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Systematic review of tonsil surgery quality registers and introduction of the Nordic Tonsil Surgery Register Collaboration

Review article
Authors J. Ruohoalho
Eirik Østvoll
M. Bratt
V. Bugten
L. Back
A. Makitie
T. Ovesen
Joacim Stalfors
Published in European Archives of Oto-Rhino-Laryngology
Volume 275
Issue 6
Pages 1353-1363
ISSN 0937-4477
Publication year 2018
Published at Institute of Clinical Sciences, Department of Otorhinolaryngology
Pages 1353-1363
Language en
Links doi.org/10.1007/s00405-018-4945-0
Keywords Quality assurance, Surgical quality, Tonsillectomy, Tonsillotomy, Registry, Database, postoperative hemorrhage, international registry, tonsillectomy audit, austrian tonsil, sweden, transplantation, dissection, operations, symptoms, medicine
Subject categories Otorhinolaryngology

Abstract

Surgical quality registers provide tools to measure and improve the outcome of surgery. International register collaboration creates an opportunity to assess and critically evaluate national practices, and increases the size of available datasets. Even though millions of yearly tonsillectomies and tonsillotomies are performed worldwide, clinical practices are variable and inconsistency of evidence regarding the best clinical practice exists. The need for quality improvement actions is evident. We aimed to systematically investigate the existing tonsil surgery quality registers found in the literature, and to provide a thorough presentation of the planned Nordic Tonsil Surgery Register Collaboration. A systematic literature search of MEDLINE and EMBASE databases (from January 1990 to December 2016) was conducted to identify registers, databases, quality improvement programs or comprehensive audit programs addressing tonsil surgery. We identified two active registers and three completed audit programs focusing on tonsil surgery quality registration. Recorded variables were fairly similar, but considerable variation in coverage, number of operations included and length of time period for inclusion was discovered. Considering tonsillectomies and tonsillotomies being among the most commonly performed surgical procedures in otorhinolaryngology, it is surprising that only two active registers could be identified. We present a Nordic Tonsil Surgery Register Collaboration-an international tonsil surgery quality register project aiming to provide accurate benchmarks and enhance the quality of tonsil surgery in Denmark, Finland, Norway and Sweden.

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