Bhattacharyya Neil, Kepnes Lynn J
Division of Otolaryngology, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts, USA.
Ann Otol Rhinol Laryngol. 2002 Nov;111(11):983-8. doi: 10.1177/000348940211101106.
To determine the economic impact of adult chronic tonsillitis and the economic improvement from adult tonsillectomy, we studied patients who underwent adult tonsillectomy for chronic tonsillitis with the Glasgow Benefit Inventory and a questionnaire for disease severity parameters before and after tonsillectomy. The economic impact of chronic tonsillitis and adult tonsillectomy were computed with a break-even time analysis model. Eighty-three adult patients (average age, 27.3 years) completed the study with an average duration of follow-up of 37.7 months. The patients exhibited a mean improvement in quality of life of +27.54 +/- 4.63 after tonsillectomy according to the Glasgow Benefit Inventory. In the 12 months following the procedure, tonsillectomy resulted in yearly mean decreases in number of weeks on antibiotics by 5.9 weeks, number of workdays missed because of tonsillitis by 8.7 days, and physician visits for tonsillitis by 5.3 visits. In considering the medical costs of tonsillectomy only, the break-even point was found to be 12.7 years, whereas considering the overall economic impact of tonsillectomy resulted in a break-even point of 2.3 years after the procedure. We conclude that tonsillectomy results in significant improvement in quality of life, decreases health-care utilization, and diminishes the economic burden of chronic tonsillitis in the adult patient population.
为了确定成人慢性扁桃体炎的经济影响以及成人扁桃体切除术后的经济改善情况，我们使用格拉斯哥效益量表和一份关于扁桃体切除术前术后疾病严重程度参数的问卷，对因慢性扁桃体炎接受成人扁桃体切除术的患者进行了研究。采用收支平衡时间分析模型计算慢性扁桃体炎和成人扁桃体切除术的经济影响。83例成年患者（平均年龄27.3岁）完成了该研究，平均随访时间为37.7个月。根据格拉斯哥效益量表，患者扁桃体切除术后生活质量平均提高了27.54±4.63。在手术后的12个月里，扁桃体切除术使每年使用抗生素的周数平均减少5.9周，因扁桃体炎错过的工作日数平均减少8.7天，因扁桃体炎就诊的次数平均减少5.3次。仅考虑扁桃体切除术的医疗费用时，收支平衡点为12.7年，而考虑扁桃体切除术的总体经济影响时，手术后的收支平衡点为2.3年。我们得出结论，扁桃体切除术可显著改善生活质量，减少医疗保健的使用，并减轻成年患者群体中慢性扁桃体炎的经济负担。
