Cochrane · systematic review · CD011165
Tonsillectomy or adenotonsillectomy versus non‐surgical management for obstructive sleep‐disordered breathing in children
Venekamp, RP, Hearne, BJ, Chandrasekharan, D, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
11
current version
GRADE rated
11
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 27.3%Low 2 · 18.2%Moderate 3 · 27.3%High 3 · 27.3%
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
Comparison
Population: children with obstructive sleep‐disordered breathing
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Disease‐specific quality of life or symptoms [mean total scores at 7 months] | no estimate extracted | 1 study · 395 participants | Moderate Downgraded: risk of bias |
Adverse events, complications and morbidity associated with (adeno)tonsillectomy and comparators Expressed as the proportion of children experiencing a serious adverse event [7 months] | no estimate extracted | 1 study · 397 participants | Moderate Downgraded: risk of bias, imprecision |
Respiratory events during sleep as measured by the AHI using PSG [mean AHI at 7 months] | no estimate extracted | 1 study · 407 participants | High |
Neurocognitive performance [7 months] | no estimate extracted | 1 study · 397 participants | High |
Attention [mean NEPSY at 7 months] | no estimate extracted | 1 study · 397 participants | High |
Behaviour [mean scores at 7 months] | no estimate extracted | 1 study · 392 participants | Moderate Downgraded: risk of bias, imprecision |
Adverse events, complications and morbidity associated with (adeno)tonsillectomy and comparators [6 months] | no estimate extracted | 1 study · 20 participants | Very low Downgraded: risk of bias |
Respiratory events during sleep as measured by the AHI using PSG [median AI at 6 months] | no estimate extracted | 1 study · 20 participants | Very low Downgraded: risk of bias |
Disease‐specific quality of life or symptoms [mean score at 12 months] | no estimate extracted | 1 study · 73 participants | Low Downgraded: risk of bias, imprecision |
Adverse events, complications and morbidity associated with (adeno)tonsillectomy and comparators Expressed as the proportion of children experiencing adverse events [12 months] | no estimate extracted | 1 study · 73 participants | Very low Downgraded: risk of bias, imprecision |
Respiratory events during sleep as measured by the AHI using PSG [mean AHI at 12 months] | no estimate extracted | 1 study · 73 participants | Low Downgraded: risk of bias, imprecision |