Every year, hundreds of young children in the United Kingdom get an operation that they do not need.
This is the conclusion of a study recently published in the British journal General Practice, conducted by the Birmingham University Research Group. The study found that in the period from 2005 to 2016, 88.3% of children with tonic comfort in the United Kingdom did not meet the medical threshold and were unlikely to succeed.
Tonsillectomy is not risk free
According to the medical guidelines known as Paradise criteria, the American Academy for Otorhinolaryngology and other major medical associations recommends that children receive only tinnitus if they have at least seven painful throats, at least two hemorrhages, or at least three painful throats in the last three years in the past two years. But in recent years, most children in childhood tonsilometry in the United Kingdom have been children who do not meet these criteria.
Researchers from the University of Birmingham came to this conclusion after analyzing more than 1.6 million children's medical records from over 700 general practices in the UK's Health Improvement Network (THIN) between 2005 and 2016. Of the 18,271 children who were euthanized during this period, only 2,144 (11.7%) had enough neck to justify surgery.
This is disturbing because, although tonsillectomies are common in children, the operation comes at a risk of complications. According to an analysis of Canadian healthcare administrative data used by Birmingham researchers, 2.7% of children receiving tonicomials should be re-registered within 30 days and 12.4% in an emergency department. 2014 Annual Report 2008 Pediatrics showed that 7.8% of children taking the brain toned in the USA arrive in a complicated hospital within 30 days. And another study showed that the most common causes for the readmission were excessive bleeding, acute pain, fever, vomiting and dehydration.
Even if children are entitled to a procedure, parents may want to consider a strategy of "careful waiting," according to Nicholas Balakar, The New York Times. This is because, although tonzilctomy may be beneficial for children who are seriously affected, more than 60,000 Danish children in a recent study suggest that this procedure is associated with a much higher risk of upper respiratory disease.
Unnecessary surgery for children
Tragically, but less commonly, such as the death of thirteen-year-old Jahry Makkami after tonzilometry in 2013, have highlighted the importance of ensuring that children are exposed to the operations they really need. According to the Pacific Standard Magazine, "Every year in America, thousands of children die because of dubious medical interventions and poor control."
Unnecessary surgical procedures also pose a burden on public health systems. For example, in the United Kingdom, for example, the National Health Service (NHS), from April 2016 to March 2017, carried approximately 37,000 childhood tonic comfort at a cost of £ 42 million.
The Birmingham study's National Health Service considered it to be accurate, but clarified that digital medical records do not always reflect the reasons why tonsillectomy is recommended, that is, it is possible that there were other reasons why physicians chose to take certain cases of surgery.
The author of Birmingham University research and public health professor Tom Marshall says his team is likely to be exaggerated, not appreciate how many sore throats were children before the surgery, because they used a broad definition of tonicitis or sore throat, caused by infected tonsils. However, even after an analysis with a stricter definition of the neck, the researchers found that "it is still true that most children who often have a sore throat have not been removed from the tonsils," Marshalls said.
Birmingham researchers also noted that among UK kids who did it meets the allegorical criteria and has had seven or more severe neck pain during the year, with only 14% of the patients actually receiving surgery. Marshall says that he was wondering if "children can be more harmed than what tonzilateconomy helps."
"We found out that only a minority of people who have lost even the most seriously injured almonds have destroyed almonds," he said. "It makes you wonder if tonsillectomy [is] Sometimes it really matters to a child. "