The effect of tonsillectomy with adenoidectomy on medical services used in association with otitis media based on Korean national sample cohort data

Cost Effectiveness and Resource Allocation

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

【 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.

【 授权许可】

CC BY