Variability of Tonsil and Adenoid Surgery Rates in Children in Italy
Author Information
Author(s): Fedeli Ugo, Marchesan Maria, Avossa Francesco, Zambon Francesco, Andretta Marilisa, Baussano Iacopo, Spolaore Paolo
Primary Institution: SER-Epidemiological Department, Veneto Region, Castelfranco Veneto (TV), Italy
Hypothesis
The study aims to investigate variability of adenoidectomy and tonsillectomy rates among children in the Veneto Region, Italy.
Conclusion
Adenoidectomy and tonsillectomy rates in the Veneto Region remain high despite a decrease from 2000 to 2006, with significant differences based on nationality and local health units.
Supporting Evidence
- The overall number of A/T surgeries decreased by 8% from 2000 to 2006.
- Adenoidectomies decreased by 20%, while adenotonsillectomies increased by 18%.
- The overall rate of A/T surgeries among children aged 2–9 was 14.4 per 1000 person-years.
Takeaway
The study looked at how often kids in Italy get their tonsils or adenoids removed and found that it varies a lot depending on where they live and if they are Italian or not.
Methodology
A descriptive analysis of hospital discharge records from 2000 to 2006 was conducted, using a multilevel Poisson regression model to estimate incidence rate ratios for surgeries among children aged 2–9 years.
Potential Biases
The analysis did not include socioeconomic indicators, which may affect surgery rates.
Limitations
The study did not account for factors related to surgery rates at the Local Health Unit level, such as accessibility of primary health care.
Participant Demographics
Children aged 2–9 years in the Veneto Region, with 9.6% being non-nationals.
Statistical Information
P-Value
0.001
Confidence Interval
0.53–0.61
Statistical Significance
p < 0.001
Digital Object Identifier (DOI)
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