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Adenotonsillectomy for upper respiratory infections: evidence based?
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  • Published on:
    Authors' reply to: Effectiveness of tonsillectomy depends on stringency of indications
    • Birgit van Staaij, General Practitioner
    • Other Contributors:
      • Maroeska Rovers, Arno Hoes, Anne Schilder

    Dear Editor

    In his letter from February 15th 2005 Dr Paradise criticises our review and raises 4 major points [1]:
    (1) he claims we overlooked previously published critiques of the controlled non-randomised trials conducted between 1920 and 1960;
    (2) we considered only pooled risk differences across studies and we thereby did not relate the outcomes to the stringency...

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    Conflict of Interest:
    None declared.
  • Published on:
    Duration of effect

    Dear Editor

    The authors overlook one important aspect of the effectiveness of tonsillectomy in their systematic review. This is the duration of effect. The data indicate that all children suffer fewer sore throats in the years after entry to trials - whether they are in the intervention or control group. Children undergoing surgery have fewer sore throats than those in the control group. However, the difference is...

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    Conflict of Interest:
    None declared.
  • Published on:
    Effectiveness of tonsillectomy depends on stringency of indications
    Dear Editor,

    The meta-analysis of adenotonsillectomy trial results reported by van Staaij and colleagues[1], from which they concluded that the operation confers “an additional, but small, reduction of sore throat episodes . . . compared to watchful waiting,” falls short on numerous counts and misleads the unwary reader.

    Their analysis of the trials conducted between the 1920s and 1960s not only overlooks prev...

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    Conflict of Interest:
    None declared.