Tonsillectomy in Manitoba: who are the patients? the surgeons? the hospitals?
Although tonsillectomy-adenoidectomy rates are declining across North America, this paper suggests they are not falling fast enough. More than half the cases coming to surgery fail to meet accepted standards regardless of who performs the surgery, or where it takes place. Family surgery is still fairly common and is almost never indicated. While younger physicians have higher standards of selection, they are not doing any less T and A surgery than their older colleagues; in fact younger general surgeons are doing more. This study concludes that non-indicated T and A surgery is still a prevalent problem, deserving of widespread attention.
D000233:Adenoidectomy / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005190:Family; D006761:Hospitals; D006801:Humans; D008350:Manitoba; D008511:Medicine; D008875:Middle Aged; D010820:Physicians; D013038:Specialization; D014068:Tonsillectomy / Q000706:statistics & numerical data*
Br Med J. 1963 Sep 21;2(5359):698-9
14043726
Med Care. 1977 Jan;15(1):1-18
834081
Inquiry. 1979 Spring;16(1):73-83
155042
Pediatrics. 1977 Jun;59(6):821-6
865934
N Engl J Med. 1978 Jan 5;298(1):58-9
618463
N Engl J Med. 1976 Oct 21;295(17):921-6
967202
Med Care. 1978 Nov;16(11):950-55
568700
Hosp Pract. 1976 Feb;11(2):79-87
1072024
Ann Otol Rhinol Laryngol. 1975 Mar-Apr;84(2 PT2 SUPPL 19):15-9
1130767
Med Care. 1975 Apr;13(4 Suppl):1-33
1168294
N Engl J Med. 1975 Sep 25;293(13):642-6
1097917
Pediatrics. 1976 Mar;57(3):401-7
1256951