Scoping review of pediatric tonsillectomy quality of life assessment instruments
Corresponding Author
Stephen Shih-Teng Kao MBBS, MClinSc
ENT Head and Neck Surgery, Flinders Medical Centre and Flinders University
Send correspondence to Stephen Kao, MBBS, ENT Head and Neck Surgery, Flinders Medical Centre, Bedford Park, South Australia, Australia. E-mail: [email protected]Search for more papers by this authorMicah D. J. Peters BHSc, MA(Q), PhD
Joanna Briggs Institute, Faculty of Health Sciences, University of Adelaide
Search for more papers by this authorNuwan Dharmawardana BMBS, MSc
ENT Head and Neck Surgery, Flinders Medical Centre and Flinders University
Search for more papers by this authorBenjamin Stew MBBCh, DOHNS, FRCS (ORL-HNS)
ENT Head and Neck Surgery, Flinders Medical Centre and Flinders University
Search for more papers by this authorEng Hooi Ooi MBBS, PhD, FRACS
ENT Head and Neck Surgery, Flinders Medical Centre and Flinders University
Department of Surgery, Flinders University, Bedford Park, South Australia, Australia
Search for more papers by this authorCorresponding Author
Stephen Shih-Teng Kao MBBS, MClinSc
ENT Head and Neck Surgery, Flinders Medical Centre and Flinders University
Send correspondence to Stephen Kao, MBBS, ENT Head and Neck Surgery, Flinders Medical Centre, Bedford Park, South Australia, Australia. E-mail: [email protected]Search for more papers by this authorMicah D. J. Peters BHSc, MA(Q), PhD
Joanna Briggs Institute, Faculty of Health Sciences, University of Adelaide
Search for more papers by this authorNuwan Dharmawardana BMBS, MSc
ENT Head and Neck Surgery, Flinders Medical Centre and Flinders University
Search for more papers by this authorBenjamin Stew MBBCh, DOHNS, FRCS (ORL-HNS)
ENT Head and Neck Surgery, Flinders Medical Centre and Flinders University
Search for more papers by this authorEng Hooi Ooi MBBS, PhD, FRACS
ENT Head and Neck Surgery, Flinders Medical Centre and Flinders University
Department of Surgery, Flinders University, Bedford Park, South Australia, Australia
Search for more papers by this authorThe authors have no funding, financial relationships, or conflicts of interest to disclose.
Abstract
Objectives/Hypothesis
Sleep-disordered breathing or recurrent tonsillitis have detrimental effects on the child's physical health and quality of life. Tonsillectomy is commonly performed to treat these common conditions and improve the child's quality of life. This scoping review aims to present a comprehensive and descriptive analysis of quality of life questionnaires as a resource for clinicians and researchers when deciding which tool to use when assessing the quality of life effects after tonsillectomy.
Study Design
A comprehensive search strategy was undertaken across MEDLINE (PubMed), CINAHL, Embase, and Cochrane CENTRAL.
Methods
Quality of life questionnaires utilized in studies investigating pediatric patients undergoing tonsillectomy for chronic tonsillitis or sleep-disordered breathing were included. Methodological quality and data extraction were conducted as per Joanna Briggs Institute methodology.
Results
Ten questionnaires were identified, consisting of six generic and four disease-specific instruments. The Pediatric Quality of Life Inventory was the most commonly utilized generic questionnaire. The Obstructive Sleep Apnea-18 was the most commonly utilized disease-specific questionnaire.
Conclusions
This review identified a range of generic and disease-specific quality of life questionnaires utilized in pediatric patients who have undergone tonsillectomy with or without adenoidectomy for sleep-disordered breathing or chronic tonsillitis. Important aspects of each questionnaire have been summarized to aid researchers and clinicians in choosing the appropriate questionnaire when evaluating the quality of life effects of tonsillectomy.
Level of Evidence
NA Laryngoscope, 127:2399–2406, 2017
Supporting Information
Additional supporting information can be found in the online version of this article.
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Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
BIBLIOGRAPHY
- 1 Rosenfeld RM, Green RP. Tonsillectomy and adenoidectomy: changing trends. Ann Otol Rhinol Laryngol 1990; 99: 187–191.
- 2 Weatherly RA, Mai EF, Ruzicka DL, Chervin RD. Identification and evaluation of obstructive sleep apnea prior to adenotonsillectomy in children: a survey of practice patterns. Sleep Med 2003; 4: 297–307.
- 3 Leupe P, Hox V, Debruyne F, et al. Tonsillectomy compared to acute tonsillitis in children: a comparison study of societal costs. B-ENT 2012; 8: 103–111.
- 4 Li HY, Lee LA. Sleep-disordered breathing in children. Chang Gung Med J 2009; 32: 247–257.
- 5 American Academy of Pediatrics, Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2002; 109: 704–712.
- 6 Jeon YJ, Song JJ, Ahn JC, et al. Immediate and sustained improvement in behavior and life quality by adenotonsillectomy in children with sleep-disordered breathing. Clin Exp Otorhinolaryngol 2016; 9: 136–142.
- 7 Felce D, Perry J. Quality of life: its definition and measurement. Res Dev Disabil 1995; 16: 51–74.
- 8 Ojo B, Genden EM, Teng MS, et al. A systematic review of head and neck cancer quality of life assessment instruments. Oral Oncol 2012; 48: 923–937.
- 9 Peters MD, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc 2015; 13: 141–146.
- 10 Kao SS, Peters MDJ, Ooi E. Paediatric tonsillectomy quality of life assessment instruments: a scoping review protocol. JBI Database System Rev Implement Rep (in press).
- 11 Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 2009; 151: 264–269.
- 12 Solans M, Pane S, Estrada MD, et al. Health-related quality of life measurement in children and adolescents: a systematic review of generic and disease-specific instruments. Value Health 2008; 11: 742–764.
- 13 Portney LG, Watkins MP. Foundations of Clinical Research: Applications to Practice. 2nd ed. Upper Saddle River, NJ: Prentice Hall; 2000.
- 14 Beaton DE, Bombardier C, Katz JN, Wright JG. A taxonomy for responsiveness. J Clin Epidemiol 2001; 54: 1204–1217.
- 15 Brouilette R, Hanson D, David R. A diagnostic approach to suspected obstructive sleep apnea in children. J Pediatr 1984; 105: 10–14.
- 16 Carroll JL, McColley SA, Marcus CL, Curtis S, Loughlin GM. Inability of clinical history to distinguish primary snoring from obstructive sleep apnea syndrome in children. Chest 1995; 108: 610–618.
- 17 Goldstein NA, Stefanov DG, Graw-Panzer KD, et al. Validation of a clinical assessment score for pediatric sleep-disordered breathing. Laryngoscope 2012; 122: 2096–2104.
- 18 Owens JA, Spirito A, McGuinn M. The Children's Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep 2000; 23: 1043–1051.
- 19 Chervin RD, Hedger K, Dillon JE, Pituch KJ. Pediatric Sleep Questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Med 2000; 1: 21–32.
- 20 Conners CK, Sitarenios G, Parker JD, Epstein JN. The revised Conners' Parent Rating Scale (CPRS-R): factor structure, reliability, and criterion validity. J Abnorm Child Psychol 1998; 26: 257–268.
- 21 Gadow KD, Sprafkin J. Child Symptom Inventory–4. Stony Brook, NY: Checkmate Plus; 1994.
- 22 Rutter M. A children's behaviour questionnaire for completion by teachers: preliminary findings. J Child Psychol Psychiatry 1967; 8: 1–11.
- 23 Reynolds CR, Kamphaus RW. Behavior Assessment System for Children (BASC). Circle Pines, MO: American Guidance Service; 1992.
- 24 Achenbach T. Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry; 1992.
- 25 Achenbach T. Manual for the Child Behavior Checklist/4-18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry; 1991.
- 26 Landgraf J, Abetz L, Ware JE. The CHQ User's Manual. 1st ed. Boston, MA: Health Institute, New England Medical Center; 1996.
- 27 Varni JW, Seid M, Rode CA. The PedsQL: measurement model for the pediatric quality of life inventory. Med Care 1999; 37: 126–139.
- 28 Sintonen H. The 15D instrument of health-related quality of life: properties and applications. Ann Med 2001; 33: 328–336.
- 29 Apajasalo M, Rautonen J, Holmberg C, et al. Quality of life in pre-adolescence: a 17-dimensional health-related measure (17D). Qual Life Res 1996; 5: 532–538.
- 30 Apajasalo M, Sintonen H, Holmberg C, et al. Quality of life in early adolescence: a sixteen-dimensional health-related measure (16D). Qual Life Res 1996; 5: 205–211.
- 31 Varni JW, Seid M, Smith Knight T, Burwinkle T, Brown J, Szer IS. The PedsQL in pediatric rheumatology: reliability, validity, and responsiveness of the Pediatric Quality of Life Inventory Generic Core Scales and Rheumatology Module. Arthritis Rheum 2002; 46: 714–725.
- 32 Varni JW, Seid M, Kurtin PS. PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care 2001; 39: 800–812.
- 33 Seid M, Limbers CA, Driscoll KA, Opipari-Arrigan LA, Gelhard LR, Varni JW. Reliability, validity, and responsiveness of the pediatric quality of life inventory (PedsQL) generic core scales and asthma symptoms scale in vulnerable children with asthma. J Asthma 2010; 47: 170–177.
- 34 Garetz SL, Mitchell RB, Parker PD, et al. Quality of life and obstructive sleep apnea symptoms after pediatric adenotonsillectomy. Pediatrics 2015; 135: e477–e486.
- 35 Petosa JJ, Carno MA, Connolly HV. Quality of life in overweight/obese children and adolescents after treatment for obstructive sleep apnea: T & A vs CPAP. Am J Respir Crit Care Med 2014; 189: A6357.
- 36 Wilson JA, Steen IN, Lock CA, et al. Tonsillectomy: a cost-effective option for childhood sore throat? Further analysis of a randomized controlled trial. Otolaryngol Head Neck Surg 2012; 146: 122–128.
- 37 Hullmann SE, Ryan JL, Ramsey RR, Chaney JM, Mullins LL. Measures of general pediatric quality of life: Child Health Questionnaire (CHQ), DISABKIDS Chronic Generic Measure (DCGM), KINDL-R, Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scales, and Quality of My Life Questionnaire (QoML). Arthritis Care Res (Hoboken) 2011; 63(suppl 11): S420–S430.
- 38 Pal DK. Quality of life assessment in children: a review of conceptual and methodological issues in multidimensional health status measures. J Epidemiol Community Health 1996; 50: 391–396.
- 39 Connolly MA, Johnson JA. Measuring quality of life in paediatric patients. Pharmacoeconomics 1999; 16: 605–625.
- 40 Raat H, Botterweck AM, Landgraf JM, Hoogeveen WC, Essink-Bot ML. Reliability and validity of the short form of the child health questionnaire for parents (CHQ-PF28) in large random school based and general population samples. J Epidemiol Community Health 2005; 59: 75–82.
- 41 Georgalas C, Babar-Craig H, Arora A, Narula A. Health outcome measurements in children with sleep disordered breathing. Clin Otolaryngol 2007; 32: 268–274.
- 42 Flanary VA. Long-term effect of adenotonsillectomy on quality of life in pediatric patients. Laryngoscope 2003; 113: 1639–1644.
- 43 Goldstein NA, Stewart MG, Witsell DL, et al. Quality of life after tonsillectomy in children with recurrent tonsillitis. Otolaryngol Head Neck Surg 2008; 138: S9–S16.
- 44 Stewart MG, Glaze DG, Friedman EM, Smith EO, Bautista M. Quality of life and sleep study findings after adenotonsillectomy in children with obstructive sleep apnea. Arch Otolaryngol Head Neck Surg 2005; 131: 308–314.
- 45 Kubba H, Swan IRC, Gatehouse S. The Glasgow Children's Benefit Inventory: a new instrument for assessing health-related benefit after an intervention. Ann Otol Rhinol Laryngol 2004; 113: 980–986.
- 46 Sintonen H. The 15-D measure of health related quality of life: reliability, validity and sensitivity of its health state descriptive system. Working paper 41. Melbourne, Victoria, Australia: National Centre for Health Program Evaluation; 1994.
- 47 de Serres LM, Derkay C, Astley S, Deyo RA, Rosenfeld RM, Gates GA. Measuring quality of life in children with obstructive sleep disorders. Arch Otolaryngol Head Neck Surg 2000; 126: 1423–1429.
- 48 Franco RA Jr, Rosenfeld RM, Rao M. First place—resident clinical science award 1999. Quality of life for children with obstructive sleep apnea. Otolaryngol Head Neck Surg 2000; 123: 9–16.
- 49 Hopkins C, Fairley J, Yung M, Hore I, Balasubramaniam S, Haggard M. The 14-item Paediatric Throat Disorders Outcome Test: a valid, sensitive, reliable, parent-reported outcome measure for paediatric throat disorders. J Laryngol Otol 2010; 124: 306–314.
- 50 Stewart MG, Friedman EM, Sulek M, et al. Validation of an outcomes instrument for tonsil and adenoid disease. Arch Otolaryngol Head Neck Surg 2001; 127: 29–35.
- 51 Sohn H, Rosenfeld RM. Evaluation of sleep-disordered breathing in children. Otolaryngol Head Neck Surg 2003; 128: 344–352.
- 52 Dawe N, Erskine S, Moor JW. The application and value of the ‘T-14 tool’ as a patient-reported outcome measure for paediatric tonsillectomy: a report on 45 cases. Clin Otolaryngol 2015; 40: 41–44.
- 53 Konieczny K, Biggs TC, Caldera S. Application of the Paediatric Throat Disorders Outcome Test (T-14) for tonsillectomy and adenotonsillectomy. Ann R Coll Surg Engl 2013; 95: 410–414.
- 54 Konieczny KM, Biggs TC, Pringle MB. A two-year follow-up observational study of the T-14 paediatric throat disorders outcome measure in tonsillectomy and adenotonsillectomy. Ann R Coll Surg Engl 2015; 97: 382–385.
- 55 Hopkins C, Almeyda R, Alreefy H, et al. Multicentre prospective clinical application of the T14 paediatric outcome tool. J Laryngol Otol 2015; 129: 980–985.
- 56 Thong G, Davies K, Murphy E, Keogh I. Significant improvements in quality of life following paediatric tonsillectomy: a prospective cohort study. Irish J Med Sci 2016. DOI:10.1007/s11845-016-1398-6 [Epub ahead of print].
- 57 Venekamp RP, Hearne BJ, Chandrasekharan D, Blackshaw H, Lim J, Schilder AG. Tonsillectomy or adenotonsillectomy versus non-surgical management for obstructive sleep-disordered breathing in children. Cochrane Database Syst Rev 2015;(10): CD011165.
- 58 Chervin RD, Ruzicka DL, Giordani BJ, et al. Sleep-disordered breathing, behavior, and cognition in children before and after adenotonsillectomy. Pediatrics 2006; 117: e769–e778.
- 59 Avior G, Fishman G, Leor A, Sivan Y, Kaysar N, Derowe A. The effect of tonsillectomy and adenoidectomy on inattention and impulsivity as measured by the Test of Variables of Attention (TOVA) in children with obstructive sleep apnea syndrome. Otolaryngol Head Neck Surg 2004; 131: 367–371.
- 60 Goh CR, Lee KS, Tan TC, et al. Measuring quality of life in different cultures: translation of the Functional Living Index for Cancer (FLIC) into Chinese and Malay in Singapore. Ann Acad Med Singapore 1996; 25: 323–334.
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