Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Münster, Münster, Germany.
Institute of Immunology, University Hospital Münster, Röntgenstr. 21, 48149, Münster, Germany.
Health Qual Life Outcomes. 2019 Jul 15;17(1):122. doi: 10.1186/s12955-019-1192-z.
Instruments that measure the patient-reported outcome and quality of life are essential to assess the treatment success of any medical intervention. This review represents valid and reliable outcome assessment instruments for tonsillectomy (TE) and tonsillotomy (TO) in adult patients as TE/TO still belong to one of the most common performed surgical procedures.
A systematic review of the literature in the MEDLINE, PubMed, Web of Science and Cochrane Library was conducted. Studies describing reliable and valid patient-reported outcome measures (PROM) in adults with regard to the perioperative as well as postoperative follow-up after TE/TO were examined. Thus, studies without PROMs or PROMs only relating to children as well as studies in non-English/non-German language or without any detailed information were excluded.
Four thousand four hundred forty studies were identified. Thirteen reliable and valid patient-reported outcome assessment instruments presenting the perioperative and postoperative outcome were analysed. Four generic questionnaires are included that are used to measure the outcome after TE/TO in adults. Four disease-specific questionnaires relating to obstructive sleep apnea (OSA) and sleep disordered breathing (SDB) as well as two TE/TO specific questionnaires are validated for adults. With regard to the perioperative outcome including parameters like pain, nausea, vomiting, satisfaction three assessment instruments are analysed.
This review describes the currently available, reliable and valid generic and disease-specific instruments assessing the perioperative as well as postoperative outcome to evaluate the treatment success after TE/TO in adult patients. Therefore, this study improves the selection of the appropriate patient-reported outcome assessment instrument to assess the quality of life in adults undergoing TE/TO.
评估任何医疗干预的治疗成功，衡量患者报告的结果和生活质量的工具至关重要。本篇综述代表了针对成人扁桃体切除术（TE）和扁桃体切开术（TO）的有效且可靠的结果评估工具，因为 TE/TO 仍然是最常见的手术之一。
对 MEDLINE、PubMed、Web of Science 和 Cochrane Library 中的文献进行系统回顾。检查了描述 TE/TO 围手术期和术后随访中可靠和有效的患者报告结果测量（PROM）的研究。因此，排除了没有 PROM 或仅涉及儿童的 PROM、非英语/德语语言的研究或没有任何详细信息的研究。
确定了 4440 项研究。分析了 13 种可靠且有效的患者报告结果评估工具，以呈现围手术期和术后结果。其中包括 4 种通用问卷，用于测量成人 TE/TO 后的结果。4 种与阻塞性睡眠呼吸暂停（OSA）和睡眠呼吸障碍（SDB）相关的疾病特异性问卷以及 2 种 TE/TO 特异性问卷已针对成人进行验证。针对包括疼痛、恶心、呕吐、满意度在内的围手术期结果，分析了 3 种评估工具。
本篇综述描述了目前可用于评估成人 TE/TO 围手术期和术后结果以评估治疗成功的可靠且有效的通用和疾病特异性工具。因此，本研究有助于选择适当的患者报告结果评估工具来评估接受 TE/TO 的成年人的生活质量。
