imply patients with recurrent acute tonsillitis may be experiencing undue delay.

Indexed as

Quality of LifeTonsillectomyAdolescentAdultFemaleFollow-Up StudiesHumansMaleProspective StudiesRecurrenceTime FactorsTonsillitisTreatment OutcomeYoung Adultquality of lifeSIGN guidelinessore throattonsillitis

Identifiers

PMID28199053
PMCPMC5592091
OpenAlexW2588758953

What OpenQuestion holds

Textmetadata
LicenceTDM
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.