Evidence map›Paper›PMID 38710955›Full record

ArticleIndian journal of pediatrics2025

Long Term Impact of Adeno-tonsillectomy on Immunity Against Respiratory Viral Infections; Evidence Deduced During COVID-19 Pandemic.

Ramaneeshwaran Murugesan, Prem Sagar, Rajeev Kumar, Sushil Kumar Kabra, Pradeep Kumar Chaturvedi, Maroof Ahmad Khan, Chirom Amit Singh, Rakesh Kumar, Alok Thakar

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Article in Indian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
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

9 authors.

Ramaneeshwaran Murugesan *Department of Otolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.
Prem Sagar *Department of Otolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India. sagardrprem@gmail.com.ORCID 0000-0001-5590-9279
Rajeev KumarDepartment of Otolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.
Sushil Kumar KabraDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Pradeep Kumar ChaturvediDepartment of Reproductive Biology, All India Institute of Medical Sciences, New Delhi, India.
Maroof Ahmad KhanDepartment of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.
Chirom Amit SinghDepartment of Otolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.
Rakesh KumarDepartment of Otolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.
Alok ThakarDepartment of Otolaryngology and Head & Neck Surgery, All India Institute of Medical Sciences, New Delhi, 110029, India.

Funding

Indian Council of Medical Research MD20DEC-0734
6 · The paper itself

Abstract

objectivesTo evaluate the risk of acquiring COVID-19 infection in patients who have undergone adeno-tonsillectomy (AT) as compared to their siblings.

methodsIn this bidirectional cohort control study, 36 cohorts, younger than 18 y, who underwent AT, and 27 controls (siblings of the enrolled cohorts, younger than 18 y) were recruited. Incidence of COVID-19 was analyzed by symptoms suggestive of COVID-19 infection, COVID-19 testing, and SARS-CoV-2 specific antibody measurement.

resultsIn the cohort group, the overall COVID-19 positivity rate was 80.5% (n = 29/36) and symptomatic COVID-19 positivity rate was 68.9% (n = 20/29). Among the controls, the overall COVID-19 positivity rate was 44% (n = 12/27) and symptomatic COVID-19 positivity rate was 16% (n = 2/12). The cohorts had 1.8 times higher risk of contracting COVID-19 infection and the relative risk of symptomatic COVID-19 infections as compared to controls was 4.14.

conclusionsThis pilot study indicates that adeno-tonsillectomy poses children at a significantly higher risk of COVID-19 infections and likely other viral upper respiratory tract infections.

Indexed as

AdenoidectomyCOVID-19TonsillectomyAdolescentCase-Control StudiesChildChild, PreschoolCohort StudiesFemaleHumansIncidenceMalePilot ProjectsSARS-CoV-2AdenoidectomyLong-term effects of adeno-tonsillectomyPediatric COVID-19 infectionSARS-CoV-2 antibody testingTonsillectomy

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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.