Konieczny K M, Pitts-Tucker T N, Biggs T C, Pringle M B
Portsmouth Hospitals NHS Foundation Trust , Portsmouth , UK.
University Hospital Southampton NHS Foundation Trust , Southampton , UK.
Ann R Coll Surg Engl. 2019 Jan;101(1):40-43. doi: 10.1308/rcsann.2018.0133. Epub 2018 Aug 16.
The T-14 questionnaire is a validated outcome measurement tool to assess the value of paediatric tonsillectomy from a parent's perspective. There is a paucity of data regarding the long-term postoperative effects of tonsillectomy on quality of life in the paediatric population. Our previous study assessed T-14 scores up to year 2 postoperatively, with this study extending follow-up to 5 years.
We undertook a prospective uncontrolled observational study examining 54 paediatric patients undergoing tonsillectomy at Portsmouth Hospitals NHS Trust. Parents of children undergoing surgery were invited to complete a T-14 questionnaire preoperatively, as well as at 3 months, 6 months, 1 year, 2 years and now 5 years postoperatively.
In total, 44 of 54 patients completed questionnaires preoperatively and at all postoperative time points, with 46 being completed at 5 years. There was a highly significant (P < 0.001) difference between the preoperative scores and all other measured T-14 scores postoperatively. The mean score preoperatively was 33.3 compared with 1.0 at 5 years.
This is the first study to assess long-term quality of life following paediatric tonsillectomy using the T-14 questionnaire. The benefits of tonsillectomy on long-term quality of life further confirms its value within the paediatric population.
T-14问卷是一种经过验证的结果测量工具，用于从家长的角度评估小儿扁桃体切除术的价值。关于扁桃体切除术对儿童人群术后长期生活质量影响的数据很少。我们之前的研究评估了术后2年内的T-14评分，本研究将随访时间延长至5年。
我们进行了一项前瞻性非对照观察性研究，对朴茨茅斯医院国民保健服务信托基金的54例接受扁桃体切除术的儿科患者进行了检查。邀请接受手术患儿的家长在术前以及术后3个月、6个月、1年、2年和现在的5年时完成T-14问卷。
54例患者中，共有44例在术前和所有术后时间点完成了问卷，5年时完成问卷的有46例。术前评分与术后所有其他测量的T-14评分之间存在高度显著差异（P < 0.001）。术前平均评分为33.3，而5年时为1.0。
这是第一项使用T-14问卷评估小儿扁桃体切除术后长期生活质量的研究。扁桃体切除术对长期生活质量的益处进一步证实了其在儿童人群中的价值。
