Tonsillectomy rates in the South African private healthcare sector

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dc.contributor.advisorFagan, Johannes Jen_ZA
dc.contributor.authorDouglas-Jones, Paulen_ZA
dc.date.accessioned2018-04-24T13:52:30Z
dc.date.available2018-04-24T13:52:30Z
dc.date.issued2018en_ZA
dc.description.abstractBackground. Adeno-/tonsillectomy is a commonly performed procedure with internationally standardised and recognised indications. Despite this, there exists considerable international (190 - 850/100 000 people ≤19 years of age) and regional variation in adeno-/tonsillectomy rates. This variation has been ascribed to differences in clinical practice and referral patterns, as well as social and family factors, rather than differences in clinical need or regional morbidity. Objectives. To describe the adeno-/tonsillectomy rate in the South African private healthcare sector, and regional variations thereof. To compare local rates with international rates and to assess current trends in adeno-/tonsillectomy clinical practice. Methods. Analysis of adeno-/tonsillectomy data from January 2012 to December 2013, provided by the largest South African private healthcare funder, accounting for 31% of the medical scheme market. Rates are expressed per 100 000 people ≤19 years of age. Results. The tonsillectomy rate in the South African private healthcare sector was 1888/100 000 people ≤19 years of age in 2012. In 2013, the rate dropped significantly (p-value <0.001) to 1755/100 000. Both are more than double the highest national tonsillectomy rate reported in the literature. There was also considerable regional variation in the adeno-/tonsillectomy rate within South Africa. Otorhinolaryngologists are responsible for approximately 80% of adeno- /tonsillectomies performed in the South African private healthcare sector. Discussion. The South African tonsillectomy rate is very high when compared to international trends and varies regionally within the country. The literature does not support an increased burden of disease as the reason behind this. Rather, it is differences in training and clinical practice of clinicians, as well as social and family factors that have been implicated. Conclusion. The adeno-/tonsillectomy rate in the South African private healthcare sector is substantially higher than international norms. The reasons for this discrepancy require further consideration and investigation.en_ZA
dc.identifier.apacitationDouglas-Jones, P. (2018). <i>Tonsillectomy rates in the South African private healthcare sector</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Division of Otorhinolaryngology. Retrieved from http://hdl.handle.net/11427/27824en_ZA
dc.identifier.chicagocitationDouglas-Jones, Paul. <i>"Tonsillectomy rates in the South African private healthcare sector."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Division of Otorhinolaryngology, 2018. http://hdl.handle.net/11427/27824en_ZA
dc.identifier.citationDouglas-Jones, P. 2018. Tonsillectomy rates in the South African private healthcare sector. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Douglas-Jones, Paul AB - Background. Adeno-/tonsillectomy is a commonly performed procedure with internationally standardised and recognised indications. Despite this, there exists considerable international (190 - 850/100 000 people ≤19 years of age) and regional variation in adeno-/tonsillectomy rates. This variation has been ascribed to differences in clinical practice and referral patterns, as well as social and family factors, rather than differences in clinical need or regional morbidity. Objectives. To describe the adeno-/tonsillectomy rate in the South African private healthcare sector, and regional variations thereof. To compare local rates with international rates and to assess current trends in adeno-/tonsillectomy clinical practice. Methods. Analysis of adeno-/tonsillectomy data from January 2012 to December 2013, provided by the largest South African private healthcare funder, accounting for 31% of the medical scheme market. Rates are expressed per 100 000 people ≤19 years of age. Results. The tonsillectomy rate in the South African private healthcare sector was 1888/100 000 people ≤19 years of age in 2012. In 2013, the rate dropped significantly (p-value <0.001) to 1755/100 000. Both are more than double the highest national tonsillectomy rate reported in the literature. There was also considerable regional variation in the adeno-/tonsillectomy rate within South Africa. Otorhinolaryngologists are responsible for approximately 80% of adeno- /tonsillectomies performed in the South African private healthcare sector. Discussion. The South African tonsillectomy rate is very high when compared to international trends and varies regionally within the country. The literature does not support an increased burden of disease as the reason behind this. Rather, it is differences in training and clinical practice of clinicians, as well as social and family factors that have been implicated. Conclusion. The adeno-/tonsillectomy rate in the South African private healthcare sector is substantially higher than international norms. The reasons for this discrepancy require further consideration and investigation. DA - 2018 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Tonsillectomy rates in the South African private healthcare sector TI - Tonsillectomy rates in the South African private healthcare sector UR - http://hdl.handle.net/11427/27824 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/27824
dc.identifier.vancouvercitationDouglas-Jones P. Tonsillectomy rates in the South African private healthcare sector. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Division of Otorhinolaryngology, 2018 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/27824en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDivision of Otorhinolaryngologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherOtorhinolaryngologyen_ZA
dc.titleTonsillectomy rates in the South African private healthcare sectoren_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMMeden_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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