1 / 1

References Glover JA. The incidence of tonsillectomy in school children. Proc R Soc Med 1938; 31:1219–36

Summary Clear guidelines exist providing indications for performing Tonsillectomy The current economical climate necessitates surgical procedures are performed only where there is a clear indication

baba
Download Presentation

References Glover JA. The incidence of tonsillectomy in school children. Proc R Soc Med 1938; 31:1219–36

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Summary • Clear guidelines exist providing indications for performing Tonsillectomy • The current economical climate necessitates surgical procedures are performed only where there is a clear indication • Introduction of a simple sticker improved documentation of a valid indication for tonsillectomy from 62% to 84% Adherence to ENT UK indications for TonsillectomyGeorge Barrett and Christian PotterDepartment of ENT, Head and Neck Surgery, Torbay Hospital, Lawes Bridge, Devon, UK george.barrett@nhs.net • Introduction • Clinical and Economic value of tonsillectomy is being questioned • 200,000 tonsillectomies per year in 1930s1 • 50,000 tonsillectomies in 20092 • SIGN3 and ENT UK4 guidelines exist to guide referal and listing • 35 million days per year of school and work missed due to sore throats in UK4 • £65million per year on GP consultations for sore throats in UK4 • Results • 58% procedures were on females • Average age at surgery 15 years • Age range for surgery 2-56 years • Valid documentation improved from 62% to 84% after intervention • 27% of GP referrals met criteria for surgery • 2 secondary haemorrhages and 1 case of post op pain and vomiting occurred • Discussion • Sample size adequate for assessing indications for surgery but not complications • Results correlate with National Prospective Audit Data5 which found 76% of patients were listed due to recurrent tonsillitis • Patients not meeting guidelines still had “valid” indication for surgery • 20% increase in hospital admission for quinsy over past 9 years • Methods • Retrospective review of 42 randomly selected sets of notes over 3 months 2010 • Cases assessed according to standards (adjacent table) • Intervention: • Results presented at departmental meeting • Results emailed to staff listing patients • Sticker introduced to clinic rooms • Prospective review of 31 randomly selected sets of notes over 3 months 2011 • References • Glover JA. The incidence of tonsillectomy in school children. Proc R Soc Med 1938; 31:1219–36 • Department of Health. Hospital Episode Statistics 2009–2010. London: DH; 2010. http://hesonline.nhs.uk [cited June 2011] • Scottish Intercollegiate Guideline Network. Management of sore throats and indications for tonsillectomy: quick reference guide. 2010. http://www.sign.ac.uk/pdf/qrg117.pdf [cited June 2011] • Indications for Tonsillectomy Position Paper. ENT UK 2009. www.entuk.org [cited June 2011] • Clinical Effectiveness Unit. National Prospective Tonsillectomy Audit. London: The Royal College of Surgeons of England; 2005.

More Related