Monday , June 14 2021

When to get rid of tonsils and why so many children are being implemented unnecessarily



Thousands of children have surgeries to get rid of tonsils without any need. A study found in England that 7 out of 8 operations and the kind performed on children in the country would not have any advantage.

Research conducted in England shows that nine in 10 of these types of operations are not required

Research conducted in England shows that nine in 10 of these types of operations are not required

Photo: Getty Images / BBC News Brazil

The tonsils, which are located near the bottom of the tongue, play an important part in the immune system, helping to protect the body from viruses and bacteria that pass through the mouth or the nose. But they are one of those organs that are not considered indispensable for survival.

According to the study, the surgical procedure can cause more harm than good children. Not to mention spending on the public health system in England, the NHS – who has already indicated that it intends to reduce the number of amygdala extraction operations and other "ineffective" treatments, where there are more losses than earnings.

Studies estimate that 7 out of 8 child-run operations in the UK are unnecessary

Studies estimate that 7 out of 8 child-run operations in the UK are unnecessary

Photo: Getty Images / BBC News Brazil

Criteria for moving the tonsils

According to the researchers, it only removes the tonsils when it meets one of the following criteria:

The English study, published in The British Journal of General Practice, looked at records of more than 1.6 million English-speaking children between 2005 and 2016. Out of every thousand children in the country, two or three children had taken an operation after meadow.

However, 88% (about 7 out of 8) did not meet the above criteria. Only 12% of practices performed during the period were clinically justified.

In the group of children who had surgery did not meet the criteria, only 10 episodes of throat or neckache had 10%.

Based on these data, the study estimated that 32,500 of the 37,000 tonsillectomis children performed in the UK were not needed between 2016 and 2017, costing £ 36.9 million (which equates to almost $ 180 million ) to the public health system.

Tom Marshall, a professor at the Institute of Applied Health Research at the University of Birmingham in England and one of the study's authors, says that surgery can be justified in the case of patients who are more seriously affected.

"The research suggests that children with less pain or necktap will not benefit enough to justify the surgery because, in any case, the throat of neck tends to disappear, "he said.

Studies show that, in many countries, these surgeries are maintained without clinical justification

Studies show that, in many countries, these surgeries are maintained without clinical justification

Photo: Getty Images / BBC News Brazil

Delaying tonsils can lead to complications

Experts also note that, as in all practices, tonsillectomies can lead to complications, although they are scarce, can be severe.

"When this operation is performed on the right group of children, it can significantly reduce the infection of the throat, improve the quality of the sleep, reduce medical appointments, use of antibiotics and, most importantly, improve the quality of life of the child and from the family, "said experts at McGovern Medical School at the University of Texas, USA.

"However, morbidity is associated with surgery that includes hospital, financial cost, risk of anesthesia, bleeding and retrospective scratching," they add.

"In fact, up to 4% of the children that are being implemented may have to be hospitalized again due to secondary complications, which means that there is adequate decision making for the surgery This is the most important thing. "

In addition, some studies suggest that reclamation of childhood tonsils can have long-term gains, such as increased risk of early heart attack and respiratory diseases such as asthma, pneumonia, and flu in adult life.

Although the complications of surgery are scarce, they can be severe

Although the complications of surgery are scarce, they can be severe

Photo: Getty Images / BBC News Brazil

Tonsillectomy epidemic

The problem is not unique to the UK. A survey published in 2014 by the Cochrane Review compared world-wide studies on the effectiveness of amygdala movement surgery and it was found that a large number of operations were carried out without adequate clinical justification.

The survey does not specify Brazil. Here, the Unified Health System (SUS) performed 33,800 surgeries to get rid of thonsils in 2017, with 31,100 of them being children (more than 90%).

The country is the United States with the highest rates of the procedure. Every year, over 500 thousand tons of electomy are performed for children – this is the third most common surgery among the children of the country. The rates are so high as described in the procedure as an "epidemic."

"There's a tough epidemic of unnecessary medical care," said David Goodman from Darthouth Atlas, a healthcare database at Narmouth Institute for Health Policy and Clinical Exercise in the United States.

"In most cases (tonsil removal) is performed in patients with much less frequent symptoms than necessary to identify the procedure," says Goodman.

BBC News
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