Tarasiuk and Reuveni also reported similar results in a
much smaller study population that compared healthcare
use in children with SDB. They compared children with
SDB who were treated with T&A with children with SDB
who did not undergo surgery.
T&A significantly reduced health care use by 30% in children with SDB, a percentage
that is similar to what is reported in this study.
Not surprisingly, and in keeping with the results of this study,
increased morbidity among children with SDB was mainly
related to upper respiratory tract infections
Thus, identifying children with SDB/adenotonsillar hypertrophy
for T&A who also have adenotonsillar infections and a high
use of outpatient services is likely to result in the most
significant reduction in costs. However, at 2 years, the costs
of the procedure are greater than the savings because of the
reduction in outpatient and antibiotic costs.
Tarasiuk and Reuveni also reported similar results in amuch smaller study population that compared healthcareuse in children with SDB. They compared children withSDB who were treated with T&A with children with SDBwho did not undergo surgery. T&A significantly reduced health care use by 30% in children with SDB, a percentagethat is similar to what is reported in this study. Not surprisingly, and in keeping with the results of this study,increased morbidity among children with SDB was mainlyrelated to upper respiratory tract infectionsThus, identifying children with SDB/adenotonsillar hypertrophyfor T&A who also have adenotonsillar infections and a highuse of outpatient services is likely to result in the mostsignificant reduction in costs. However, at 2 years, the costsof the procedure are greater than the savings because of thereduction in outpatient and antibiotic costs.
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