新证据对小儿扁桃体切除术和腺样体切除术区域差异的影响：历史回顾。
The impact of new evidence on regional variation in paediatric tonsillectomy and adenoidectomy: a historical review.
机构信息
Department of Otorhinolaryngology and Head and Neck Surgery, Leiden University Medical Center, Leiden and the Hague, the Netherlands.
University Neurosurgical Center Holland (affiliation of Leiden University Medical Center, the Hague Medical Center, and Haga Teaching Hospitals), Leiden and the Hague, the Netherlands.
出版信息
J Laryngol Otol. 2020 Dec;134(12):1036-1043. doi: 10.1017/S002221512000273X.
BACKGROUND
Tonsillectomy and adenoidectomy have been among the most commonly performed procedures in children for approximately 100 years. These procedures were the first for which unwarranted regional variation was discovered, in 1938. Indications for these procedures have become stricter over time, which might have reduced regional practice variation.
METHODS
This paper presents a historical review on practice variation in paediatric tonsillectomy and adenoidectomy rates. Data on publication year, region, level of variation, methodology and outcomes were collected.
RESULTS
Twenty-one articles on practice variation in paediatric tonsil surgery were included, with data from 12 different countries. Significant variation was found throughout the years, although a greater than 10-fold variation was observed only in the earliest publications.
CONCLUSION
No evidence has yet been found that better indications for tonsillectomy and adenoidectomy have reduced practice variation. International efforts are needed to reconsider why we are still unable to tackle this variation.
背景
大约 100 年来，扁桃体切除术和腺样体切除术一直是儿童最常进行的手术之一。这些手术是在 1938 年首次发现不必要的区域性差异的手术。随着时间的推移，这些手术的适应证变得更加严格，这可能减少了区域性手术实践的差异。
方法
本文对儿童扁桃体切除术和腺样体切除术率的手术实践差异进行了历史回顾。收集了发表年份、地区、变异程度、方法学和结果等数据。
结果
共纳入 21 篇关于儿科扁桃体手术实践差异的文章，数据来自 12 个不同的国家。虽然仅在最早的出版物中观察到 10 倍以上的差异，但多年来发现了显著的差异。
结论
目前还没有证据表明扁桃体切除术和腺样体切除术的适应证更好减少了手术实践的差异。需要国际上做出努力，重新考虑为什么我们仍然无法解决这种差异。
Zotero 插件