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

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Alm, Fredrik,1983-Örebro universitet,Institutionen för hälsovetenskaper,Department of Anaesthesia and Intensive Care,CPoN (författare)

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

Artikel/kapitelEngelska2017

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2017-08-16
Springer Science and Business Media LLC,2017

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LIBRIS-ID:oai:gup.ub.gu.se/257750
https://gup.ub.gu.se/publication/257750URI
https://doi.org/10.1007/s00405-017-4679-4DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-59111URI
http://kipublications.ki.se/Default.aspx?queryparsed=id:136575421URI

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Språk:engelska

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Funding Agency:Swedish Association of Local Authorities and Regions
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.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Oto-rhino-laryngologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Otorhinolaryngology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Anestesi och intensivvård hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Anesthesiology and Intensive Care hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
Children
Pain
PROM
Tonsillitis
Tonsillar hypertrophy
Tonsillectomy
Tonsillotomy
thermal welding tonsillectomy
postoperative recovery
pediatric-patients
cold dissection
morbidity
trial
adenotonsillectomy
adenoidectomy
metaanalysis
population
Children
Anestesiologi
Oto-rhino-laryngologi
Nursing Science

Biuppslag (personer, institutioner, konferenser, titlar ...)

Stalfors, Joacim,1966Gothenburg 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 Emirates(Swepub:gu)xstalj (författare)
Nerfeldt, P.Karolinska Institutet (författare)
Ericsson, Elisabeth,1959-Örebro universitet,Institutionen för hälsovetenskaper,CPoN(Swepub:oru)ehen (författare)
Lifornia, V. P. (författare)
Örebro universitetInstitutionen för hälsovetenskaper (creator_code:org_t)

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Ingår i:European Archives of Oto-Rhino-Laryngology: Springer Science and Business Media LLC274:10, s. 3711-37220937-44771434-4726

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Av författaren/redakt...: Alm, Fredrik, 19 ...; Stalfors, Joacim ...; Nerfeldt, P.; Ericsson, Elisab ...; Lifornia, V. P.

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Oto rhino laryng ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Anestesi och int ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

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Av lärosätet: Göteborgs universitet; Örebro universitet; Karolinska Institutet

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