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

Part of: JLO Editors' Choice Papers 2022

Published online by Cambridge University Press:  25 November 2021

A J Sakki ,
R P Roine ,
L K Mäkinen ,
H Sintonen  and
J Nokso-Koivisto
A J Sakki*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, Finland
R P Roine
Affiliation:
Helsinki and Uusimaa Hospital Group, Group Administration, Finland and University of Eastern Finland, Kuopio, Finland
L K Mäkinen
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, Finland
H Sintonen
Affiliation:
Department of Public Health, University of Helsinki, Finland
J Nokso-Koivisto
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, Finland
*
Author for correspondence: Dr A J Sakki, Department of Otorhinolaryngology – Head and Neck Surgery, Helsinki University Hospital, P.O. Box 263, Finland E-mail: anniina.sakki@fimnet.fi
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Abstract

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.

Keywords

Tonsil SurgeryHealth Related CostsQuality Of LifeChildSleep-Disordered Breathing
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 5 , May 2022 , pp. 454 - 460
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr A J Sakki takes responsibility for the integrity of the content of the paper

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