TY - JOUR
T1 - Changes in incidence and indications of tonsillectomy and adenotonsillectomy, 1970-2005
AU - Erickson, Britt K.
AU - Larson, Dirk R.
AU - St. Sauver, Jennifer L.
AU - Meverden, Ryan A.
AU - Orvidas, Laura J.
PY - 2009/6
Y1 - 2009/6
N2 - Objective: To investigate 35-year epidemiological trends in tonsillectomy and adenotonsillectomy. Study Design/Subjects: Cross-sectional survey. Subjects included all patients from birth to age 29 years who had tonsillectomy or adenotonsillectomy from 1970 to 2005. Results: Study included 8106 patients (median age 8.0 years; range, 6 months to 29 years; male 3646 patients [45%]). Overall tonsillectomy incidence increased from 126 (95% confidence interval [CI], 111-140) per 100,000 person-years in 1970 through 1974 to 153 (95% CI, 139-166) in 2000 through 2005. A dominant factor, adenotonsillectomy incidence rose sharply from 243 (95% CI, 223-261) per 100,000 person-years in 1970 through 1974 to 485 (95% CI, 462-509) in 2000 through 2005. The indication of upper airway obstruction increased from 12 percent of patients in 1970 to 77 percent in 2005. Conclusions: Epidemiological trends in tonsillectomy and adenotonsillectomy have shifted substantially. Overall numbers have increased, and surgical indications have shifted from infection to upper airway obstruction.
AB - Objective: To investigate 35-year epidemiological trends in tonsillectomy and adenotonsillectomy. Study Design/Subjects: Cross-sectional survey. Subjects included all patients from birth to age 29 years who had tonsillectomy or adenotonsillectomy from 1970 to 2005. Results: Study included 8106 patients (median age 8.0 years; range, 6 months to 29 years; male 3646 patients [45%]). Overall tonsillectomy incidence increased from 126 (95% confidence interval [CI], 111-140) per 100,000 person-years in 1970 through 1974 to 153 (95% CI, 139-166) in 2000 through 2005. A dominant factor, adenotonsillectomy incidence rose sharply from 243 (95% CI, 223-261) per 100,000 person-years in 1970 through 1974 to 485 (95% CI, 462-509) in 2000 through 2005. The indication of upper airway obstruction increased from 12 percent of patients in 1970 to 77 percent in 2005. Conclusions: Epidemiological trends in tonsillectomy and adenotonsillectomy have shifted substantially. Overall numbers have increased, and surgical indications have shifted from infection to upper airway obstruction.
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U2 - 10.1016/j.otohns.2009.01.044
DO - 10.1016/j.otohns.2009.01.044
M3 - Article
C2 - 19467411
AN - SCOPUS:65649152993
SN - 0194-5998
VL - 140
SP - 894
EP - 901
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
IS - 6
ER -