A review of investigations into adenotonsillectomy

Venters, G. A.; Bloor, Michael

doi:10.1136/jech.28.1.1

Cited by 9 publications

(13 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In 1974 a review of adenotonsillectomy suggested that “while variations in operations persist on a geographical basis, variations according to social class have almost disappeared.”1 Much published work on tonsillectomies from 1950 to 19802 expressed similar concerns to later work on grommets, particularly the high rates in middle class children, the preponderance of boys, large regional variations in surgical rates,3 and the lack of clear evidence of long term benefit 4…”

Section: Introductionmentioning

confidence: 94%

“…Tonsillectomy rates were higher in health boards with greater deprivation whereas grommet insertion rates were significantly lower. Other studies have shown that tonsillectomies for upper class children became less popular when parents became aware of medical opinion that the operation offered few benefits, except for carefully selected children 1 2. There are social parallels between use of grommets and tonsillectomy, but the long term effect of hearing on development is still uncertain, making selection of surgical cases difficult 18 20…”

Section: Social Explanationsmentioning

confidence: 99%

“…Parents influence the way a child is presented to medical services2 21--for example, taking a child to the general practitioner, attending screening sessions and follow up appointments, giving an account of the child's symptoms and their impact on the family 1. This is affected by social class,2 22 what the parent perceives to be expected behaviour,13 and reinforcement by medical staff 2 15 16.…”

Section: Social Explanationsmentioning

confidence: 99%

See 2 more Smart Citations

Grommets, tonsillectomies, and deprivation in Scotland

Bisset

Russell

1994

BMJ

View full text Add to dashboard Cite

Objective-To see whether there is a relation between grommet insertion operation and tonsillectomy rates, otolaryngology services, and deprivation scores in Scotland.Design-Analysis of routine 1990 NHS data on grommet insertions and tonsillectomies in Scottish children aged 0-15 years compared with data on general practitioner and otolaryngology services and Carstairs deprivation scores.Setting-All 15 Scottish health boards. Subjects-All children aged 0-15 (1021933).Results-Tonsillectomy was more common than grommet insertion operations in Scotland (6182:4850). Health boards with high grommet insertion rates were more likely to have low tonsillectomy rates (Spearman's rank correlation -0 59; 95% confidence interval -0*87 to -0.03). Grommet insertion rates varied fourfold (from 2-4/1000 to 9.2/1000) and tonsillectomy rates twofold (from 3'6/1000 to 8.0/1000) across Scottish health boards.Variation between health boards had changed over the 15 years 1975-90. Variation in grommet insertion rates did not reflect variation in the supply of otolaryngology consultants (Spearman's rank correlation -0.25). There was a non-significant tendency for high general practitioner referral rates to be associated with high grommet insertion rates, low tonsillectomy rates, and less deprived areas (Spearman's rank correlation coefficients 0.50, -0 53, and -0A43). Deprivation (measured by Carstairs scoring for each health board) was associated with higher tonsillectomy rates (Spearman's rank correlation 0-41; 95% confidence interval -0-22 to 0'80) and significantly lower grommet insertion rates (-0 73; -0-92 to -0.28).Conclusion-Social factors as well as differences in disease prevalence and medical practice need to be considered when studying variation in childhood grommet insertion and tonsillectomy rates.

show abstract

Section: Introductionmentioning

confidence: 94%

Section: Social Explanationsmentioning

confidence: 99%

Section: Social Explanationsmentioning

confidence: 99%

See 1 more Smart Citation

Grommets, tonsillectomies, and deprivation in Scotland

Bisset

Russell

1994

BMJ

View full text Add to dashboard Cite

show abstract

“…Dezennium sind Jungen, im 2. Mäd-chen stärker vertreten [5,7,15,19,23,24]. Venters und Bloor [19] oder Wright [24] zählten in ihrem Krankengut mehr als doppelt so viel tonsillektomierte Frauen zwischen 15 und 19 Jahren wie gleichaltrige Männer.…”

Section: Zur Tonsillektomiehäufung Bei Jungen Frauenunclassified

Zur Tonsillektomieh�ufung bei jungen Frauen

Spicker

Schultz-Coulon

2004

HNO

View full text Add to dashboard Cite

show abstract

“…Variation in the tonsillectomy rate according to social class group was first noticed at the beginning of the twentieth century. 15 Venters and Bloor 16 suggested in 1974 that the association was not as certain as before, but Bisset and Russell disagreed. 17 This study uses a large case-control trial to investigate the influence of parental smoking, previous parental surgery (excluding tonsillectomy), parental tonsillectomy, family history of atopy and social class, on the frequency of sore throats and tonsillitis in children.…”

mentioning

confidence: 94%

Is the incidence of tonsillectomy influenced by the family medical or social history?

Capper

Canter

2001

Clin Otolaryngol

View full text Add to dashboard Cite

Previous reports have suggested that the incidence of tonsillectomy, and/or tonsillitis in children, is influenced by factors such as parental smoking, maternal health and previous parental tonsillectomy. The reports have considered single factors and have not considered the possible confounding effect of the factors upon one another. Previous studies have not investigated the influence of social class. This paper uses the background of a large case-control trial of children awaiting tonsillectomy for recurrent tonsillitis, and a normal control group to study the influence of parental smoking, parental surgical history, parental tonsillectomy, family atopy and social class upon the reported incidence of sore throats and tonsillitis. A multivariate analysis is used. The paper shows that parental smoking, previous parental surgery and social class have no effect upon the number of sore throat episodes. A history of parental tonsillectomy and a family history of atopy are both significant predictive factors for the number of reported sore throats and episodes of tonsillitis in children.

show abstract

A review of investigations into adenotonsillectomy

Cited by 9 publications

References 24 publications

Grommets, tonsillectomies, and deprivation in Scotland

Grommets, tonsillectomies, and deprivation in Scotland

Zur Tonsillektomieh�ufung bei jungen Frauen

Is the incidence of tonsillectomy influenced by the family medical or social history?

Contact Info

Product

Resources

About