Effect of Tonsillectomy on the General Health of Twelve Hundred Children

Kaiser, Albert D.

doi:10.1001/jama.1924.02660010037013

Cited by 16 publications

(4 citation statements)

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“…Multiple publications were excluded from our analyses. [19][20][21][22][23][24] Hence, six randomised trials 13 15-18 and seven non-randomised controlled studies 18 25-30 were included.…”

Section: Study Selectionmentioning

confidence: 99%

Adenotonsillectomy for upper respiratory infections: evidence based?

Staaij

Akker²,

Heijden³

et al. 2005

Archives of Disease in Childhood

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Background: Despite high rates of (adeno)tonsillectomy for upper respiratory infections in western countries, the medical literature offers the physician little support in deciding which child might benefit from the operation. Methods: A literature search was performed to identify randomised trials and non-randomised controlled studies into the efficacy of tonsillectomy with or without adenoidectomy in children under 18 years. For the outcomes sore throat episodes, sore throat associated school absence, and upper respiratory infections, pooled estimates of the incidence rate ratios and rate differences with 95% confidence intervals were calculated, assuming a Poisson distribution. Results: Six randomised trials and seven non-randomised controlled studies on the efficacy of adenotonsillectomy in children were evaluated. For sore throat episodes data for 2483 person-years were available. The pooled risk difference was 21.2 episodes per person-year (95% CI 21.3 to 21.1). For sore throat associated school absence 1669 person-years were analysed. The pooled risk difference was 22.8 days per person-year (95% CI 23.9 to 21.6). For upper respiratory infections 1596 personyears were available. The pooled risk difference was 20.5 episodes per person-year (95% CI 20.7 to 20.3). Conclusions: All available randomised trials and non-randomised controlled studies into the efficacy of (adeno)tonsillectomy had important limitations. The frequency of sore throat episodes and upper respiratory infections reduces with time whether (adeno)tonsillectomy has been performed or not. (Adeno)tonsillectomy gives an additional, but small, reduction of sore throat episodes, days of sore throat associated school absence, and upper respiratory infections compared to watchful waiting

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“…Multiple publications were excluded from our analyses. [19][20][21][22][23][24] Hence, six randomised trials 13 15-18 and seven non-randomised controlled studies 18 25-30 were included.…”

Section: Study Selectionmentioning

confidence: 99%

Adenotonsillectomy for upper respiratory infections: evidence based?

Staaij

Akker²,

Heijden³

et al. 2005

Archives of Disease in Childhood

View full text Add to dashboard Cite

show abstract

“…Albert D. Kaiser, the pediatrician in charge of the clinic, made a study of the incidence of infection in the children operated on compared with a similar number of control cases. His conclusions, as yet unpublished but courteously communicated to me, are in part as follows : 3 1. Tonsillectomy offers great relief from attacks of sore throat and tonsillitis.…”

mentioning

confidence: 86%

“…It offers considerable relief to the child subject to cold in the head, especially where much adenoid tissue is present. 3. It lessens the chance for glandular infection hut is no guarantee against it, nor does it assure immediate disappearance of large glands.…”

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confidence: 99%

Effect of Removal of Adenoids and Tonsils on the Mental Development of the Child

Angell¹

1925

Arch NeurPsych

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“…There are many other difficulties in published work which make the interpretation of the results particularly difficult. (8) The duration of the follow-up.-This has been inadequate in most papers. Kaiser showed how the incidence of colds and otitis media was less in the operated group for the first three years after the operation, but became greater thereafter than in the control group.…”

Section: Difficulties In the Interpretation Of Published Workmentioning

confidence: 99%

Societies' Proceedings

Owen¹

1950

J. Laryngol. Otol.

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Effect of Tonsillectomy on the General Health of Twelve Hundred Children

Cited by 16 publications

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Adenotonsillectomy for upper respiratory infections: evidence based?

Adenotonsillectomy for upper respiratory infections: evidence based?

Effect of Removal of Adenoids and Tonsils on the Mental Development of the Child

Societies' Proceedings

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