Cochrane · systematic review · CD001802

Tonsillectomy or adenotonsillectomy versus non‐surgical treatment for chronic/recurrent acute tonsillitis

Burton, MJ, Glasziou, PP, Chong, LY, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

ENTAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 50%Moderate 4 · 50%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Tonsillectomy or adenotonsillectomy versus no surgery in children with chronic/recurrent acute tonsillitis

Population: Children with chronic/recurrent acute tonsillitis
8 questions
OutcomeEffectEvidenceStatus / GRADE
Episodes of sore throat of any severity Including as 1 episode the period post‐surgery)
Tonsillectomy or adenotonsillectomy vs no surgery
no estimate extracted5 studies · 795 participantsModerate
Downgraded: imprecision
Episodes of moderate/severe sore throat(subgroup of severely affected patients) Including as 1 episode the period post‐surgery)
Tonsillectomy or adenotonsillectomy vs no surgery
no estimate extracted1 study · 73 participantsLow
Downgraded: imprecision
Episodes of moderate/severe sore throat(subgroup of moderately affected patients) Not including as 1 episode the period post‐surgery
Tonsillectomy or adenotonsillectomy vs no surgery
no estimate extracted3 studies · 491 participantsModerate
Downgraded: imprecision
Sore throat days (including those immediately post‐surgery
Tonsillectomy or adenotonsillectomy vs no surgery
no estimate extracted5 studies · 776 participantsModerate
Downgraded: imprecision
Absence from school or work (standardised to 180 school days or followed up for 5 to 6 months)
Tonsillectomy or adenotonsillectomy vs no surgery
no estimate extracted4 studies · 412 participantsModerate
Complications ‐ results not pooled
Tonsillectomy or adenotonsillectomy vs no surgery
no estimate extracted1 participantsLow
Downgraded: imprecision
All‐cause mortality ‐ not reported
Tonsillectomy or adenotonsillectomy vs no surgery
no estimate extractedNRLow
Downgraded: imprecision
Quality of life ‐ results not pooled
Tonsillectomy or adenotonsillectomy vs no surgery
no estimate extracted2 studies · 2 participantsLow
Downgraded: imprecision