Fujihara Keiji, Koltai Peter J, Hayashi Masaki, Tamura Shinji, Yamanaka Noboru
Department of Otolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama City, Japan.
Ann Otol Rhinol Laryngol. 2006 May;115(5):365-9. doi: 10.1177/000348940611500509.
We used a retrospective case series to perform a preliminary study to determine the clinical effectiveness and cost-effectiveness of tonsillectomy for recurrent acute tonsillitis.
We studied 25 children and 16 adults who had tonsillectomy for recurrent acute tonsillitis. The adult patients and the children's caregivers were asked to respond to a questionnaire regarding the efficacy of their tonsillectomy. The cost of medical care and the work disability cost for tonsillitis and for tonsillectomy were calculated. We then applied the technique of break-even time analysis to assess when the total health care cost savings from surgery overtook the total cost of tonsillectomy.
In children, the overall economic costs (medical costs and work-related costs) were recovered at 1.6 years after tonsillectomy (break-even point). In adults, the overall economic costs (medical costs and work-related costs) were recovered at 2.5 years after tonsillectomy (break-even point).
Tonsillectomy for recurrent acute tonsillitis is both clinically effective and cost-effective for children and adults in Japan.
我们采用回顾性病例系列进行初步研究，以确定扁桃体切除术治疗复发性急性扁桃体炎的临床疗效和成本效益。
我们研究了25名接受扁桃体切除术治疗复发性急性扁桃体炎的儿童和16名成人。成年患者和儿童的照顾者被要求回答一份关于扁桃体切除术疗效的问卷。计算了扁桃体炎和扁桃体切除术的医疗费用及工作残疾成本。然后应用收支平衡时间分析技术来评估手术节省的总医疗费用何时超过扁桃体切除术的总成本。
在儿童中，扁桃体切除术后1.6年（收支平衡点）收回了总体经济成本（医疗成本和与工作相关的成本）。在成人中，扁桃体切除术后2.5年（收支平衡点）收回了总体经济成本（医疗成本和与工作相关的成本）。
在日本，扁桃体切除术治疗复发性急性扁桃体炎对儿童和成人在临床和成本效益方面均有效。
