Decreased clinic visits for acute respiratory infections following an adult tonsillectomy: A population-based study

Shiu Dong Chung, Shih Han Hung, Herng Ching Lin, Kuan Chen Chen

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: This study attempted to investigate the effects of a tonsillectomy on utilization of medical resources for acute respiratory infections by comparing numbers and costs of clinic visits within 1. year before and after a tonsillectomy. Materials and methods: Data for this study were retrieved from the Taiwan Longitudinal Health Insurance Database 2005. The study includes 481 patients aged 18-80. years who underwent a tonsillectomy and 481 comparison patients. A multivariate regression model employing difference-in-difference was carried out to assess the independent association between a tonsillectomy and the number and costs of clinic visits. Results: We found that for patients who underwent a tonsillectomy, the mean number of clinic visits for acute respiratory care 1. year before and after the index date significantly decreased from 7.3 to 4.2 (p <. 0.001). However, for the comparison group, there was no significant difference in the number (p = 0.540) or costs (p = 0.221) of clinic visits for acute respiratory care 1. year before and after the index date. A multivariate regression model revealed that a tonsillectomy was associated with a reduction of 3.38 in the mean number of clinic visits for acute respiratory care (p <. 0.001). In other words, a tonsillectomy reduced by 46.3% (3.38/7.3) the number of clinic visits for acute respiratory care after adjusting for sociodemographic characteristics and medical comorbidities compared to comparison patients. Conclusions: This study demonstrated that a tonsillectomy was of substantial benefit to adult patients in that it provides decreased healthcare utilization for acute respiratory infections.

Original languageEnglish
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
DOIs
Publication statusAccepted/In press - Apr 6 2017

Fingerprint

Tonsillectomy
Ambulatory Care
Respiratory Tract Infections
Population
Costs and Cost Analysis
Health Insurance
Taiwan
Comorbidity
Databases
Delivery of Health Care

Keywords

  • Acute respiratory infection
  • Epidemiology
  • Tonsillectomy

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

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title = "Decreased clinic visits for acute respiratory infections following an adult tonsillectomy: A population-based study",
abstract = "Purpose: This study attempted to investigate the effects of a tonsillectomy on utilization of medical resources for acute respiratory infections by comparing numbers and costs of clinic visits within 1. year before and after a tonsillectomy. Materials and methods: Data for this study were retrieved from the Taiwan Longitudinal Health Insurance Database 2005. The study includes 481 patients aged 18-80. years who underwent a tonsillectomy and 481 comparison patients. A multivariate regression model employing difference-in-difference was carried out to assess the independent association between a tonsillectomy and the number and costs of clinic visits. Results: We found that for patients who underwent a tonsillectomy, the mean number of clinic visits for acute respiratory care 1. year before and after the index date significantly decreased from 7.3 to 4.2 (p <. 0.001). However, for the comparison group, there was no significant difference in the number (p = 0.540) or costs (p = 0.221) of clinic visits for acute respiratory care 1. year before and after the index date. A multivariate regression model revealed that a tonsillectomy was associated with a reduction of 3.38 in the mean number of clinic visits for acute respiratory care (p <. 0.001). In other words, a tonsillectomy reduced by 46.3{\%} (3.38/7.3) the number of clinic visits for acute respiratory care after adjusting for sociodemographic characteristics and medical comorbidities compared to comparison patients. Conclusions: This study demonstrated that a tonsillectomy was of substantial benefit to adult patients in that it provides decreased healthcare utilization for acute respiratory infections.",
keywords = "Acute respiratory infection, Epidemiology, Tonsillectomy",
author = "Chung, {Shiu Dong} and Hung, {Shih Han} and Lin, {Herng Ching} and Chen, {Kuan Chen}",
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T1 - Decreased clinic visits for acute respiratory infections following an adult tonsillectomy

T2 - A population-based study

AU - Chung, Shiu Dong

AU - Hung, Shih Han

AU - Lin, Herng Ching

AU - Chen, Kuan Chen

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N2 - Purpose: This study attempted to investigate the effects of a tonsillectomy on utilization of medical resources for acute respiratory infections by comparing numbers and costs of clinic visits within 1. year before and after a tonsillectomy. Materials and methods: Data for this study were retrieved from the Taiwan Longitudinal Health Insurance Database 2005. The study includes 481 patients aged 18-80. years who underwent a tonsillectomy and 481 comparison patients. A multivariate regression model employing difference-in-difference was carried out to assess the independent association between a tonsillectomy and the number and costs of clinic visits. Results: We found that for patients who underwent a tonsillectomy, the mean number of clinic visits for acute respiratory care 1. year before and after the index date significantly decreased from 7.3 to 4.2 (p <. 0.001). However, for the comparison group, there was no significant difference in the number (p = 0.540) or costs (p = 0.221) of clinic visits for acute respiratory care 1. year before and after the index date. A multivariate regression model revealed that a tonsillectomy was associated with a reduction of 3.38 in the mean number of clinic visits for acute respiratory care (p <. 0.001). In other words, a tonsillectomy reduced by 46.3% (3.38/7.3) the number of clinic visits for acute respiratory care after adjusting for sociodemographic characteristics and medical comorbidities compared to comparison patients. Conclusions: This study demonstrated that a tonsillectomy was of substantial benefit to adult patients in that it provides decreased healthcare utilization for acute respiratory infections.

AB - Purpose: This study attempted to investigate the effects of a tonsillectomy on utilization of medical resources for acute respiratory infections by comparing numbers and costs of clinic visits within 1. year before and after a tonsillectomy. Materials and methods: Data for this study were retrieved from the Taiwan Longitudinal Health Insurance Database 2005. The study includes 481 patients aged 18-80. years who underwent a tonsillectomy and 481 comparison patients. A multivariate regression model employing difference-in-difference was carried out to assess the independent association between a tonsillectomy and the number and costs of clinic visits. Results: We found that for patients who underwent a tonsillectomy, the mean number of clinic visits for acute respiratory care 1. year before and after the index date significantly decreased from 7.3 to 4.2 (p <. 0.001). However, for the comparison group, there was no significant difference in the number (p = 0.540) or costs (p = 0.221) of clinic visits for acute respiratory care 1. year before and after the index date. A multivariate regression model revealed that a tonsillectomy was associated with a reduction of 3.38 in the mean number of clinic visits for acute respiratory care (p <. 0.001). In other words, a tonsillectomy reduced by 46.3% (3.38/7.3) the number of clinic visits for acute respiratory care after adjusting for sociodemographic characteristics and medical comorbidities compared to comparison patients. Conclusions: This study demonstrated that a tonsillectomy was of substantial benefit to adult patients in that it provides decreased healthcare utilization for acute respiratory infections.

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