Impact of tonsillotomy versus tonsillectomy on health-related quality of life and healthcare costs in children with sleep-disordered breathing

被引：4
作者：
Sakki, A. J. [1 ,2 ]
Roine, R. P. [3 ,4 ]
Makinen, L. K. [1 ,2 ]
Sintonen, H. [5 ]
Nokso-Koivisto, J. [1 ,2 ]
机构：
[1] Helsinki Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, POB 263, Helsinki, Finland
[2] Univ Helsinki, Helsinki, Finland
[3] Helsinki & Uusimaa Hosp Grp, Adm Grp, Helsinki, Finland
[4] Univ Eastern Finland, Kuopio, Finland
[5] Univ Helsinki, Dept Publ Hlth, Helsinki, Finland
来源：
JOURNAL OF LARYNGOLOGY AND OTOLOGY | 2022年 / 136卷 / 05期
关键词：
Tonsil Surgery; Health Related Costs; Quality Of Life; Child; Sleep-Disordered Breathing; INTRACAPSULAR TONSILLECTOMY; RADIOFREQUENCY TECHNIQUE; APNEA SYNDROME; ADENOTONSILLECTOMY; COMPLICATIONS; MORBIDITY; EFFICACY;
D O I：
10.1017/S0022215121003832
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Objective This study aimed to explore health-related quality of life and use of healthcare services and ensuing costs before and after tonsillotomy in children with sleep-disordered breathing and to compare the results to an earlier cohort of children who had undergone tonsillectomy. Method Children undergoing tonsillotomy answered the 17-dimensional, standardised health-related quality of life instrument questionnaire and a questionnaire on use of healthcare services and sick leave before and after surgery. Costs of specialist care were obtained pre- and post-operatively. The data were compared with similar data collected previously from children with tonsillectomy. Results Tonsillotomy improved mean total health-related quality of life score significantly at 6 and 12 months. Healthcare costs and number of sick-leave days diminished significantly from 3 months pre-operatively to 12 months after surgery. Tonsillotomy had similar positive effects compared with tonsillectomy regarding health-related quality of life and healthcare costs. Conclusion Tonsillotomy improves health-related quality of life in children with sleep-disordered breathing and reduces healthcare service needs and sick leave similarly to tonsillectomy.
引用
收藏
页码：454 / 460
页数：7
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