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Factors affecting quality-of-life impact of adult tonsillectomy

  • T Koskenkorva (a1), P Koivunen (a1), T Penna (a1), H Teppo (a1) and O-P Alho (a1)...

Abstract

Objective:

To assess the quality of life of adult patients with recurrent tonsillitis after tonsillectomy, and to determine predictive factors for patient satisfaction.

Methods:

In a prospective cohort study, a Glasgow benefit inventory questionnaire was posted to 70 adult patients six months after tonsillectomy for recurrent tonsillitis. Data were obtained on patient characteristics, risk factors, tonsillitis history, and clinical and operative findings. The patients were also assessed using self-completed diary data collection regarding acute symptoms (i.e. fever, throat pain, cough and rhinitis), tonsillitis episodes and visits to a doctor, either three to six months before tonsillectomy or six months after tonsillectomy. Predictive factors were sought for inclusion in the worst 30th percentile of patients (i.e. Glasgow benefit inventory score under 18), regarding post-operative change in quality of life.

Results:

Sixty-two patients (40 females, 22 males; age range 15–46 years) returned the questionnaire (response rate 89 per cent). The mean total Glasgow benefit inventory score after tonsillectomy was +26 (standard deviation 14). The mean scores for Glasgow benefit inventory subscales were: general health +25 (standard deviation 18), social functioning +5 (standard deviation 14) and physical functioning +55 (standard deviation 23). The only factors associated with low patient satisfaction were a small number of tonsillitis episodes (diary-based data) and days with fever before tonsillectomy.

Conclusions:

Adult patients with recurrent tonsillitis seemed to be generally pleased with their tonsillectomy. The more symptoms they had prior to surgery, the greater was their improvement in quality of life. No other patient- or disease-related factors were associated with patient satisfaction.

Copyright

Corresponding author

Address for correspondence: Dr Timo Koskenkorva, Department of Otorhinolaryngology, University of Oulu, PO Box 5000, FIN-90014 University of Oulu, Finland. Fax: +358 8 315 3459 E-mail: timo.koskenkorva@ppshp.fi

References

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1 Mattila, PS, Tahkokallio, O, Tarkkanen, J, Pitkäniemi, J, Karvonen, M, Tuomilehto, J. Causes of tonsillar disease and frequency of tonsillectomy operations. Arch Otolaryngol Head Neck Surg 2001;127:3744
2 Alho, OP, Koivunen, P, Penna, T, Teppo, H, Koskela, M, Luotonen, J. Tonsillectomy versus watchful waiting in recurrent streptococcal pharyngitis in adults: randomised controlled trial. BMJ 2007;334:939–41
3 Bhattacharyya, N, Kepnes, LJ, Shapiro, J. Efficacy and quality-of-life impact of adult tonsillectomy. Arch Otolaryngol Head Neck Surg 2001;127:1347–50
4 Bhattacharyya, N, Kepnes, LJ. Economic benefit of tonsillectomy in adults with chronic tonsillitis. Ann Otol Rhinol Laryngol 2002;111:983–8
5 Baumann, I, Kucheida, H, Bluemenstock, G, Zalaman, IM, Maassen, MM, Plinkert, PK. Benefit from tonsillectomy in adult patients with chronic tonsillitis. Eur Arch Otorhinolaryngol 2006;263:556–9
6 Schwentner, I, Höfer, S, Schmutzhard, J, Deibl, M, Sprinzl, GM. Impact of tonsillectomy on quality of life in adults with chronic tonsillitis. Swiss Med Wkly 2007;137:454–61
7 Robinson, K, Gatehouse, S, Browning, GG. Measuring patient benefit from otorhinolaryngological surgery and therapy. Ann Otol Rhinol Laryngol 1996;105:415–22
8 Wild, D, Grove, A, Martin, M, Eremenco, S, McElroy, S, Verjee-Lorenz, A et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health 2005;8:94104
9 Kaplan, EL, Meier, P. Nonparametric estimation from incomplete observations. J Am Stat Assoc 1958;53:457–81
10 Richards, AL, Bailey, M, Hooper, R, Thomson, P. Quality-of-life effect of tonsillectomy in a young adult group. A N Z J Surg 2007;77:988–90
11 Mui, S, Rasgon, BM, Hilsinger, RL. Efficacy of tonsillectomy for recurrent throat infection in adults. Laryngoscope 1998;108:1325–8
12 Hsu, AP, Tan, KL, Tan, YB, Han, HJ, Lu, PK. Benefits and efficacy of tonsillectomy for recurrent tonsillitis in adults. Acta Otolaryngol 2007;127:62–4
13 Fischer, D, Stewart, AL, Bloch, DA, Lorig, K, Laurent, D, Holman, H. Capturing the patient's view of change as a clinical outcome measure. JAMA 1999;282:1157–62
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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