期刊论文详细信息
Cost Effectiveness and Resource Allocation
The effect of tonsillectomy with adenoidectomy on medical services used in association with otitis media based on Korean national sample cohort data
Hyang Ae Shin1  Junhui Jeong1  Hyun Seung Choi1  Jung Hyun Chang1  Jae Sung Nam2  Jung Kyu Choi3 
[1] Department of Otorhinolaryngology, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Ilsandong-gu, 10444, Goyang, Korea;Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea;Department of Policy Research Affairs, National Health Insurance Service Ilsan Hospital, Goyang, Korea;
关键词: Tonsillectomy;    Adenoidectomy;    Otitis media;    Medical service;    Population-based study;   
DOI  :  10.1186/s12962-020-00243-7
来源: Springer
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【 摘 要 】

BackgroundThe effect of tonsillectomy with adenoidectomy (T&A) on otitis media has been investigated, but there have been no reports of the relationship between T&A and medical services used in association with otitis media. We investigated the effect of T&A on otitis media with regard to the number and cost of medical services used.MethodsFrom the National Health Insurance Service National Sample Cohort data in Korea, we selected patients 7 years old or younger in 2002 who had T&A in 2005 while between the ages of three and ten. A control group was established matching the patient group with similar propensities of demographic characteristics. The number and cost of medical services used in association with otitis media were analyzed for 3 years before T&A through 8 years after T&A.ResultsThe total number of patients was 1,338, with 227 in the T&A group and 1,111 in the non-T&A group. The number of medical services used was not significantly different between the T&A and non-T&A groups before and after surgery. The cost of medical services used was significantly higher in the T&A group than in the non-T&A group one year before surgery. The cost of medical services used was not significantly different between the two groups after surgery.ConclusionsThere were no significant differences between the T&A and non-T&A groups in the number and cost of medical services used in association with otitis media after surgery.

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