Coblation vs Different surgical technique (any)
Pain postoperative day 7 № of participants: 420 (5 studies) · patients requiring tonsillectomy (any diagnosis)
1 finding from 1 review
- no estimate extractedStudies not reportedLow
Findings
What do systematic reviews say?
40 questions · 40 findings · 6 reviews · ENT
No studies found 3 · 7.5%GRADE not reported 0 · 0%Very low 11 · 27.5%Low 11 · 27.5%Moderate 12 · 30%High 3 · 7.5%
Coblation vs Different surgical technique (any)
Intraoperative blood loss (mL) · patients requiring tonsillectomy (any diagnosis)
1 finding from 1 review
- no estimate extractedStudies not reportedVery low
Coblation vs Different surgical technique (any)
Primary bleeding № of participants: 2055 (25 studies) · patients requiring tonsillectomy (any diagnosis)
Coblation showed no clear difference in primary bleeding № of participants: 2055 (25 studies) compared with other surgical techniques (low certainty).
1 finding from 1 review
- RR 0.99 [0.48, 2.05]Studies not reportedLow
Coblation vs Different surgical technique (any)
Secondary bleeding № of participants: 2118 (25 studies) · patients requiring tonsillectomy (any diagnosis)
Coblation showed no clear difference in secondary bleeding № of participants: 2118 (25 studies) compared with other surgical techniques (low certainty).
1 finding from 1 review
- RR 1.36 [0.95, 1.95]Studies not reportedLow
Intervention not reported
Pain: severity score day 1 Scale from: 1 to 5 · patients with tonsillectomy
1 finding from 1 review
- Oral rinses, mouthwashes and sprays for improving recovery following tonsillectomy 2013 · Cochrane Headline outcomes onlyno estimate extracted1 study · 40 participantsLow
Intervention not reported
Complete resolution of symptoms (proportion of patients with 'immediate and persistent resolution of symptoms' from the point of surgery/randomisation up to end of study · children with PFAPA
The intervention showed no clear difference in complete resolution of symptoms (proportion of patients with… (moderate certainty).
1 finding from 1 review
- Tonsillectomy for periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis syndrome (PFAPA) 2019 · Cochrane Headline outcomes onlyRR 4.38 [0.64, 30.11]2 studies · 65 participantsModerate
Intervention not reported
Complications of surgery (haemorrhage and days with pain) · children with PFAPA
The review found no eligible studies for this question.
1 finding from 1 review
- Tonsillectomy for periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis syndrome (PFAPA) 2019 · Cochrane Headline outcomes onlyno estimate extractedStudies not reportedNo studies found
Intervention not reported
Number of episodes of fever and associated symptoms (episodes per person per month) · children with PFAPA
The intervention probably leads to lower number of episodes of fever and associated symptoms (episodes per… (moderate certainty).
1 finding from 1 review
- Tonsillectomy for periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis syndrome (PFAPA) 2019 · Cochrane Headline outcomes onlyRate ratio 0.08 [0.05, 0.13]2 studies · 65 participantsModerate
Intervention not reported
Severity of episodes (number of days with fever and the associated symptoms (per episode)) · children with PFAPA
The intervention showed no clear difference in severity of episodes (number of days with fever and the associated… (moderate certainty).
1 finding from 1 review
- Tonsillectomy for periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis syndrome (PFAPA) 2019 · Cochrane Headline outcomes onlyMean difference 1.81 study · 39 participantsModerate
Intervention not reported
Use of corticosteroids (proportion of patients using corticosteroids) · children with PFAPA
The intervention may leads to lower use of corticosteroids (proportion of patients using corticosteroids) (low certainty).
1 finding from 1 review
- Tonsillectomy for periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis syndrome (PFAPA) 2019 · Cochrane Headline outcomes onlyRR 0.58 [0.37, 0.92]1 study · 39 participantsLow
Intervention not reported
Absence or time off school · children with PFAPA
The review found no eligible studies for this question.
1 finding from 1 review
- Tonsillectomy for periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis syndrome (PFAPA) 2019 · Cochrane Headline outcomes onlyno estimate extractedStudies not reportedNo studies found
Intervention not reported
Quality of life · children with PFAPA
The review found no eligible studies for this question.
1 finding from 1 review
- Tonsillectomy for periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis syndrome (PFAPA) 2019 · Cochrane Headline outcomes onlyno estimate extractedStudies not reportedNo studies found
Intervention not reported
Disease‐specific quality of life or symptoms [mean total scores at 7 months] · children with obstructive sleep‐disordered breathing
1 finding from 1 review
- Tonsillectomy or adenotonsillectomy versus non‐surgical management for obstructive sleep‐disordered breathing in… 2015 · Cochrane Headline outcomes onlyno estimate extracted1 study · 395 participantsModerate
Intervention not reported
Respiratory events during sleep as measured by the AHI using PSG [mean AHI at 12 months] · children with obstructive sleep‐disordered breathing
1 finding from 1 review
- Tonsillectomy or adenotonsillectomy versus non‐surgical management for obstructive sleep‐disordered breathing in… 2015 · Cochrane Headline outcomes onlyno estimate extracted1 study · 73 participantsLow
Intervention not reported
Respiratory events during sleep as measured by the AHI using PSG [mean AHI at 7 months] · children with obstructive sleep‐disordered breathing
1 finding from 1 review
- Tonsillectomy or adenotonsillectomy versus non‐surgical management for obstructive sleep‐disordered breathing in… 2015 · Cochrane Headline outcomes onlyno estimate extracted1 study · 407 participantsHigh
Intervention not reported
Neurocognitive performance [7 months] · children with obstructive sleep‐disordered breathing
1 finding from 1 review
- Tonsillectomy or adenotonsillectomy versus non‐surgical management for obstructive sleep‐disordered breathing in… 2015 · Cochrane Headline outcomes onlyno estimate extracted1 study · 397 participantsHigh
Intervention not reported
Attention [mean NEPSY at 7 months] · children with obstructive sleep‐disordered breathing
1 finding from 1 review
- Tonsillectomy or adenotonsillectomy versus non‐surgical management for obstructive sleep‐disordered breathing in… 2015 · Cochrane Headline outcomes onlyno estimate extracted1 study · 397 participantsHigh
Intervention not reported
Behaviour [mean scores at 7 months] · children with obstructive sleep‐disordered breathing
1 finding from 1 review
- Tonsillectomy or adenotonsillectomy versus non‐surgical management for obstructive sleep‐disordered breathing in… 2015 · Cochrane Headline outcomes onlyno estimate extracted1 study · 392 participantsModerate
Intervention not reported
Respiratory events during sleep as measured by the AHI using PSG [median AI at 6 months] · children with obstructive sleep‐disordered breathing
1 finding from 1 review
- Tonsillectomy or adenotonsillectomy versus non‐surgical management for obstructive sleep‐disordered breathing in… 2015 · Cochrane Headline outcomes onlyno estimate extracted1 study · 20 participantsVery low
Intervention not reported
Disease‐specific quality of life or symptoms [mean score at 12 months] · children with obstructive sleep‐disordered breathing
1 finding from 1 review
- Tonsillectomy or adenotonsillectomy versus non‐surgical management for obstructive sleep‐disordered breathing in… 2015 · Cochrane Headline outcomes onlyno estimate extracted1 study · 73 participantsLow