Does the quality of life impact of tonsillitis correlate with SIGN guideline compliance? An assessment of range and normality.

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Does the quality of life impact of tonsillitis correlate with SIGN guideline compliance? An assessment of range and normality.

Clin Otolaryngol. 2016 Oct;41(5):481-6

Authors: Roplekar R, Van M, Hussain SS

Abstract
OBJECTIVES: To assess the scores of those who are eligible to be listed for tonsillectomy through compliance with the SIGN guidelines for any trends or range.
DESIGN: A prospective study of all patients (aged 16 or above) listed for elective tonsillectomy from a nurse led tonsil clinic. Patients were given a TOI-14 questionnaire to complete after they had been added to the waiting list for surgery, but before undergoing tonsillectomy. Scores were assessed using SPSS.
SETTING: Outpatient clinic.
PARTICIPANTS: Patients aged over 16 listed for Tonsillectomy via SIGN Guideline 117.
MAIN OUTCOME MEASURE: Scores from TOI-14, completed pre-operatively.
RESULTS: 155 patients were listed from the nurse led clinic from October 2012 to August 2014; 5 questionnaires were excluded for being incomplete. The score range was 55 (15-70), with a calculated mean score of 45.62 and standard deviation of 9.701. Over 95% of results were within 2 standard deviations of the mean. A calculated negative skew also confirms that most patients who have clinical indications for tonsillectomy compliant with the SIGN guidelines show a higher score on the TOI-14.
CONCLUSION: This analysis indicates a trend of pre-intervention scores on the TOI-14 questionnaire for those patients who have a SIGN guideline compliant clinical indication for a tonsillectomy. We therefore propose that this suggests correlation between 'clinically strong' indication for tonsillitis and patient perceived Quality of Life impact.

PMID: 26506401 [PubMed - indexed for MEDLINE]

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