December 2011. Volume 7. Number 4

Adenoidectomy does not seem effective in reducing the incidence of upper respiratory tract infections

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Van den Aardweg MT, Boonacker CW, Rovers MM, Hoes AW, Schilder AG. Effectiveness of adenoidectomy in children with recurrent upper respiratory tract infections: open randomised controlled trial. BMJ. 2011;343:d5154.
Reviewers: Jullien S1, Buñuel Álvarez JC2.
1Servicio de Pediatría. Hospital Universitario de Girona Dr. Josep Trueta. Girona. España.
2Àrea Bàsica de Salut Girona-4. Institut Català de la Salut. Girona. España.
Correspondence: Sophie Jullien. Email: sophjullien@gmail.com
Reception date: 23/10/2011
Acceptance date: 31/10/2011
Publication date: 02/11/2011

Abstract

Authors' conclusion: in children with recurrent upper respiratory tract, adenoidectomy offers no benefit compared with the attitude of watchful waiting in reducing the incidence of new episodes.

Reviewers' commentary: the results of this study discourage the practice of adenoidectomy for the indication of reducing the incidence of upper respiratory tract infections. In this situation it's necessary to explain to parents that these infections are a normal immune development phase of any child.

How to cite this article

Jullien S, Buñuel Álvarez JC. La adenoidectomía no parece eficaz para disminuir la incidencia de infecciones del tracto respiratorio superior. Evid Pediatr. 2011;7:90.

AVC | Critically appraised articles

Van den Aardweg MT, Boonacker CW, Rovers MM, Hoes AW, Schilder AG. Effectiveness of adenoidectomy in children with recurrent upper respiratory tract infections: open randomised controlled trial. BMJ. 2011;343:d5154.
Reviewers: Jullien S1, Buñuel Álvarez JC2.
1Servicio de Pediatría. Hospital Universitario de Girona Dr. Josep Trueta. Girona. España.
2Àrea Bàsica de Salut Girona-4. Institut Català de la Salut. Girona. España.
Correspondence: Sophie Jullien. Email: sophjullien@gmail.com
Reception date: 23/10/2011
Acceptance date: 31/10/2011
Publication date: 02/11/2011

How to cite this article

Jullien S, Buñuel Álvarez JC. La adenoidectomía no parece eficaz para disminuir la incidencia de infecciones del tracto respiratorio superior. Evid Pediatr. 2011;7:90.

References

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  2. Rynnel-Dagoo B, Ahlbom A, Schiratzki H. Effects of adenoidectomy: a controlled two-year follow-up. Ann Otol Rhinol Laryngol. 1978;87:272-8.
  3. Koivunen P, Uhari M, Luotonen J, Kristo A, Raski R, Pokka T et al. Adenoidectomy versus chemoprophylaxis and placebo for recurrent acute otitis media in children aged under 2 years: randomised controlled trial. BMJ. 2004;328:487.
  4. Arnoldner C, Grasl MCh, Thurnher D, Hamzavi JS, Kaider A, Brunner M et al. Surgical revision of hemorrhage in 8388 patients after cold-steel adenotonsillectomies. Wien Klin Wochenschr. 2008;120:336-42.
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02/11/2011

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