Child behavior and quality of life before and after tonsillectomy and adenoidectomy.
OBJECTIVE
To determine the relationship between child behavior and quality of life before and after tonsillectomy and adenoidectomy by means of a standardized assessment of child behavior, the Child Behavior Checklist (CBCL), and a validated quality-of-life survey of pediatric obstructive sleep apnea, the OSA-18.


METHODS
Before-after study.


METHODS
Hospital-based pediatric otolaryngology practice in a metropolitan area.


METHODS
Sixty-four children (mean [SD] age, 5.8 [3.1] years; 36 boys, 28 girls) who underwent tonsillectomy and adenoidectomy for treatment of sleep-disordered breathing or recurrent tonsillitis.


METHODS
Parents or caretakers completed the OSA-18 and the CBCL for ages 2 to 3 years or 4 to 18 years before surgery and 3 months postoperatively.


METHODS
The OSA-18 mean survey scores and change scores, and the CBCL total problem T scores and change in total problem T scores.


RESULTS
The mean (SD) preoperative OSA-18 score was 3.9 (1.5) and change score was 2.3 (95% confidence interval, 1.9-2.7). The mean total problem score was 7.3 points lower after surgery (95% confidence interval, 4.9-9.7), indicating a significant decrease (P<.001, matched t test). The preoperative CBCL total problem score was consistent with abnormal behavior for 16 children (25%), but only 5 children (8%) scored in the abnormal range postoperatively (P =.03, log-likelihood ratio test). The OSA-18 preoperative mean survey score had fair to good correlation with the preoperative CBCL total problem T score (r = 0.50, P<.001, Pearson correlation), and the OSA-18 change score had fair to good correlation with the change in CBCL total problem T score (r = 0.54, P<.001, Pearson correlation).


CONCLUSIONS
Behavioral and emotional difficulties are found in children with sleep-disordered breathing before treatment and improve after intervention. Scores on a standardized measure of assessment of behavior demonstrate significant correlation with scores on a validated quality-of-life instrument.
Division of Pediatric Otolaryngology, State University of New York Downstate Medical Center, Brooklyn, NY 11203-2098, USA. ngoldstein@netmail.hscbklyn.edu
Nira A
NA
Goldstein
Mahnur
M
Fatima
Thomas F
TF
Campbell
Richard M
RM
Rosenfeld
D000233:Adenoidectomy / Q000523:psychology*; D000293:Adolescent; D002648:Child; D002652:Child Behavior; D002653:Child Behavior Disorders / Q000209:etiology / Q000523:psychology*; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011788:Quality of Life; D012008:Recurrence; D012891:Sleep Apnea Syndromes / Q000523:psychology / Q000601:surgery*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014068:Tonsillectomy / Q000523:psychology*; D014069:Tonsillitis / Q000523:psychology / Q000601:surgery*