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Therapeutics
Adenotonsillectomy marginally reduced sore throat episodes compared with watchful waiting in children

https://doi.org/10.1136/ebm.10.2.52

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    van Staaij BK, van den Akker EH, Rovers MM, et al. Effectiveness of adenotonsillectomy in children with mild symptoms of throat infections or adenotonsillar hypertrophy: open, randomised controlled trial. BMJ 2004;329:651.
    OpenUrlAbstract/FREE Full Text

    
 
 Q In children with mild symptoms of throat infections or adenotonsillar hypertrophy, is adenotonsillectomy more effective than watchful waiting?

    Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Paediatrics ★★★★★★☆

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    {concealed*}†.

    Embedded ImageBlinding:

    unblinded.*

    Embedded ImageFollow up period:

    median 22 months.

    Embedded ImageSetting:

    21 general hospitals and 3 academic centres in the Netherlands.

    Embedded ImagePatients:

    300 children who were 2–8 years of age (mean age 4.5 y, 51% girls) and required adenotonsillectomy. Exclusion: ⩾7 throat infections in the preceding year with ⩾5 in each of the previous 2 years or ⩾3 in each of the previous 3 years, suspected obstructive sleep apnoea, Down’s syndrome, craniofacial malformations, or immunodeficiency other than IgA or IgG …

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    Footnotes

    • ↵* See glossary.

    • ↵† Information provided by author.

    • For correspondence: Dr A G Schilder, University Medical Center Utrecht, The Netherlands. a.schilderwkz.azu.nl

    • Source of funding: Dutch Health Care Insurance Board.

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      BMJ Publishing Group Ltd
      BMJ Evidence-Based Medicine 2005; 10 64-64 Published Online First: 30 Mar 2005. doi: 10.1136/ebm.10.2.64