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
Hauptverfasser: Piessens, P, Hens, G, Lemkens, N, Schrooten, W, Debruyne, F, Lemkens, P
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container_end_page 910
container_issue 6
container_start_page 906
container_title International journal of pediatric otorhinolaryngology
container_volume 76
creator Piessens, P
Hens, G
Lemkens, N
Schrooten, W
Debruyne, F
Lemkens, P
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.
doi_str_mv 10.1016/j.ijporl.2012.02.069
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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 &amp; 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. 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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><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 &amp; 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 ; 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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.</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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