 |
|
Indications for Tonsillectomy: Setting the Bar High Enough
Jack L. Paradise, MD
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
In their clinical trial of adenotonsillectomy in children with "mild to moderate symptoms of throat infection," Buskens et al1 found that children in the adenotonsillectomy group, compared with children in the watchful-waiting group, experienced 0.21 fewer episodes of throat infection per person-year during a median follow-up period of 22 months. The authors concluded, with good reason, that this degree of benefit was inconsequential. Notably, however, the criteria for entry in their trial consisted of either a history obtained from parents (but without mention, by the authors, of documentation) of 3 or more episodes of throat infection in the preceding year or "other indications such as symptoms of obstruction or recurrent upper respiratory tract infections." Approximately one-half of the children in the trial were enrolled on the basis of these "other indications," and in these children, a history of throat infection, if any, was not described. It . . . [Full Text of this Article]
AUTHOR INFORMATION
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED ARTICLE
Adenotonsillectomy or Watchful Waiting in Patients With Mild to Moderate Symptoms of Throat Infections or Adenotonsillar Hypertrophy: A Randomized Comparison of Costs and Effects
Erik Buskens, Birgit van Staaij, Jet van den Akker, Arno W. Hoes, and Anne G. M. Schilder
Arch Otolaryngol Head Neck Surg. 2007;133(11):1083-1088.
ABSTRACT
| FULL TEXT
|
