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Indirect costs related to caregivers' absence from work after paediatric tonsil surgery

Artikel i vetenskaplig tidskrift
Författare Gunhildur Gudnadottir
G. R. Tennvall
Joacim Stalfors
Johan Hellgren
Publicerad i European Archives of Oto-Rhino-Laryngology
Volym 274
Nummer/häfte 6
Sidor 2629-2636
ISSN 0937-4477
Publiceringsår 2017
Publicerad vid Institutionen för kliniska vetenskaper, sektionen för anestesi, biomaterial och ortopedi, Avdelningen för öron-, näs- och halssjukdomar
Sidor 2629-2636
Språk English
Länkar 10.1007/s00405-017-4526-7
Ämnesord Tonsillectomy, Tonsillotomy, Absenteeism, Indirect cost, Health economy, obstructive sleep-apnea, children, adenotonsillectomy, tonsillectomy, sweden
Ämneskategorier Oto-rino-laryngologi

Sammanfattning

Tonsillotomy has gradually replaced tonsillectomy as the surgical method of choice in children with upper airway obstruction during sleep, because of less postoperative pain and a shorter recovery time. The aim of this study was to examine the costs related to caregivers' absenteeism from work after tonsillectomy (TE) and tonsillotomy (TT). All tonsillectomies and tonsillotomies in Sweden due to upper airway obstruction during 1 year, reported to the National Tonsil Surgery Register in children aged 1-11 were included, n = 4534. The number of days the child needed analgesics after surgery was used as a proxy to estimate the number of work days lost for the caregiver. Data from the Social Insurance Agency (Forsakringskassan) regarding the days the parents received temporary parental benefits in the month following surgery were also analysed. The indirect costs due to the caregivers' absenteeism after tonsillectomy vs tonsillotomy were calculated, using the human capital method. The patient-reported use of postoperative analgesic use was 77% (n = 3510). Data from the Social Insurance Agency were gathered for all 4534 children. The mean duration of analgesic treatment was 4.6 days (indirect cost of EUR 747). The mean number of days with parental benefits was 2.9 (EUR 667). The indirect cost of tonsillectomy was 61% higher than that of tonsillotomy (EUR 1010 vs EUR 629). The results show that the choice of surgical method affects the indirect costs, favouring the use of tonsillotomy over tonsillectomy for the treatment of children with SDB, due to less postoperative pain.

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