The Impact of Adenotonsillectomy on Health-Related Quality of Life in Paediatric Patients
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Abstract
Objective: To determine the impact of Adenotonsillectomy on Health-related quality of life (HRQoL) in children’s before and after surgery.
Study Design: Prospective, Observational, before and after the trial. 142 children who underwent Adenotonsillectomy were included in the study. Parents were made to fill pre and post-operative questionnaires which were customized from Tonsil and Adenoid health status instrument (TAHSI) and HR-QoL (Health-related quality of life) forms, one day prior to the surgery and 6 months after the surgery respectively, and the results were tabulated and analyzed.
Setting: Tertiary pediatric otolaryngology practices.
Result: Out of the 142 children in the study, 80 were male and 62 were female. Male to Female ratio is 1.3:1. Age group 1-4 years had the highest number of patients while the age group 9-12 had the least. Preoperatively the Mean score of the domain for Sleep disturbances, Physical Symptoms, Emotional distress, Daytime functions, and Caregiver concern was 14.1, 15.83, 6.89, 7.54, and 13.78 respectively. After 6 months of the surgery, the score decreased to 4.65, 4.22, 4.32, 3.1 and 4.2 respectively. This shows a significant improvement in the symptom complex and the quality of the life.
Conclusion: Adenotonsillectomy definitely leads to an improvement in the HRQoL in children as the majority of parents were extremely satisfied with the surgical outcome. Almost all of the parents reported a decrease in Sleep disturbances, Physical Symptoms, Emotional distress, Daytime functions, and Caregiver concern
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Copyright (c) 2018 Aremu SK.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Derkey CS. Pediatric otolaryngology procedures in the United States: 1977-1987. Int J Paediatr Otorhinolaryngol 25.1993; 1-12. Ref.: https://goo.gl/pRQLtG
Darrow DH, Siemens C. Indications for tonsillectomy and adenoidectomy. Laryngoscope. 2002; 112(8 Pt 2 Suppl 100): 6–10. Ref.: https://goo.gl/8WTndo
Bellucci LM, Marchisio P, Materia E, Passàli FM. Clinical guideline on adenotonsillectomy: the Italian experience. Adv Otorhinolaryngol. 2011; 72: 142–145. Ref.: https://goo.gl/gq3nJY
Caulfield., Helen M. Obstructive sleep apnoea in childhood. In: Scott-Brown's Otorhinolaryngology, Head and Neck Surgery, vol. 1. 7th ed, Michael G, George GB, Martin JB editors. Great Britain: Hodder Arnold.2008; 85: 1102-1109. Ref.: https://goo.gl/4g931W
Peyton S, Audie LW, Brian JW. Pharyngitis and adenotonsillar disease. In: Cummings Otolaryngology, Head and Neck Surgery, 5th ed, vol.1, Paul WF, Bruce HH, Valerie JL editors. Philadelphia: Mosby Elsevier 2010; 195-197. Ref.: https://goo.gl/fV2hnZ
Afolabi OA1, Alabi BS, Ologe FE, Dunmade AD, Segun-Busari S. Parental satisfaction with post-adenotonsillectomy in the developing world. Int J Pediatr Otorhinolaryngol. 2009; 73: 1516–1519. Ref.: https://goo.gl/wz1d2H
Kaygusuz I, Gödekmerdan A, Karlidag T, Yalçin S, Aral I, et al. Early-stage impacts of tonsillectomy on immune functions of children. Int J Pediatr Otorhinolaryngol. 2003; 67: 1311-1315. Ref.: https://goo.gl/6tzHTZ
Zielnik-Jurkiewicz B, Jurkiewicz D. Implication of immunological abnormalities after adenotonsillectomy. Int J Pediatr Otorhinolaryngol. 2002; 64: 127-132. Ref.: https://goo.gl/uGmDM9
Kaygusuz I, Alpay HC, Gödekmerdan A, Karlidag T, Keles E, et al. Evaluation of long-term impacts of tonsillectomy on immune functions of children: A follow-up study. Int J Pediatr Otorhinolaryngol. 2009; 73: 445-449. Ref.: https://goo.gl/DGfpsN
Brodsky L, Moore L, Stanievich JF. A comparison of tonsillar size and oropharyngeal dimensions in children with obstructive adenotonsillar hypertrophy. Int J Pediatr Otorhinolaryngol. 1987; 13: 149-157. Ref.: https://goo.gl/Kgfgsy
Orji FT, Okolugbo NE, Ezeanolue BC. The role of adenoidal obstruction in the pathogenesis of otitis media with effusion in Nigerian children. Niger J Med. 2010; 19: 62-68. Ref.: https://goo.gl/Befrjk
Rosenfeld RM, Bhaya MH, Bower CM, Brookhouser PE, Casselbrant ML, et al. Impact of tympanostomy tubes on child quality of life. Arch Otolaryngol Head Neck Surg. 2000; 126: 585-592. Ref.: https://goo.gl/SeqTNG
Derkay, Craig S. Paediatric otolaryngology procedures in the United States: 1977–1987. Int. J. Pediatr. Otorhinolaryngol. 1993; l 25: 1–12. Ref.: https://goo.gl/vm1FH8
Piltcher OB, Scarton FB. Antibiotic use in tonsillectomies: therapeutic or prophylactic? Required or excessive? Rev Bras Otorrinolaringol. 2005; 71: 686-690. Ref.: https://goo.gl/n1Srxr
De Serres LM1, Derkay C, Sie K, Biavati M, Jones J, et al. Impact of adenotonsillectomy on quality of life on children with obstructive sleep disorders. Arch Otolaryngol Head Neck Surg. 2002; 128: 489-496. Ref.: https://goo.gl/e26uEc
Mitchell R, Kelly J. Quality of Life after Adenotonsillectomy for SDB in Children. Otolaryngol Head Neck Surg. 2005; 133: 569-572. Ref.: https://goo.gl/j1yFg3
Mitchell R, Kelly J, Call E. Quality of life after adenotonsillectomy for obstructive sleep apnoea in children. Arch Otolaryngol Head Neck Surg. 2004; 130: 190–194. Ref.: https://goo.gl/vxhDws
Lim J, Mckean MC. Adenotonsillectomy for obstructive sleep apnoea in children. Cochrane database of systemic reviews. 2011; 2: CD003136. Ref.: https://goo.gl/KiCfS8
Ahmed AO, Aliyu I, Kolo ES. Indications for tonsillectomy and adenoidectomy: Our experience. Niger J Clin Pract. 2014; 17: 90-94. Ref.: https://goo.gl/a5cwSQ
van Staaji BK, van den Akker EH, Rovers MM, Hordijk GJ, Hoes AW, et al. Effectiveness of adenotonsillectomy in children with mild symptoms of throat infections or adenotonsillar hypertrophy: open, randomized controlled trial. BMJ. 2004; 329:651. Ref.: https://goo.gl/zeddPd
Carneiro LEP, Neto GCR, Camera MG. Adenotonsillectomy Effect on the Life Quality of Children with Adenotonsillar Hyperplasia. Int Arch Otorhinolaryngol. 2009; 13: 270-276. Ref.: https://goo.gl/FoSP1H