Advanced Search
Current and Breaking News for Professionals, Consumers and Media



Click here to learn how to advertise on this site and for ad rates.

Research Author: Staff Editor Last Updated: Apr 3, 2014 - 10:39:52 AM



Adults' Tonsillectomy Complications are Higher than Previously Thought

By Staff Editor
Apr 3, 2014 - 10:36:26 AM



Email Newsletter icon, E-mail Newsletter icon, Email List icon, E-mail List icon Sign up for our Ezine
For Email Marketing you can trust


Email this article
 Printer friendly page

(HealthNewsDigest.com) - UNIVERSITY PARK, Pa. -- Twenty percent of adults who have tonsillectomies will have a complication, which is significantly higher than previously shown, according to a team of researchers. The team also found that these complications substantially increase health care expenditures.

"Since 1973, John Wenneberg and his colleagues at Dartmouth have been examining variation in the rates of tonsillectomy performed across regions, trying to explain why such wide variation is observed," said Dennis Scanlon, professor of health policy and administration, Penn State. "In other words, why are some patients significantly more likely to get the procedure in some areas of the country compared to others? Yet despite the wide degree of regional variation reported, most of which has been documented in pediatric populations, much less is known about the safety and risks to patients who undergo the procedure, particularly adult patients."

According to Scanlon, the team's study is the first of its kind to examine a large adult population, across institutions and provider practices and over multiple years using the Truven Health MarketScan Database. Previous studies focused on small numbers of patients within particular institutions and have not considered a wider spectrum of complications beyond post-tonsillectomy hemorrhage.

To conduct its study, the team, which also included researchers from the Kaiser San Francisco Medical Center and Truven Health Analytics, examined data from 36,210 adult tonsillectomy patients. The results will appear in the April 2014 issue of Otolaryngology -- Head and Neck Surgery.

The findings suggest that of adult patients who have undergone a tonsillectomy, 20 percent had a complication, 10 percent visited an emergency room, and approximately 1.5 percent were admitted to a hospital within 14 days of the procedure. Six percent of adult patients were treated for postoperative hemorrhage; 2 percent were treated for dehydration; and 11 percent were treated for ear, nose or throat pain within 14 days of surgery.

"These estimated complication rates are significantly higher than those reported in prior studies," Scanlon said.

The researchers also investigated expenditures associated with adult tonsillectomies and found that, on average, the amount paid for a tonsillectomy without complication was $3,832 whereas tonsillectomy with hemorrhage resulted in an average expenditure of $6,388.

"Our results highlight the challenges patients face when making informed decisions about medical and surgical treatments, as well as the excess costs and harm incurred due to complications," Scanlon said. "Patients expect to compare the risks and benefits of treatment options, but as our study shows, credible patient-centered information is often lacking, even for a common procedure that has been in practice for many, many years. The availability of important risk and benefit information should be expedited, and providers need to be trained to engage patients in how to use this information to make informed choices."

Other authors on the paper include Meena Seshamani of formerly of Kaiser San Francisco Medical Center and Emily Vogtmann, Justin Gatwood and Teresa B. Gibson of Truven Health Analytics.

 

###

 

For advertising and promotion on HealthNewsDigest.com, call Mike McCurdy: 877-634-9180 or [email protected] We have over 7,000 journalists as subscribers.

 

 



Top of Page

HealthNewsDigest.com

Research
Latest Headlines


+ Of Mice and Men: Researchers Compare Mammals’ Genomes to Aid Human Clinical Research
+ Herbs and Spices Enhance Heart Health as Well as Flavor
+ A Novel Method for Identifying the Body’s ‘noisiest’ Networks
+ Study Identifying Cell of Origin for Large, Disfiguring Nerve Tumors Lays Groundwork for Development of New Therapies
+ Cranberries and Urinary Tract Infection
+ The Human Brain’s Plasticity
+ New Airport Security Screening Method More Than 20 Times as Successful at Detecting Deception
+ Origins of External Genitalia, Insight into Birth Defects
+ Choking Under Pressure
+ Celiac Disease: Could Non-gluten Proteins Play a Role ?



Contact Us | Job Listings | Help | Site Map | About Us
Advertising Information | HND Press Release | Submit Information | Disclaimer

Site hosted by Sanchez Productions