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General practitioners' versus consultants' perspective on indications for paediatric tonsillectomy: current trends

  • J Manickavasagam (a1), S Ali (a1) and M S Quraishi (a1)

Abstract

Aims:

We undertook a study to ascertain what factors general practitioners consider important when referring children for tonsillectomy, and to compare these views with those of consultant ENT surgeons.

Methods:

Web-based questionnaire study.

Results:

A total of 141 general practitioners and 146 consultants responded. Tonsillectomy in children was regarded as a useful operation by 65 per cent of general practitioners and 98 per cent of consultant ENT surgeons. This difference was statistically significant (p < 0.001, chi-square test). In 1994, Donnelly et al. found that 92 per cent of general practitioners considered tonsillectomy in children a useful operation; our results were significantly different (p < 0.001, chi-square test).

Conclusions:

There is a good level of awareness and agreement on the currently accepted indications for paediatric tonsillectomy in both groups. However, there were important areas of difference between the two groups with regard to ‘glue ear’, recurrent ear infections and snoring. Standardised indications for tonsillectomy should be effectively disseminated to general practitioners.

Copyright

Corresponding author

Address for correspondence: Mr J Manickavasagam, 14 Brocco Bank, Sheffield S11 8RR, UK E-mail: jaiganeshkalpana@yahoo.co.uk

Footnotes

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Presented as a poster at the 13th British Academic Conference in Otolaryngology and ENT Expo 8–10 July 2009, Liverpool, UK

Footnotes

References

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1Rosefsky, JB. Tonsillectomies and adenotonsillectomies—will the debate never be over? Pediatrics 2003;112:205
2Rutkow, IM. Ear nose throat operations in the United States, 1979–1984. Arch Otolaryngol Head Neck Surg 1987;112:873–7
3Discolo, CM, Darrow, DH, Koltai, PJ. Infectious indications for tonsillectomy. Pediatr Clin North Am 2003;50:445–58
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5Donnelly, MJ, Quraishi, MS, McShane, DP. Indications for paediatric tonsillectomy GP versus consultant perspective. J Laryngol Otol 1994;108:131–4
6Management of Sore Throat and Indications for Tonsillectomy. In: http://www.sign.ac.uk/guidelines/fulltext/117/index.html [27 May 2011]
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9Paradise, JL, Bluestone, CD, Rogers, KD, Taylor, FH, Colborn, DK, Bachman, RZ et al. Efficacy of adenoidectomy for recurrent otitis media in children previously treated with tympanostomy-tube placement: results of parallel randomized and nonrandomized trials. JAMA 1990;263:2066–73
10Cable, HR, Batch, AG, Stevens, DJ. The relevance of physical signs in recurrent tonsillitis in children. J Laryngol Otol 1986;100:1047–51
11Barr, GS, Crombie, IK. Comparision of size of tonsils in children with recurrent tonsillitis and in controls. BMJ 1989;298:804
12Lock, C, Wilson, J, Steen, N, Eccles, M, Mason, H, Carrie, S et al. North of England and Scotland Study of Tonsillectomy and Adeno-tonsillectomy in Children (NESSTAC): a pragmatic randomised controlled trial with a parallel nonrandomised preference study. Health Technol Assess 2010;14:1190
13Burton, MJ, Glasziou, PP. Tonsillectomy or adeno-tonsillectomy versus non-surgical treatment for chronic/recurrent acute tonsillitis. Cochrane Database Syst Rev 2009;(1):CD001802
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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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