ArticleAnnals of medicine and surgery (2012)2025
Enhancing adherence to tonsillectomy guidelines: a quality improvement audit in a resource-limited setting.
Article in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Improving adherence to venous thromboembolism prophylaxis guidelines in surgical inpatients: a closed-loop clinical audit in a resource-limited setting.Annals of medicine and surgery (2012) · 2026Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: Recurrent tonsillitis significantly impacts pediatric populations globally, with tonsillectomy serving as the standard intervention. The American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) provides guidelines to optimize perioperative care, but adherence in resource-limited settings remains suboptimal. Objective: This study assessed adherence to AAO-HNS tonsillectomy guidelines at a tertiary healthcare center in Pakistan and evaluated the impact of an educational intervention on improving compliance and patient outcomes. Methods: A two-cycle clinical audit was conducted, including 120 patients (60 per cycle). Baseline adherence to Key Action Statements (KAS) was assessed before an educational intervention targeting surgeons and staff. A follow-up audit measured post-intervention changes. Data analysis focused on adherence rates and clinical outcomes. Results: Pre-intervention adherence to critical guidelines - such as perioperative counseling (KAS 9) and intraoperative dexamethasone use (KAS 11) - was low. Following the intervention, adherence to KAS 11 increased from 60% to 100% ( Conclusions: This clinical audit suggests that targeted educational interventions can improve adherence to AAO guidelines for tonsillectomy in the short term. However, long-term monitoring and structured follow-up are needed to ensure sustained adherence. Future strategies should explore cost-effective diagnostic alternatives, such as the STBUR scale, and address entrenched clinical practices through ongoing education and policy reinforcement.
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