Evidence map›Paper›PMID 32422367›Full record

ArticleInternational journal of pediatric otorhinolaryngology2020

A comprehensive examination of the immediate recovery of children following tonsillectomy and adenoidectomy.

Bryan K Lao, Zeev N Kain, Dina Khoury, Brooke N Jenkins, Jeremy Prager, Robert S Stevenson, Brenda Golianu, Jeannie Zuk, Jeffrey I Gold, Qiu Zhong and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of pediatric otorhinolaryngology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Trial
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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

11 authors.

Bryan K LaoDepartment of Psychiatry & Behavioral Sciences, Duke University Hospital, Duke University School of Medicine, 2301 Erwin Rd, Durham, NC, 27710, USA; UCI Center on Stress & Health, School of Medicine, University of California-Irvine, Irvine, CA, 505 S Main Street, Suite 940, Orange, CA, 92868, USA.
Zeev N KainUCI Center on Stress & Health, School of Medicine, University of California-Irvine, Irvine, CA, 505 S Main Street, Suite 940, Orange, CA, 92868, USA; Department of Anesthesiology and Perioperative Care, University of California-Irvine, 333 City Blvd West, Orange, CA, 92868, USA; Child Study Center, Yale University School of Medicine, 230 S Frontage Rd, New Haven, CT, 06520, USA; American College of Perioperative Medicine, 15333 Culver Drive Suite 340-253, Irvine, CA, 92604, USA.
Dina KhouryUCI Center on Stress & Health, School of Medicine, University of California-Irvine, Irvine, CA, 505 S Main Street, Suite 940, Orange, CA, 92868, USA.
Brooke N JenkinsUCI Center on Stress & Health, School of Medicine, University of California-Irvine, Irvine, CA, 505 S Main Street, Suite 940, Orange, CA, 92868, USA; Department of Anesthesiology and Perioperative Care, University of California-Irvine, 333 City Blvd West, Orange, CA, 92868, USA; Department of Psychology, Chapman University, 1 University Drive, Orange, CA, 92688, USA.
Jeremy PragerDepartment of Pediatric Otolaryngology, Children's Hospital Colorado, University of Colorado School of Medicine, 13123 E 16th Ave, Aurora, CO, USA.
Robert S StevensonUCI Center on Stress & Health, School of Medicine, University of California-Irvine, Irvine, CA, 505 S Main Street, Suite 940, Orange, CA, 92868, USA; American College of Perioperative Medicine, 15333 Culver Drive Suite 340-253, Irvine, CA, 92604, USA.
Brenda GolianuDepartment of Anesthesiology and Perioperative Medicine, Stanford University School of Medicine, 291 Campus Drive, Stanford, CA, 94305, USA.
Jeannie ZukDepartment of Surgery and Anesthesiology, Children's Hospital Colorado, University of Colorado School of Medicine, 13123 E 16th Ave, Aurora, CO, USA.
Jeffrey I GoldKeck School of Medicine, Departments of Anesthesiology, Pediatrics, And Psychiatry & Behavioral Sciences, University of Southern California, 1975 Zonal Ave, Los Angeles, CA, USA; Children's Hospital Los Angeles, 4650 Sunset Blvd, Los Angeles, CA, USA.
Qiu ZhongDepartment of Otolaryngology-Head and Neck Surgery, University of California-Irvine, 101 the City Drive South Pavilion II, Orange, CA, 92868, USA; Division of Pediatric Otolaryngology, CHOC Children's Hospital of Orange County, 1201 W La Veta Ave, Orange, CA, 92868, USA.
Michelle A FortierUCI Center on Stress & Health, School of Medicine, University of California-Irvine, Irvine, CA, 505 S Main Street, Suite 940, Orange, CA, 92868, USA; Department of Anesthesiology and Perioperative Care, University of California-Irvine, 333 City Blvd West, Orange, CA, 92868, USA; Sue & Bill Gross School of Nursing, University of California-Irvine, 802 W Peltason Drive, Irvine, CA, 92697, USA; Department of Pediatric Psychology, CHOC Children's, Orange, CA, 1201 West La Veta Ave, Orange, CA, 92868, USA. Electronic address: mfortier@uci.edu.

Funding

Parent/Health Care Provider Behaviors &Child's AnxietyR01HD048935 · NICHD · YALE UNIVERSITY · PI KAIN, ZEEV · 2005 to 2015
$5.1M
NICHD NIH HHS R01 HD048935
6 · The paper itself

Abstract

objectivesUsing multiple well-validated measures and a large sample size, the goal of this paper was to describe the immediate clinical and behavioral recovery of children following tonsillectomy with or without an adenoidectomy (T&A) during the first two weeks following surgery. STUDY

designObservational, longitudinal study.

settingFour major pediatric hospitals in the U.S. consisting of Children's Hospital of Orange County, Children's Hospital of Los Angeles, Lucile Packard Children's Hospital, and Children's Hospital Colorado. SUBJECTS: and Methods: Participants included 827 patients between 2 and 15 years of age who underwent tonsillectomy with or without adenoidectomy surgery. Baseline and demographic information were gathered prior to surgery, and measures of clinical, behavioral, and physical recovery were recorded immediately following and up through two weeks after surgery.

resultsPain following T&A was clinically significant through the first post-operative week and nearly resolved by the end of the second week. Negative behavioral changes were highly prevalent after surgery (75.6% of children at Day 0) through the first week (63.9% at Week 1), and over 20% of children continued to evidence new onset negative behavioral changes at two weeks post-operatively. Children were rated as experiencing significant functional impairment in the immediate three days following surgery and most children returned to baseline functioning by the end of the second week.

conclusionsResults of this study suggest that children show immediate impairment in functioning and experience clinically significant pain throughout the first week following T&A, and new onset maladaptive behavioral changes persisting even up to the two-week assessment period.

Indexed as

Child BehaviorPostoperative ComplicationsAdenoidectomyAdolescentAdolescent BehaviorCaliforniaChildChild, PreschoolColoradoFemaleHospitals, PediatricHumansLongitudinal StudiesMalePostoperative PainPrevalenceAdenoidectomyAmbulatory surgeryPainPediatricRecoveryTonsillectomy

Identifiers

PMID32422367
PMCPMC7308207

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Registered trials

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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.