Adenotonsillectomy Tied to Lower Health Care Use in Pediatric Sleep Disordered Breathing
By Elana Gotkine HealthDay Reporter
MONDAY, March 17, 2025 -- For children with mild sleep disordered breathing (SDB), adenotonsillectomy is associated with reduced all-cause health care utilization, according to a study published online March 17 in JAMA Pediatrics.
Jessie P. Bakker, Ph.D., from Brigham and Women's Hospital and Harvard Medical School in Boston, and colleagues conducted a randomized clinical trial, Pediatric Adenotonsillectomy Trial for Snoring, from 2016 to 2022 in tertiary care centers in the United States. Participants were aged 3 to 13 years, diagnosed with mild SDB, and had a tonsillar hypertrophy grade of 2 or more.
The analytic sample included 381 children (median age, 6 years). The researchers found that adenotonsillectomy was associated with reductions of 32 and 48 percent in total health care encounters and prescriptions, respectively (mean difference, −1.25 and −2.53 per participant per year, respectively). Fewer office visits and outpatient procedures were the primary drivers of the difference in encounters, rather than reduced hospitalizations or urgent care visits.
"We have demonstrated that early adenotonsillectomy is associated with a 32 percent reduction in all-cause health care encounters and a 48 percent reduction in prescription medications which, along with primary trial results published previously, supports screening for mild SDB and early intervention," the authors write.
Several authors disclosed ties to the biopharmaceutical, medical technology, and publishing industries; one author disclosed holding a related patent.
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
© 2025 HealthDay. All rights reserved.
Posted March 2025
Read this next
Three Health Behaviors Positively Affect Mental Well-Being in Young Adults
THURSDAY, Aug. 28, 2025 -- Fruit and vegetable consumption, physical activity, and especially better sleep quality are associated with psychological well-being of young adults...
Obstructive Sleep Apnea Severity Higher on Weekends
MONDAY, Aug. 25, 2025 -- People with obstructive sleep apnea (OSA) may experience a weekend surge in sleep-disordered breathing, according to a study published online Aug. 7 in...
Sleep Apnea Increases Sudden Cardiac Arrest Risk in Children With Epilepsy
FRIDAY, Aug. 22, 2025 -- For pediatric patients with epilepsy, sleep apnea (SA) is associated with an increased risk for sudden cardiac arrest (SCA) and cardiac dysrhythmia...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.