Multicentre prospective clinical application of the T14 paediatric outcome tool

Claire Hopkins, R. Almeyda, H. Alreefy, H. Ismail-Koch, J. Lim, V. Possamai, S. Powell, R. Sharma, I. Hore*

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    11 Citations (Scopus)

    Abstract

    Objective: This study aimed to measure changes in disease-specific quality of life in children following tonsillectomy or adenotonsillectomy. Methods: A multicentre prospective cohort study was performed involving seven ENT departments in England. A total of 276 children entered the study over a 2-month period: 107 underwent tonsillectomy and 128 adenotonsillectomy. Forty-one children referred with throat problems initially managed by watchful waiting were also recruited. The follow-up period was 12 months. Outcome measures were the T14, parental impressions of their child's quality of life and the number of days absent from school. Results: One-year follow-up data were obtained from 150 patients (52 per cent). The mean baseline T14 score in the non-surgical group was significantly lower (T14 = 23) than in the tonsillectomy group (T14 = 31) or the adenotonsillectomy group (T14 = 35; p < 0.001). There was a significant improvement in the T14 scores of responders in all groups at follow up. The effect size was 1.3 standard deviations (SD) for the non-surgical group, 2.1 SD for the tonsillectomy group and 1.9 SD for the adenotonsillectomy group. Between-group differences did not reach statistical significance. A third of children in the non-surgical group underwent surgery during the follow-up period. Conclusion: Children who underwent surgical intervention achieved a significant improvement in disease-specific quality of life. Less severely affected children were managed conservatively and also improved over 12 months, but 1 in 3 crossed over to surgical intervention.

    Original languageEnglish
    Pages (from-to)980-985
    Number of pages6
    JournalThe Journal of laryngology and otology
    Volume129
    Issue number10
    DOIs
    Publication statusPublished - 1 Oct 2015

    Keywords

    • Adenoidectomy
    • Child
    • England
    • Follow-Up Studies
    • Outcomes Assessment (Health Care)
    • Prospective Studies
    • Tonsillectomy

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