Title:
Tonsillectomy compared to acute tonsillitis in children: a comparison study of societal costs
Authors:
P. Leupe , V. Hox , F. Debruyne , W. Schrooten , .N. Claes , N. Lemkens and P. Lemkens
Institutions:
Department of Otorhinolaryngology, Head and Neck surgery, Ziekenhuis Oost Limburg, Genk, Belgium; Department of Otorhinolaryngology, Head and Neck surgery, University Hospital Leuven, Leuven, Belgium; Faculty of Medicine University of Hasselt, Hasselt, Belgium.
Keywords:
Tonsillectomy; tonsillitis; cost of illness; health care costs; costs and cost analysis
Pages:
103 - 111
Abstract:
Tonsillectomy compared to acute tonsillitis in children: a comparison study of societal cost. Introduction and aim: Tonsillectomy is one of the most commonly performed surgical procedures in children; its main indications are recurrent episodes of acute tonsillitis and adenotonsillar hypertrophy. The effectiveness of tonsillectomy for severe recurrent tonsillitis is generally accepted; however its socio-economic cost is less well investigated. This study aims to determine and compare the societal cost of a tonsillectomy and a severe throat infection. Materials and methods: The costs for both tonsillectomy and severe throat infection were evaluated. Costs of the surgi- cal procedure and hospital stay were calculated based on resource use and personnel input at the participating hospital. The cost of work-related disability for both treatments was measured based on a questionnaire filled in by 275 parents of children undergoing a tonsillectomy. Data from two Belgian institutions (NIS and FOD) were used to calculate the cost of parents absenteeism. Results: An episode of acute tonsillitis in the child results in a longer period of parents work absenteeism (mean of 3.1 +/- 0.3 days) compared to tonsillectomy (2.2 +/- 0.2 days). The cost of economic productivity loss amounts to 613 (NIS) or 759 (FOD) for acute tonsillitis and 435 (NIS) or 539 (FOD) for a tonsillectomy. The medical costs linked to the surgical procedure at the local department correspond to 535 and for an acute tonsillitis to 46. Conclusions: From societal perspective, a tonsillectomy costs the equivalent of 1.4 times the cost of a severe throat infec- tion. This indicates that in children suffering from recurrent acute tonsillitis, watchful waiting results in a higher cost compared to tonsillectomy, given the cumulative costs of parents absenteeism.
Issue:
Vol. 8, 2012, 2nd trimester


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Tonsillectomy compared to acute tonsillitis in children: a comparison study of societal costs