A 20-year observational cohort of a 5 million patient population-Tonsillectomy rates in the context of two national policy changes.

Catriona M DouglasUrsula AltmyerLaura CottomDavid YoungPenelope ReddingLouise J Clark

Published in: Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery (2018)

There has been a significant decrease in tonsillectomy rates over the past two decades. Over the same time period, there has been a significant increase in admissions to secondary care with tonsillitis, peritonsillar abscess and deep neck space infection. These changes have happened in the context of two separate national policies being introduced-Scottish Intercollegiate Guideline Network (SIGN) guidelines for management of sore throat and the Scottish Reduction in Antibiotic Prescribing.

Keyphrases

quality improvement
public health
healthcare
primary care
palliative care
case report
mental health
emergency department
pain management
cross sectional
adverse drug
affordable care act