Multicentre prospective clinical application of the T14 paediatric outcome tool

Hopkins, Claire; Almeyda, Robert; Al-Reefy, Hiba; Ismail-Koch, Hasnaa; Lim, Jessie Mei; Possamai, Victoria; Powell, Steven; Sharma, Ravi; Hore, Ian

doi:10.1017/s0022215115000924

Cited by 13 publications

(26 citation statements)

References 8 publications

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“…Additionally, further psychometric testing demonstrated high internal consistency (Cronbach α = .84), test–retest reliability, and responsiveness to change . Three of the included studies in this scoping review utilized the T‐14 questionnaire to investigate QoL following tonsillectomy, whereas two of the studies compared the QoL effects of tonsillectomy against watchful waiting …”

Section: Resultsmentioning

confidence: 99%

Scoping review of pediatric tonsillectomy quality of life assessment instruments

et al. 2017

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Section: Resultsmentioning

confidence: 99%

Scoping review of pediatric tonsillectomy quality of life assessment instruments

et al. 2017

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“…This belief may influence caregivers' answers in the postoperative period. 32,51 Another limitation of this study is the lack of the preoperative PSG. This exam is the gold standard in evaluating children with SDB and is particularly useful for children without comorbities.…”

Section: Discussionmentioning

confidence: 99%

Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

Caixeta

Sampaio

Costa

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Adenotonsillectomy is the first-line treatment for obstructive sleep apnea secondary to adenotonsillar hypertrophy in children. The physical benefits of this surgery are well known as well as its impact on the quality of life (QoL), mainly according to short-term evaluations. However, the long-term effects of this surgery are still unclear. Objective To evaluate the long-term impact of adenotonsillectomy on the QoL of children with sleep-disordered breathing (SDB). Method This was a prospective non-controlled study. Children between 3 and 13 years of age with symptoms of SDB for whom adenotonsillectomy had been indicated were included. Children with comorbities were excluded. Quality of life was evaluated using the obstructive sleep apnea questionnaire (OSA-18), which was completed prior to, 10 days, 6 months, 12 months and, at least, 18 months after the procedure. For statistical analysis, p-values lower than 0.05 were defined as statistically significant. Results A total of 31 patients were enrolled in the study. The average age was 5.2 years, and 16 patients were male. The OSA-18 scores improved after the procedure in all domains, and this result was maintained until the last evaluation, done 22 ± 3 months after the procedure. Improvement in each domain was not superior to achieved in other domains. No correlation was found between tonsil or adenoid size and OSA-18 scores. Conclusion This is the largest prospective study that evaluated the long-term effects of the surgery on the QoL of children with SDB using the OSA-18. Our results show adenotonsillectomy has a positive impact in children's QoL.

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“…The T-14 has been applied in numerous studies in England and Ireland (14,(16)(17)(18)(19)(20) to demonstrate the importance of measuring patient reported outcomes with tonsillectomy, but it has not been used outside the UK. We aimed to apply the questionnaire in a paediatric Australian patient population undergoing adenotonsillectomy or tonsillectomy for SDB or recurrent tonsillitis to evaluate the effectiveness of the T-14 Paediatric Throat Disorders Outcome Test as a tool to measure health care outcomes in this group of patients.…”

Section: Original Articlementioning

confidence: 99%

Outcomes using the T-14 symptom score for tonsillectomy in an Australian paediatric population

Lam¹,

Woods²,

Du³

et al. 2019

Aust J Otolaryngol

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Background: Quality of life (QoL) outcomes after paediatric tonsillectomy can be assessed with diseasespecific patient reported outcome measures. Our aim was to assess a modified T-14 Paediatric Throat Disorders Outcome Test in an Australian paediatric population undergoing tonsillectomy. Methods: A consecutive case series was conducted in children (aged 1-16 years) undergoing tonsillectomy over a period of 15 months. T-14 questionnaires administered to the caregivers of the child pre-operatively and post-operatively (n=45) within 6-8 weeks of the procedure were included for statistical analysis. Preand post-operative T-14 scores were compared and analysed according to surgical indication [either sleep disordered breathing (SDB), recurrent tonsillitis, or both] and complications with non-parametric tests. Results: Post-operative scores demonstrated a global improvement for SDB (n=22), recurrent tonsillitis (n=12) and for both (n=11) indications (P<0.0001 each). High compliance with the T-14 was obtained with parents completing the questionnaire pre-and post-operatively. T-14 scores did not improve in 2 patients who had rhinitis and otitis media at the time of post-operative testing. Conclusions: The modified T-14 questionnaire is suitable for measuring parental reported health outcomes for paediatric throat disorders in patients undergoing tonsillectomy in the Australian population. The T-14 questionnaire demonstrates improvement in parental perception of their child's symptoms after tonsillectomy. It is easy to administer producing a high compliance rate.

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Multicentre prospective clinical application of the T14 paediatric outcome tool

Abstract: Children who underwent surgical intervention achieved a significant improvement in disease-specific quality of life. Less severely affected children were managed conservatively and also improved over 12 months, but 1 in 3 crossed over to surgical intervention.

Cited by 13 publications

References 8 publications

Scoping review of pediatric tonsillectomy quality of life assessment instruments

Scoping review of pediatric tonsillectomy quality of life assessment instruments

Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

Outcomes using the T-14 symptom score for tonsillectomy in an Australian paediatric population

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