Effect of adenotonsillectomy on the use of respiratory medication
Abstract Objective Recurrent tonsillitis and upper respiratory tract obstruction due to adenotonsillar hypertrophy are the most common indications for (adeno)tonsillectomy ((A)TE). Symptoms of upper respiratory tract infection and obstruction can, however, be attributed to lower airway pathology and...
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Veröffentlicht in: | International journal of pediatric otorhinolaryngology 2012-06, Vol.76 (6), p.906-910 |
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description | Abstract Objective Recurrent tonsillitis and upper respiratory tract obstruction due to adenotonsillar hypertrophy are the most common indications for (adeno)tonsillectomy ((A)TE). Symptoms of upper respiratory tract infection and obstruction can, however, be attributed to lower airway pathology and thus treated with respiratory medication – this is non-antimicrobial medication used for lower respiratory diseases like bronchitis, bronchiolitis, asthma and episodic wheezing. The aim of this study is to investigate the effect of the current (A)TE practice in Belgium on the use of respiratory medication in subjects aged 0–15. Methods Retrospective data on 11.114 subjects aged 0–15 years old who underwent (A)TE from January 1st 2002 until Sept 30th 2003 were retrieved from the database of the Christelijke Mutualiteit, the largest mutual health insurance society in Belgium. We compared the use of respiratory medication 12 months before and 12 months after (A)TE. Results Out of 11.114 subjects, 4.654 received at least one prescription for respiratory medication in the year before and/or after (A)TE. In this subgroup, the median respiratory medication use reduced with 32% in the year after surgery. Conclusion Compared with the year before surgery, the median use of respiratory medication in subjects aged 0–15 drastically reduces in the year after (A)TE. A possible reason for this reduction is that children with upper airway obstruction and infections are often wrongly diagnosed as having lower airway problems. |
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Symptoms of upper respiratory tract infection and obstruction can, however, be attributed to lower airway pathology and thus treated with respiratory medication – this is non-antimicrobial medication used for lower respiratory diseases like bronchitis, bronchiolitis, asthma and episodic wheezing. The aim of this study is to investigate the effect of the current (A)TE practice in Belgium on the use of respiratory medication in subjects aged 0–15. Methods Retrospective data on 11.114 subjects aged 0–15 years old who underwent (A)TE from January 1st 2002 until Sept 30th 2003 were retrieved from the database of the Christelijke Mutualiteit, the largest mutual health insurance society in Belgium. We compared the use of respiratory medication 12 months before and 12 months after (A)TE. Results Out of 11.114 subjects, 4.654 received at least one prescription for respiratory medication in the year before and/or after (A)TE. In this subgroup, the median respiratory medication use reduced with 32% in the year after surgery. Conclusion Compared with the year before surgery, the median use of respiratory medication in subjects aged 0–15 drastically reduces in the year after (A)TE. A possible reason for this reduction is that children with upper airway obstruction and infections are often wrongly diagnosed as having lower airway problems.</description><identifier>ISSN: 0165-5876</identifier><identifier>EISSN: 1872-8464</identifier><identifier>DOI: 10.1016/j.ijporl.2012.02.069</identifier><identifier>PMID: 22456167</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adenoidectomy - methods ; Adenoids - drug effects ; Adenoids - physiopathology ; Adenoids - surgery ; Adenotonsillectomy ; Adolescent ; Anti-Bacterial Agents - therapeutic use ; Anti-Inflammatory Agents - therapeutic use ; Belgium ; Child ; Child, Preschool ; Cohort Studies ; Databases, Factual ; Drug Utilization - statistics & numerical data ; Female ; Glucocorticoids - therapeutic use ; Humans ; Indications ; Infant ; Male ; Multivariate Analysis ; Otolaryngology ; Pediatrics ; Postoperative Care - methods ; Preoperative Care - methods ; Recurrence ; Respiratory medication ; Respiratory Tract Infections - diagnosis ; Respiratory Tract Infections - drug therapy ; Respiratory Tract Infections - epidemiology ; Retrospective Studies ; Tonsillectomy ; Tonsillectomy - methods ; Tonsillitis - diagnosis ; Tonsillitis - drug therapy ; Tonsillitis - surgery</subject><ispartof>International journal of pediatric otorhinolaryngology, 2012-06, Vol.76 (6), p.906-910</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2012 Elsevier Ireland Ltd</rights><rights>Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-3cd7a51c79863c726965c3fe3ba17f93d08b0bdfcf2b05a9ddcc94cf7651c9983</citedby><cites>FETCH-LOGICAL-c417t-3cd7a51c79863c726965c3fe3ba17f93d08b0bdfcf2b05a9ddcc94cf7651c9983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0165587612001620$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22456167$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Piessens, P</creatorcontrib><creatorcontrib>Hens, G</creatorcontrib><creatorcontrib>Lemkens, N</creatorcontrib><creatorcontrib>Schrooten, W</creatorcontrib><creatorcontrib>Debruyne, F</creatorcontrib><creatorcontrib>Lemkens, P</creatorcontrib><title>Effect of adenotonsillectomy on the use of respiratory medication</title><title>International journal of pediatric otorhinolaryngology</title><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><description>Abstract Objective Recurrent tonsillitis and upper respiratory tract obstruction due to adenotonsillar hypertrophy are the most common indications for (adeno)tonsillectomy ((A)TE). Symptoms of upper respiratory tract infection and obstruction can, however, be attributed to lower airway pathology and thus treated with respiratory medication – this is non-antimicrobial medication used for lower respiratory diseases like bronchitis, bronchiolitis, asthma and episodic wheezing. The aim of this study is to investigate the effect of the current (A)TE practice in Belgium on the use of respiratory medication in subjects aged 0–15. Methods Retrospective data on 11.114 subjects aged 0–15 years old who underwent (A)TE from January 1st 2002 until Sept 30th 2003 were retrieved from the database of the Christelijke Mutualiteit, the largest mutual health insurance society in Belgium. We compared the use of respiratory medication 12 months before and 12 months after (A)TE. Results Out of 11.114 subjects, 4.654 received at least one prescription for respiratory medication in the year before and/or after (A)TE. In this subgroup, the median respiratory medication use reduced with 32% in the year after surgery. Conclusion Compared with the year before surgery, the median use of respiratory medication in subjects aged 0–15 drastically reduces in the year after (A)TE. A possible reason for this reduction is that children with upper airway obstruction and infections are often wrongly diagnosed as having lower airway problems.</description><subject>Adenoidectomy - methods</subject><subject>Adenoids - drug effects</subject><subject>Adenoids - physiopathology</subject><subject>Adenoids - surgery</subject><subject>Adenotonsillectomy</subject><subject>Adolescent</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Anti-Inflammatory Agents - therapeutic use</subject><subject>Belgium</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Databases, Factual</subject><subject>Drug Utilization - statistics & numerical data</subject><subject>Female</subject><subject>Glucocorticoids - therapeutic use</subject><subject>Humans</subject><subject>Indications</subject><subject>Infant</subject><subject>Male</subject><subject>Multivariate Analysis</subject><subject>Otolaryngology</subject><subject>Pediatrics</subject><subject>Postoperative Care - methods</subject><subject>Preoperative Care - methods</subject><subject>Recurrence</subject><subject>Respiratory medication</subject><subject>Respiratory Tract Infections - diagnosis</subject><subject>Respiratory Tract Infections - drug therapy</subject><subject>Respiratory Tract Infections - epidemiology</subject><subject>Retrospective Studies</subject><subject>Tonsillectomy</subject><subject>Tonsillectomy - methods</subject><subject>Tonsillitis - diagnosis</subject><subject>Tonsillitis - drug therapy</subject><subject>Tonsillitis - surgery</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1LxDAQhoMoun78A5EevXRN0jZpLoKIXyB4UM8hTSeY2m3WpBX23ztl1YMXISEQnneGeYaQU0aXjDJx0S19tw6xX3LK-JLiEWqHLFgteV6XotwlC8SqvKqlOCCHKXWUMkmrap8ccF5Wggm5IFc3zoEds-Ay08IQxjAk3_f4FVabLAzZ-AbZlGAGIqS1j2YMcZOtoPXWjD4Mx2TPmT7Byfd7RF5vb16u7_PHp7uH66vH3JZMjnlhW2kqZqWqRWElF0pUtnBQNIZJp4qW1g1tWmcdb2hlVNtaq0rrpMCQUnVxRM63ddcxfEyQRr3yyULfmwHClDRKkYLjLREtt6iNIaUITq-jX5m4QWjmhO70Vp6e5WmKRyiMnX13mBqc7zf0YwuByy0AOOenh6iT9TBYdBHRmG6D_6_D3wK29wOK7N9hA6kLUxzQoWY6YUA_zwuc98c47k5wWnwBi-qXlw</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Piessens, P</creator><creator>Hens, G</creator><creator>Lemkens, N</creator><creator>Schrooten, W</creator><creator>Debruyne, F</creator><creator>Lemkens, P</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120601</creationdate><title>Effect of adenotonsillectomy on the use of respiratory medication</title><author>Piessens, P ; Hens, G ; Lemkens, N ; Schrooten, W ; Debruyne, F ; Lemkens, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-3cd7a51c79863c726965c3fe3ba17f93d08b0bdfcf2b05a9ddcc94cf7651c9983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adenoidectomy - methods</topic><topic>Adenoids - drug effects</topic><topic>Adenoids - physiopathology</topic><topic>Adenoids - surgery</topic><topic>Adenotonsillectomy</topic><topic>Adolescent</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Anti-Inflammatory Agents - therapeutic use</topic><topic>Belgium</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>Databases, Factual</topic><topic>Drug Utilization - statistics & numerical data</topic><topic>Female</topic><topic>Glucocorticoids - therapeutic use</topic><topic>Humans</topic><topic>Indications</topic><topic>Infant</topic><topic>Male</topic><topic>Multivariate Analysis</topic><topic>Otolaryngology</topic><topic>Pediatrics</topic><topic>Postoperative Care - methods</topic><topic>Preoperative Care - methods</topic><topic>Recurrence</topic><topic>Respiratory medication</topic><topic>Respiratory Tract Infections - diagnosis</topic><topic>Respiratory Tract Infections - drug therapy</topic><topic>Respiratory Tract Infections - epidemiology</topic><topic>Retrospective Studies</topic><topic>Tonsillectomy</topic><topic>Tonsillectomy - methods</topic><topic>Tonsillitis - diagnosis</topic><topic>Tonsillitis - drug therapy</topic><topic>Tonsillitis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Piessens, P</creatorcontrib><creatorcontrib>Hens, G</creatorcontrib><creatorcontrib>Lemkens, N</creatorcontrib><creatorcontrib>Schrooten, W</creatorcontrib><creatorcontrib>Debruyne, F</creatorcontrib><creatorcontrib>Lemkens, P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Piessens, P</au><au>Hens, G</au><au>Lemkens, N</au><au>Schrooten, W</au><au>Debruyne, F</au><au>Lemkens, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of adenotonsillectomy on the use of respiratory medication</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>76</volume><issue>6</issue><spage>906</spage><epage>910</epage><pages>906-910</pages><issn>0165-5876</issn><eissn>1872-8464</eissn><abstract>Abstract Objective Recurrent tonsillitis and upper respiratory tract obstruction due to adenotonsillar hypertrophy are the most common indications for (adeno)tonsillectomy ((A)TE). Symptoms of upper respiratory tract infection and obstruction can, however, be attributed to lower airway pathology and thus treated with respiratory medication – this is non-antimicrobial medication used for lower respiratory diseases like bronchitis, bronchiolitis, asthma and episodic wheezing. The aim of this study is to investigate the effect of the current (A)TE practice in Belgium on the use of respiratory medication in subjects aged 0–15. Methods Retrospective data on 11.114 subjects aged 0–15 years old who underwent (A)TE from January 1st 2002 until Sept 30th 2003 were retrieved from the database of the Christelijke Mutualiteit, the largest mutual health insurance society in Belgium. We compared the use of respiratory medication 12 months before and 12 months after (A)TE. Results Out of 11.114 subjects, 4.654 received at least one prescription for respiratory medication in the year before and/or after (A)TE. In this subgroup, the median respiratory medication use reduced with 32% in the year after surgery. Conclusion Compared with the year before surgery, the median use of respiratory medication in subjects aged 0–15 drastically reduces in the year after (A)TE. A possible reason for this reduction is that children with upper airway obstruction and infections are often wrongly diagnosed as having lower airway problems.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>22456167</pmid><doi>10.1016/j.ijporl.2012.02.069</doi><tpages>5</tpages></addata></record> |
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subjects | Adenoidectomy - methods Adenoids - drug effects Adenoids - physiopathology Adenoids - surgery Adenotonsillectomy Adolescent Anti-Bacterial Agents - therapeutic use Anti-Inflammatory Agents - therapeutic use Belgium Child Child, Preschool Cohort Studies Databases, Factual Drug Utilization - statistics & numerical data Female Glucocorticoids - therapeutic use Humans Indications Infant Male Multivariate Analysis Otolaryngology Pediatrics Postoperative Care - methods Preoperative Care - methods Recurrence Respiratory medication Respiratory Tract Infections - diagnosis Respiratory Tract Infections - drug therapy Respiratory Tract Infections - epidemiology Retrospective Studies Tonsillectomy Tonsillectomy - methods Tonsillitis - diagnosis Tonsillitis - drug therapy Tonsillitis - surgery |
title | Effect of adenotonsillectomy on the use of respiratory medication |
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