Cochrane · systematic review · CD011365
Tonsillectomy versus tonsillotomy for obstructive sleep‐disordered breathing in children
Blackshaw, H, Springford, LR, Zhang, L-Y, et al. · Cochrane Database of Systematic Reviews · 2020 · 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 71.4%Low 0 · 0%Moderate 2 · 28.6%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 compared to tonsillotomy for obstructive sleep‐disordered breathing in children
Population: children aged 2 years up to the age of 16 years with obstructive sleep‐disordered breathing
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Clinical effectiveness expressed as disease‐specific quality of life (Measured using a validated instrument) Tonsillectomy vs tonsillotomy | no estimate extracted | 3 studies · 410 participants | Very low Downgraded: risk of bias, imprecision, publication bias |
Peri‐operative blood loss (Volume measured in mL) Tonsillectomy vs tonsillotomy | no estimate extracted | 8 studies · 610 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Postoperative complications requiring medical intervention (with or without hospitalisation) Tonsillectomy vs tonsillotomy | RR 1.75 [1.06, 2.91] | 16 studies · 1416 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Severity of postoperative pain (Rated by parents using a 10‐point visual analogue scale) Tonsillectomy vs tonsillotomy | no estimate extracted | 4 studies · 368 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Return to normal activity Tonsillectomy vs tonsillotomy | no estimate extracted | 3 studies · 284 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Recurrence of oSDB as a result of tonsil regrowth Tonsillectomy vs tonsillotomy | RR 0.26 [0.03, 2.22] | 3 studies · 186 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Reoperation rates Tonsillectomy vs tonsillotomy | RR 0.32 [0.08, 1.28] | 2 studies · 166 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |