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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 05638naa a2200733 4500 | |
| 001 | oai:gup.ub.gu.se/257750 | |
| 003 | SwePub | |
| 008 | 240910s2017 | |||||||||||000 ||eng| | |
| 009 | oai:DiVA.org:oru-59111 | |
| 009 | oai:prod.swepub.kib.ki.se:136575421 | |
| 024 | 7 | a https://gup.ub.gu.se/publication/2577502 URI |
| 024 | 7 | a https://doi.org/10.1007/s00405-017-4679-42 DOI |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-591112 URI |
| 024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1365754212 URI |
| 040 | a (SwePub)gud (SwePub)orud (SwePub)ki | |
| 041 | a eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Alm, Fredrik,d 1983-u Örebro universitet,Institutionen för hälsovetenskaper,Department of Anaesthesia and Intensive Care,CPoN4 aut0 (Swepub:oru)eam |
| 245 | 1 0 | a Patient reported pain-related outcome measures after tonsil surgery: an analysis of 32,225 children from the National Tonsil Surgery Register in Sweden 2009-2016 |
| 264 | c 2017-08-16 | |
| 264 | 1 | b Springer Science and Business Media LLC,c 2017 |
| 500 | a Funding Agency:Swedish Association of Local Authorities and Regions | |
| 520 | a The objective of this study was to describe factors affecting pain after pediatric tonsil surgery, using patient reported pain-related outcome measures (pain-PROMs) from the National Tonsil Surgery Register in Sweden. In total, 32,225 tonsil surgeries on children (1 to < 18 years) during 2009-2016 were included; 13,904 tonsillectomies with or without adenoidectomy (TE +/- A), and 18,321 tonsillotomies with or without adenoidectomy (TT +/- A). Adjustments were made for variables included in the register to compensate for contributable factors in the analysis. When compared to TE +/- A for surgical indication obstruction, TT +/- A resulted in lower pain-PROMs, shorter use of postoperative analgesics, earlier return to regular food intake, and lower risk for contact with health care services due to pain. Children who underwent TE +/- A because of obstruction problems stopped taking painkillers and returned to normal eating habits sooner, compared to children who underwent TE +/- A for infectious indications. In both indication groups, TE +/- A performed with hot rather than cold technique (dissection and haemostasis) generally resulted in higher pain-PROMs. Older children reported more days on analgesics and a later return to regular food intake after TE +/- A than younger ones. No clinically relevant difference between sexes was found. Between 2012 and 2016 (pre-and post-implementation of Swedish national guidelines for pain treatment), the mean duration of postoperative analgesic use had increased. In conclusion, TE +/- A caused considerably higher ratings of pain-related outcome measures, compared to TT +/- A. For TE +/- A, cold surgical techniques (dissection and haemostasis) were superior to hot techniques in terms of pain-PROMs. Older children reported higher pain-PROMs after TE +/- A than younger ones. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Oto-rhino-laryngologi0 (SwePub)302182 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Otorhinolaryngology0 (SwePub)302182 hsv//eng |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Anestesi och intensivvård0 (SwePub)302012 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Anesthesiology and Intensive Care0 (SwePub)302012 hsv//eng |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng |
| 653 | a Children | |
| 653 | a Pain | |
| 653 | a PROM | |
| 653 | a Tonsillitis | |
| 653 | a Tonsillar hypertrophy | |
| 653 | a Tonsillectomy | |
| 653 | a Tonsillotomy | |
| 653 | a thermal welding tonsillectomy | |
| 653 | a postoperative recovery | |
| 653 | a pediatric-patients | |
| 653 | a cold dissection | |
| 653 | a morbidity | |
| 653 | a trial | |
| 653 | a adenotonsillectomy | |
| 653 | a adenoidectomy | |
| 653 | a metaanalysis | |
| 653 | a population | |
| 653 | a Children | |
| 653 | a Anestesiologi | |
| 653 | a Oto-rhino-laryngologi | |
| 653 | a Nursing Science | |
| 700 | 1 | a Stalfors, Joacim,d 1966u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för öron-, näs- och halssjukdomar,Institute of Clinical Sciences, Department of Otorhinolaryngology,Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Sheikh Khalifa Medical City, Ajman, United Arab Emirates4 aut0 (Swepub:gu)xstalj |
| 700 | 1 | a Nerfeldt, P.u Karolinska Institutet4 aut |
| 700 | 1 | a Ericsson, Elisabeth,d 1959-u Örebro universitet,Institutionen för hälsovetenskaper,CPoN4 aut0 (Swepub:oru)ehen |
| 700 | 1 | a Lifornia, V. P.4 aut |
| 710 | 2 | a Örebro universitetb Institutionen för hälsovetenskaper4 org |
| 773 | 0 | t European Archives of Oto-Rhino-Laryngologyd : Springer Science and Business Media LLCg 274:10, s. 3711-3722q 274:10<3711-3722x 0937-4477x 1434-4726 |
| 856 | 4 | u https://europepmc.org/articles/pmc5591799?pdf=render |
| 856 | 4 | u https://doi.org/10.1007/s00405-017-4679-4y Fulltext |
| 856 | 4 8 | u https://gup.ub.gu.se/publication/257750 |
| 856 | 4 8 | u https://doi.org/10.1007/s00405-017-4679-4 |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-59111 |
| 856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:136575421 |
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