Dutch researchers say that based on their study, the rush decision of removing a child's tonsils may not be the best solution.
The
study, conducted by the University Medical Centre Utrecht in the
Netherlands, concluded that as tonsils functioned to trap inhaled
bacteria and viruses, the removal of these masses of tissue might not
be as beneficial to children as what was initially thought.
The
researchers gathered 151 childre
n who were randomly assigned to have
the operation within the following six weeks, and 149 children who were
made to merely monitor their conditions, with the instruction of
interventions should they be necessary. The children were from ages
2-8.
It excluded children suffering from frequent throat infections, and those whose tonsils had to be removed due to sleep apnea.
The
study's epidemiologist Dr Erik Buskens revealed that the children who
merely observed their conditions and did not resort to the operation
had fewer annual doctor visits. Those who avoided the surgery also
reportedly had fewer fevers, throat infections and respiratory
complications, according to News-Medical.net
Dr. Buskens also mentioned the implications on medical costs.
Upon
requesting the parents to record the costs needed for childcare, it was
revealed that parents of children who did not have the operation had
annual costs that were 46 percent lower than those of the parents of
children who did.
"The
balance between costs and effects in this population seemed unfavorable
for adenotonsillectomy, with incremental cost-effectiveness ratios in
excess of $423 per disease episode averted," the United Press
International quoted a statement about the study's findings. "With
time, the child's immune system matures and the difference in adverse
episodes disappears."
Tonsillectomy
is identified as one of the most frequent operations performed to
children. However, the Dutch researchers noted a drop in the number of
operations given in recent years.
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