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

R. Roplekar (Lead / Corresponding author), M. Van, S. S M Hussain

    Research output: Contribution to journalArticle

    2 Citations (Scopus)

    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.

    Original languageEnglish
    Pages (from-to)481-486
    Number of pages6
    JournalClinical Otolaryngology
    Volume41
    Issue number5
    Early online date15 Feb 2016
    DOIs
    Publication statusPublished - 1 Oct 2016

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