@CotsCardiology @dr_benoy_n_shah @pash22 @susan_bewley @michaelTCTMD @HealthWatchUK @IMMDSReview @mgtmccartney @MeshCampaign @White_Suz Is there any motivation to produce high quality evidence? Example: 350,000 tonsillectomies a year in children in the U
2. There are no RCTs of tonsillectomy for sleep apnoea in children aged <8 years. (i.e. no evidence it works) RCTs in children aged 8+ found half the control group recovered without surgery within 7 months Don't take my word for it. Read the evidence
'Tonsillectomy with or without adenoidectomy versus no surgery for obstructive sleep-disordered breathing in children', evidence review from @cochranecollab
@SteelCity_ENT @dlsmd @pash22 @NikkiKF @felly500 @DOTW_UK @NHSEngland @NHSCCPress Evidence Moderate quality: Better QoL, symptoms, caregiver rated behaviour No effect on teacher-rated behaviour High quality: Better PSG parameters No benefit: attention
@SteelCity_ENT @NikkiKF @felly500 @DrSdeG @dr_zo My analysis included children of all ages up to 15. There are no RCTs of tonsillectomy for OSA in children under 8 (don’t take my word for it, read a systematic review). https://t.co/WAxpd3GIWg
@HKalodimos Oath might not be enough Doctors take such an oath & yet the US has a $1 billion a year industry undertaking tonsillectomies in children. Evidence of benefit? Practically none (eg: no RCT of tonsillectomy for OSA before age 8) Harm? Deat
@alex_narvaez_r Aquí te adjunto el link de una revisión Cochrane, que es de lo mejor en evidencia científica, donde analiza la cirugía vs el tratamiento no quirúrgico cuando existen trastornos respiratorios obstructivos https://t.co/QuQNEEW9Uf
Tonsillectomy or adenotonsillectomy versus non-surgical management for obstructive sleep- https://t.co/sg5j6PGry9
RT @Actual_clinica: Amigdaloadenoidectomía versus tratamiento no quirúrgico para los trast. resp. obstr. del sueño en niños Cochrane https…
RT @Actual_clinica: Amigdaloadenoidectomía versus tratamiento no quirúrgico para los trast. resp. obstr. del sueño en niños Cochrane https…
Amigdaloadenoidectomía versus tratamiento no quirúrgico para los trast. resp. obstr. del sueño en niños Cochrane https://t.co/JzycbzonTA
Nielu- ja kitarisojen poisto voi auttaa lapsen obstruktiivisen uniapneaan https://t.co/mChQxHCEmh #uniapnea #kuorsaus #nielurisat #kitarisa
Kortom: indicatie voor #ATE bij kinder#OSAS niet eenduidig, dient per patiënt bepaald te worden 4/4 https://t.co/OQBprxfuCN
#OSAS bij kinderen verdwijnt bij 50% binnen 1 jaar, dus afwachten kan zeker een optie zijn 3/4 https://t.co/OQBprxfuCN
#ATE bij kinder#OSAS geen duidelijk effect op concentratie of schoolprestaties 2/4 https://t.co/OQBprxfuCN
#ATE effectief en verbetert kwaliteit van leven bij kinder #OSAS 1/4 https://t.co/OQBprxfuCN
RT @CochraneENT: #CochraneEvidence - #Tonsillectomy for sleep disordered breathing #SDB http://t.co/RpbFAngk4Z @Hearing_Library
#CochraneEvidence - #Tonsillectomy for sleep disordered breathing #SDB http://t.co/RpbFAngk4Z @Hearing_Library
#CochraneEvidence - #Tonsillectomy for sleep disordered breathing #SDB http://t.co/RpbFAngk4Z @UKCochraneCentr
#CochraneEvidence - #Tonsillectomy for obstructive sleep apneo #OSA http://t.co/ZgW1RQZCjM
Tonsillectomy with or without adenoidectomy versus no surgery for obstructive sleep… http://t.co/AjKPa8zuCT
RT @CochraneAirways: RT @CochraneENT: #CochraneEvidence - #Tonsillectomy for sleep disordered breathing #SDB http://t.co/OCaM4KZiz9 @martin…
RT @CochraneENT: #CochraneEvidence - #Tonsillectomy for obstructive sleep apneo #OSA http://t.co/ZgW1RQZCjM @CochraneAirways @martinjburton…
#CochraneEvidence - #Tonsillectomy for obstructive sleep apneo #OSA http://t.co/ZgW1RQZCjM @CochraneAirways @martinjburton @evident_ucl
RT @CochraneENT: #CochraneEvidence - #Tonsillectomy for sleep disordered breathing #SDB http://t.co/OCaM4KZiz9 @martinjburton @evident_ucl
RT @CochraneENT: #CochraneEvidence - #Tonsillectomy for sleep disordered breathing #SDB http://t.co/RpbFAngk4Z @CochraneAirways @martinjbur…
#CochraneEvidence - #Tonsillectomy for sleep disordered breathing #SDB http://t.co/RpbFAngk4Z @CochraneAirways @martinjburton @evident_ucl