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. 2019 Jul 15;17(1):122.
doi: 10.1186/s12955-019-1192-z.

Structured literature review of patient-reported outcome (PRO) instruments in adult tonsillectomy or tonsillotomy

Alicia Seethaler  1 , Claudia Rudack  1 , Christoph Spiekermann  2   3
Affiliations

Structured literature review of patient-reported outcome (PRO) instruments in adult tonsillectomy or tonsillotomy

Alicia Seethaler et al. Health Qual Life Outcomes. .

Abstract

Background: Instruments that measure the patient-reported outcome and quality of life are essential to assess the treatment success of any medical intervention. This review represents valid and reliable outcome assessment instruments for tonsillectomy (TE) and tonsillotomy (TO) in adult patients as TE/TO still belong to one of the most common performed surgical procedures.

Methods: A systematic review of the literature in the MEDLINE, PubMed, Web of Science and Cochrane Library was conducted. Studies describing reliable and valid patient-reported outcome measures (PROM) in adults with regard to the perioperative as well as postoperative follow-up after TE/TO were examined. Thus, studies without PROMs or PROMs only relating to children as well as studies in non-English/non-German language or without any detailed information were excluded.

Results: Four thousand four hundred forty studies were identified. Thirteen reliable and valid patient-reported outcome assessment instruments presenting the perioperative and postoperative outcome were analysed. Four generic questionnaires are included that are used to measure the outcome after TE/TO in adults. Four disease-specific questionnaires relating to obstructive sleep apnea (OSA) and sleep disordered breathing (SDB) as well as two TE/TO specific questionnaires are validated for adults. With regard to the perioperative outcome including parameters like pain, nausea, vomiting, satisfaction three assessment instruments are analysed.

Conclusion: This review describes the currently available, reliable and valid generic and disease-specific instruments assessing the perioperative as well as postoperative outcome to evaluate the treatment success after TE/TO in adult patients. Therefore, this study improves the selection of the appropriate patient-reported outcome assessment instrument to assess the quality of life in adults undergoing TE/TO.

Keywords: Outcome; Patient-reported outcome measure; Review; Tonsillectomy; Tonsillotomy.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
PRISMA flow diagram illustrating research strategy. Abbreviations: TE = Tonsillectomy; TO = Tonsillotomy; OSA = Obstructive Sleep Apnea; SDB = Sleep Disordered Breathing
See this image and copyright information in PMC

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References

    1. Senska G, Atay H, Putter C, Dost P. Long-term results from tonsillectomy in adults. Dtsch Arztebl Int. 2015;112:849–855. - PMC - PubMed
    1. Pynnonen M, Brinkmeier JV, Thorne MC, Chong LY, Burton MJ. Coblation versus other surgical techniques for tonsillectomy. Cochrane Database Syst Rev. 2017;8:CD004619. - PMC - PubMed
    1. Erickson BK, Larson DR, St Sauver JL, Meverden RA, Orvidas LJ. Changes in incidence and indications of tonsillectomy and adenotonsillectomy, 1970-2005. Otolaryngol Head Neck Surg. 2009;140:894–901. doi: 10.1016/j.otohns.2009.01.044. - DOI - PubMed
    1. Matza LS, Swensen AR, Flood EM, Secnik K, Leidy NK. Assessment of health-related quality of life in children: a review of conceptual, methodological, and regulatory issues. Value Health. 2004;7:79–92. doi: 10.1111/j.1524-4733.2004.71273.x. - DOI - PubMed
    1. Harding L. Children's quality of life assessments: a review of generic and health related quality of life measures completed by children and adolescents. Clin Psychol Psychother. 2001;8:79–96. doi: 10.1002/cpp.275. - DOI

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