When to remove tonsils and why so many children work unnecessarily



[ad_1]

Thousands of children perform surgeries to remove tonsils without need. A study in England showed that 7 out of 8 type-based operations for children in the country could barely yield any benefits.

There are criteria for the removal of amygdala, but followed by most of the cases studied in the United Kingdom

There are criteria for the removal of amygdala, but followed by most of the cases studied in the United Kingdom

Photo: Getty Images / BBC News Brazil

Tonzil, located near the bottom of the tongue, play an important role in the immune system and help protect the body from viruses and bacteria that enter through the mouth or nose. But they are one of those organs that are not necessarily necessary for survival.

According to the study, surgery can cause more harm than children. Not to mention spending in the English public health system, the NHS, which has already reported that it intends to reduce the number of amygdala withdrawal operations and other "ineffective" treatments where losses are greater than profit.

The study estimates that 7 out of 8 baby-type operations performed in the United Kingdom are not necessary

The study estimates that 7 out of 8 baby-type operations performed in the United Kingdom are not necessary

Photo: Getty Images / BBC News Brazil

Censorship removal criteria

According to researchers, removal of tonsils is indicated only if it meets one of the following criteria:

A study in England, published in The British Journal of General Practice, examined data on more than 1.6 million English children between 2005 and 2016. Of every 1,000 children in the country, two or three children underwent an amygdad-removal operation.

However, 88% (approximately 7 out of 8) did not meet the above criteria. Only 12% of operations performed during the period were clinically justified.

In the group of children who performed the surgery without fulfilling the criteria, 10% had only one episode of inflammation of the pharynx or inflammation.

On the basis of this data, the study estimated that 32,500 of the 37,000 childrens tallylines in the UK between 2016 and 2017 were not needed, as it was £ 36.9 million (about $ 180 million) for the public health system .

Tom Marshall, a professor at the Institute of Applied Health Research at the University of Birmingham, England and one of the authors of the study, says the operation may be justified in patients who are more affected.

"Research shows that children with less pain or inflammation of the throat will not benefit from justifying the operation, because in any case the sore throat usually disappears," he says.

Studies show that in many countries these surgeries are performed without clinical justification

Studies show that in many countries these surgeries are performed without clinical justification

Photo: Getty Images / BBC News Brazil

Removing the tonsils can lead to complications

Specialists point out that, as with all operations, tonlinectomies can lead to complications that may be rarely serious.

"When this operation is performed on the right group of children, it can significantly reduce sore throat infections, improve sleep quality, reduce the number of medical appointments, use antibiotics and, most importantly, improve the quality of the child's life and family," experts say at McGovern Medical School at the University in Texas, USA.

"However, morbidity is associated with an operation involving hospitalization, financial costs, risk of anesthesia, postoperative bleeding and scarring," they add.

"The fact is that up to 4% of the children they take may need to be re-hospitalized because of secondary complications, which means that it is crucial for this operation to be of paramount importance."

In addition, some studies show that childbearing of childbearing tonsils may have long-term benefits such as an increased risk of an early heart attack and respiratory diseases, such as asthma, pneumonia and influenza in adult life.

Although the complications of the operation are rare, they can be serious

Although the complications of the operation are rare, they can be serious

Photo: Getty Images / BBC News Brazil

Tonsillectomy Epidemic

The problem is not unique to the United Kingdom. The study, published in The Cochrane Review in 2014, compiled worldwide studies on the efficacy of the amygdala removal operation and concluded that a large number of operations were carried out without sufficient clinical justification.

The survey does not mention Brazil. Here, the Unified Health System (SUS) carried out 33,800 tonnill removal operations in 2017, of which 31,100 children (over 90%).

The United States is the country with the highest level of procedure. Every year, more than 500 thousand tonlinectomy is carried out for children – this is the third most common childhood surgery in the country. The rates are so high that the procedure has been described as an "epidemic".

"This is a silent epidemic of unnecessary health care," said David Goodman of Darthouth Atlas, a healthcare database at the Darmouth Institute of Health Policy and Clinical Practice in the United States.

"In most cases (tonzil removal) is performed in patients with symptoms that are much less repetitive than necessary to indicate the procedure," said Goodman.

BBC News
BBC News Brazil – All Rights Reserved. All reproductions are prohibited without the written permission of BBC News Brazil.

[ad_2]

Source link