Abstract
Background and Aims: Tonsillectomy is a common procedure in children and adults. Despite its popularity, many physicians still need to be adequately educated regarding the indications for tonsillectomy. Recurrent tonsillitis is the most common indication in which primary care physicians seek consultation from otolaryngology. This study aimed to assess the knowledge of indications for tonsillectomy among primary healthcare physicians in Riyadh, Saudi Arabia. Methods: This cross-sectional study was conducted between March and August 2022, with a sample size of 100 male and female primary healthcare physicians in Riyadh, Saudi Arabia. A questionnaire on demo¬graphic data, clinical practice and exposure, and basic knowledge of current tonsillectomy indications was administered to the participants, and data were analyzed. Results: Of the 73 primary care providers included in the study, almost 70% had an average-to-poor knowledge of tonsillectomy indications. Women had better knowledge than men. Conclusions: The results of the present study indicate that primary healthcare physicians’ knowledge regarding adenotonsillectomy indications is still inadequate. Enrichment of the otolaryngology teaching at medical school and in residency programs is essential for optimization of the primary care delivered to patients.
Keywords: Tonsillectomy · knowledge · primary care · indication
References
- 1.Šumilo D, Nichols L, Ryan R, Marshall T. Incidence of indications for tonsillectomy and frequency of evidence-based surgery: a 12-year retrospective cohort study of primary care electronic records. Br J Gen Pract. 2019;69:e33-e41. doi: 10.3399/bjgp18X699833. doi:10.3399/bjgp18X699833
- 2.Griffiths E. Incidence of ENT problems in general practice. J R Soc Med. 1979;72:740-742. doi: 10.1177/014107687907201008. doi:10.1177/014107687907201008
- 3.Hannaford PC, Simpson JA, BissetAF, Davis A, McKerrow W, Mills R. The prevalence of ear, nose and throat problems in the community: results from a national cross-sectional postal survey in Scotland. Fam Pract. 2005;22:227-
- 4.doi: 10.1093/fampra/cmi004. doi:10.1093/fampra/cmi004
- 5.Randall DA. Current indications for tonsillectomyandadenoidectomy.JAm Board Fam Med. 2020;33:1025-1030. doi: 10.3122/jabfm.2020.06.200038. doi:10.3122/jabfm.2020.06.200038
- 6.Mitchell RB, Archer SM, Ishman SL, Rosenfeld RM, Coles S, Finestone SA, et al. Clinical Practice Guideline: Tonsillectomy in children (Update). Otolaryngol Head Neck Surg. 2019;160(1_suppl):S1-S42. doi: 10.1177/0194599818801757. doi:10.1177/0194599818801757
- 7.Alho OP, Koivunen P, Penna T, Teppo H, Koskela M, Luotonen J. Tonsillectomy versus watchful waiting in recurrent streptococcal pharyngitis in adults: randomized controlled trial. Br Med 56 Majmaah Journal of Health Sciences ,Vol. 11, Issue 4 , October - 2023, Rabi’Al-Awwal - 1445 Knowledge of Tonsillectomy Indications among Primary Healthcare Physicians in Riyadh, SaudiArabia J. 2007;334:939-944. doi: 10.1136/ bmj.39140.632604.55.
- 8.Burton MJ, Glasziou PP, Chong LY, Venekamp RP. Tonsillectomy or adenotonsillectomy versus nonsurgical treatment for chronic/recurrent tonsillitis. Cochrane Database Syst Rev. 2014;1:1-62. doi: 10.1002/14651858. CD001802.pub3. doi:10.1002/14651858
- 9.Paradise JL, Bluestone CD, Colborn DK, Bernard BS, Rockette HE, Kurs- Lasky M. Tonsillectomy and adenotonsillectomyforrecurrentthroatinfection in moderately affected children. Pediatrics. 2002;1107-1115. doi: 10.1542/ peds.110.1.7.
- 10.Krejcie RV, Morgan DW. Determining sample size for research activities. Educ Psychol Meas. 1970;30:607-610. doi: 10.1177/001316447003000. 10.Sharma A, Machen K, Clarke B, Howard D. Is undergraduate otorhinolaryngology teaching relevant to junior doctors working in accident and emergency departments? J Laryngol Otol. 2006;120:949-951. doi: 10.1017/ S0022215106002246. 11.Clamp PJ, Gunasekaran S, Pothier DD, SaundersMW.ENTingeneralpractice: training,experienceandreferralrates.J Laryngol Otol. 2007;121:580-583. doi: 10.1017/S0022215106003495. doi:10.1177/001316447003000
- 11.GlicksmanJT,BrandtMG,ParrJ,Fung K. Needs assessment of undergraduate education in otolaryngology among family medicine residents. J Otolaryngol Head Neck Surg. 2008;37:668-675. 13.Wangler J, Jansky M. What is the significance of guidelines in the primary care setting? Wien Med Wochenschr. 2021;171:321-329. doi: 10.1007/ s10354-021-00849-3
Peer review
Peer reviewed by 2 reviewers, who chose to remain anonymous.