@Oldboatie @bykatewomersley It’s funny. I made a similar point about tonsillectomy: most of those treated don’t meet criteria + most who meet criteria aren’t treated. It’s a common problem in medicine. https://t.co/4lRSibVdc7 https://t.co/mqxoZBg9KV
@GongGasGirl A reminder: 1) There are no RCTs of tonsillectomy in teenagers. The effectiveness of this operation is unknown. 2) ~90% of children aged <15 who undergo tonsillectomy do not meet guideline criteria (even with most generous interpretation of
@jade_beeston @SAS_gas_Thomas Tonsillectomy in children: how many meet evidence-based criteria for surgery? https://t.co/zEXXa4ZsMN
RT @TomPMarshall: We know most tonsillectomies are unnecessary. Most are carried out in children in whom they are not indicated. https://t.…
We know most tonsillectomies are unnecessary. Most are carried out in children in whom they are not indicated. https://t.co/CB9lWjMzU3 We know every couple of years in the UK a child dies because of tonsillectomy. Can someone explain why nobody seems con
@kiranraspatel @malamawkin Congratulations! Some pre-reading. 🙂 https://t.co/CB9lWjMzU3
“Why do patients insist they want unnecessary surgery?” Could it be that doctors lie to them about the benefits?
3. 90% of children with recurrent sore throats do not have tonsillectomy 80% of children with sleep apnoea do not have tonsillectomy Most children who DO have tonsillectomy don't meet evidence-based criteria. Unsurprising given misinformation Ref: ht
Misinformation in BCH leaflet.😱 1. Tonsillectomy for 5 *documented* attacks in 2 years (not 4) 2. Sleep apnoea improves with no treatment 3. 80% of children with sleep apnoea do NOT have tonsillectomy https://t.co/CGxzx0PX90 @Bham_Childrens https://t.co
@peakpilot @berthagarcia5 @DShadowgazer Here is a paper on tonsillectomy in the 21st century https://t.co/zEXXa4ZsMN
@TomPMarshall @dnepo @DrNickTwit @otolaryngolofox You fully support your paper. But it does need critical appraisal, which I see people have attempted to do https://t.co/Vk1YdKNZ8Q You have reknowned Paediatric ENT surgeons on your doorstep in Birmingham,
@EpiEllie Ha ha! Don't bother removing tonsils. If doctors understood science they wouldn't either... https://t.co/4lRSibVdc7
Presented 3 examples of analysis of primary care records at Café Scientifique in Leamington Spa this evening. I was delighted that one of the audience shared my horror at the scandal of childhood tonsillectomies. https://t.co/4lRSibVdc7
Incidence of indications for tonsillectomy and frequency of evidence-based surgery: a 12-year retrospective cohort study of primary care electronic records https://t.co/DfXBaG0197
@LauraHRussell @anish_koka @RogueRad @pash22 @venkmurthy @rwyeh @OfficialNIHR @VPrasadMDMPH @First10EM @BJGPjournal Ignore it. Over time sleep apnoea will improve. In our analysis we found 78% of children who consult their GPs with sleep apnoea & 85%
RT @MartinFierro769: Plus de 30000 amygdalectomies non fondées sur des indications reconnues en UK et donc inutilement dangereuses pour les…
RT @pash22: In the UK, few children with evidence-based indications undergo tonsillectomy and seven in eight of those who do (32 500 of 37…
Plus de 30000 amygdalectomies non fondées sur des indications reconnues en UK et donc inutilement dangereuses pour les enfants. Pas de raison de croire que nous fassions mieux en France.
In the UK, few children with evidence-based indications undergo tonsillectomy and seven in eight of those who do (32 500 of 37 000 annually) are unlikely to benefit. https://t.co/dZjnaxaqyG via @TomPMarshall
RT @TomPMarshall: Made the top 10 😀 https://t.co/E54JHwdgXe
RT @TomPMarshall: Made the top 10 😀 https://t.co/E54JHwdgXe
An old hobby horse of mine. There are medical interventions we still do for which the evidence of benefit is pretty ropey such as grommets and tonsillectomies.... Any others to add to the list? @felly500 @Smithkjj
RT @TomPMarshall: Made the top 10 😀 https://t.co/E54JHwdgXe
Made the top 10 😀
RT @BJGPjournal: No. 10 of @BJGPjournal’s Top 10 most read research articles of 2018 https://t.co/yg06egtU3G
RT @BJGPjournal: No. 10 – Evidence for tonsillectomy – Few children with evidence-based indications undergo tonsillectomy, and seven out of…
RT @BJGPjournal: No. 10 – Evidence for tonsillectomy – Few children with evidence-based indications undergo tonsillectomy, and seven out of…
RT @BJGPjournal: No. 10 of @BJGPjournal’s Top 10 most read research articles of 2018 https://t.co/yg06egtU3G
No. 10 of @BJGPjournal’s Top 10 most read research articles of 2018
RT @BJGPjournal: No. 10 – Evidence for tonsillectomy – Few children with evidence-based indications undergo tonsillectomy, and seven out of…
No. 10 – Evidence for tonsillectomy – Few children with evidence-based indications undergo tonsillectomy, and seven out of eight who do are unlikely to benefit @TomPMarshall https://t.co/aLFHbE9CAf https://t.co/EinyxwAmsq
Few children with evidence-based indications undergo tonsillectomy, and seven out of eight who do are unlikely to benefit https://t.co/DvdpRSjxIm https://t.co/oRy3ClJdkZ
Agree, another major waste of health resources in affluent countries, been going on for decades and won’t stop anytime soon. Particularly rampant where ‘fee for service’ motivates the surgeon.
@deb_cohen Tonsillectomy in children. A $1.8 billion a year industry in the USA. Evidence? Only very severely affected children benefit. In the UK most of these don't have their tonsils out & the vast majority of UK childhood tonsillectomies are not ev
@TopDoctors_UK Oh and by the way, most children with 7 confirmed episodes of severe sore throat (tonsillitis) per year (or 5 yearly for 2 years; or 3 yearly for 3 years) DON'T EVER have their tonsils out. So not really very necessary. https://t.co/lZpW80l
@CaraSantaMaria Overuse of tonsillectomy is almost certainly worse in the USA where tonsillectomy rates are much higher than UK: 530,000 childhood tonsillectomies annually; at $3500 per operation this is a $1.855 billion a year industry. https://t.co/1a9
@oh_ayee Did you see this? https://t.co/1a9RKPrIJ6
@S_McClarancexx @NASS_ASone @NASSexercise Not sure if you are aware of this https://t.co/1a9RKPrIJ6
@nichols_katie You may be interested in this. https://t.co/1a9RKPrIJ6
RT @TomPMarshall: @HelenRCGP A conundrum. Most children with evidence-based indications don't have their tonsils removed. Most children who…
RT @TomPMarshall: What happens to children who have recurrent sore throats? We can reassure parents that the vast majority don't have their…
@HelenRCGP A conundrum. Most children with evidence-based indications don't have their tonsils removed. Most children who have tonsillectomies don't have evidence based indications. This has not changed for 12 years. https://t.co/1a9RKPrIJ6
RT @ENTIntegrate: Probably a good one for journal club! What are your thoughts? https://t.co/qZffL9cKmt
RT @earsandskiing: Well-circulated article on adherence with indications for tonsillectomy...however many patients don’t present to their g…
Incidence of indications for #tonsillectomy and frequency of evidence-based surgery: a 12-year retrospective cohort study of primary care electronic records https://t.co/6HzpgQuRhE
Well-circulated article on adherence with indications for tonsillectomy...however many patients don’t present to their general practioner or seek other urgent services including admission. Alternate indications eg OSA /malignancy not considered. How repres
RT @ENTIntegrate: Incidence of indications for tonsillectomy and frequency of evidence-based surgery: a 12-year retrospective cohort study…
RT @ENTIntegrate: Incidence of indications for tonsillectomy and frequency of evidence-based surgery: a 12-year retrospective cohort study…
RT @ENTIntegrate: Incidence of indications for tonsillectomy and frequency of evidence-based surgery: a 12-year retrospective cohort study…
RT @ENTIntegrate: Probably a good one for journal club! What are your thoughts? https://t.co/qZffL9cKmt
RT @ENTIntegrate: Incidence of indications for tonsillectomy and frequency of evidence-based surgery: a 12-year retrospective cohort study…
Probably a good one for journal club! What are your thoughts?
Incidence of indications for tonsillectomy and frequency of evidence-based surgery: a 12-year retrospective cohort study of primary care electronic records https://t.co/jS0GWPAl5W
@gogonefaria Aquí está el abstract del artículo que mencioné hace rato. https://t.co/ryDpOv4I9J
RT @TomPMarshall: Seven in eight childhood tonsillectomies probably cause more harm than good. Children with frequent, severe sore throats?…
RT @TomPMarshall: What happens to children who have recurrent sore throats? We can reassure parents that the vast majority don't have their…
RT @TomPMarshall: What happens to children who have recurrent sore throats? We can reassure parents that the vast majority don't have their…
Incidence of indications for tonsillectomy and frequency of evidence-based surgery https://t.co/7AAolOjFoP
RT @TomPMarshall: What happens to children who have recurrent sore throats? We can reassure parents that the vast majority don't have their…
RT @TomPMarshall: What happens to children who have recurrent sore throats? We can reassure parents that the vast majority don't have their…
RT @TomPMarshall: Seven in eight childhood tonsillectomies probably cause more harm than good. Children with frequent, severe sore throats?…
Incidence of indications for tonsillectomy and frequency of evidence-based surgery: a 12-year retrospective cohort study of primary care electronic records https://t.co/BiSfn9Z4HB
RT @TomPMarshall: What happens to children who have recurrent sore throats? We can reassure parents that the vast majority don't have their…
RT @TomPMarshall: What happens to children who have recurrent sore throats? We can reassure parents that the vast majority don't have their…
RT @TomPMarshall: Seven in eight childhood tonsillectomies probably cause more harm than good. Children with frequent, severe sore throats?…
What happens to children who have recurrent sore throats? We can reassure parents that the vast majority don't have their tonsils removed. https://t.co/1a9RKPrIJ6 https://t.co/CufI2G7TYi
Seven in eight childhood tonsillectomies probably cause more harm than good. Children with frequent, severe sore throats? Most don't ever have their tonsils out. https://t.co/1a9RKPrIJ6