Friday , February 26 2021

88% of UK children who actually did not have tonsillectomies needed – Quartz



Every year, hundreds of young children in the United Kingdom have surgery that they do not need.

That is a study collection recently published in the British Journal of General Practice, conducted by a group of researchers at the University of Birmingham. The study found that 88.3% of children who received tonsillectomies in the UK, between 2005 and 2016, did not meet the medical threshold for the treatment, and that they were unlikely to benefit oho

Tonsillectomies are not at risk

Under the medical guidelines known as Paradise Criteria, the American Otolaryngology Academy and other major medical associations recommend that children are only tonsillectomies if they have at least seven throat throats in the previous year, at least five dolphins in the last two years, or at least three serious throats in each of the previous three years. But most childhood tonsillectomies in the UK in recent years have been performed on children who did not eat those criteria.

The University of Birmingham researchers came to this conclusion following the analysis of medical records of over 1.6 million children of more than 700 UK general practices within the country's Health Improvement Network (THIN) between 2005 and 2016. Out of 18,271 children if their tonsils were removed during that period, only 2,144 (11.7%) had enough throat to justify having the surgery.

That is anxious because – although tonsillectomies for children are common-the surgery brings risks of complications. According to a case study of Canadian health administration data used by Birmingham researchers, 2.7% of children receiving tonsillectomies are sent within 30 days, and 12.4% go to an emergency department. Review in 2014 at Paediatrics shows that 7.8% of children receiving tonsillectomies in the United States come back in hospital with complications within 30 days. And another study showed the most common causes of resumption of excessive bleeding, acute pain, fever, vomiting and dehydration.

Even when children are eligible for the treatment, parents may want to consider a "wait vigilant" strategy, according to Nicholas Balakar at The New York Times. That is because, although tonsillectomy can benefit children who have been severely affected, a recent study of more than 60,000 Danish children showed that the procedure was associated with a much higher risk of diseases and respiratory tract highest.

The dangers of unnecessary surgeries for children

Tragic, but unusual cases, such as the death of a 13-year-old Jahi McMath following a tonsilectomy in 2013, have highlighted the importance of ensuring that children just go through surgeries that they really need. According to Pacific Standard Magazine, "every year in America, thousands of children die because of suspicious medical interventions and poor progression."

Unnecessary surgical procedures also represent a burden on public health systems: In the UK, for example, the National Health Service (NHS) performed around 37,000 childhood tonsollectures from April 2016 to March 2017, at a cost of £ 42 million.

The National Health Service analysis of Birmingham study assumed accurately, but explained that digital medical records do not always reflect the reasons why tonsillectomy is recommended – which means there may be other reasons why doctors chose to go On surgery in particular cases.

Tom Marshall, author of study and public health professor at the University of Birmingham, says that it is more likely that his team overestimates rather than underestimate the number of sore throat before the surgery, as they use a broad definition of & # 39 ; what constituted tonsillitis, or throat pain caused by infected tonsils. However, even after carrying out the analysis with a strict definition of throat, researchers found it "still true that the vast majority of children with dirty throats are not often removed off their tonsils ", according to Marshall.

Birmingham researchers also noted, among the UK children who are he did met the criteria for tonsillectomies and had seven or more serious fever throat within a year, only 14% were in receipt of the surgery. Marshall says that this does wonders if "children may be harmed more than helping tonsillectomy."

"We found that only a small minority of people still have tonsils out of children who have been seriously affected," he said. "It makes you think if there is a tonsillectomy [is] It's never really essential in any child. "


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