dc.contributor.author | Hibbert, Peter | |
dc.contributor.author | Stephens, Jacqueline H | |
dc.contributor.author | de Wet, Carl | |
dc.contributor.author | Williams, Helena | |
dc.contributor.author | Hallahan, Andrew | |
dc.contributor.author | Wheaton, Gavin R | |
dc.contributor.author | Dalton, Chris | |
dc.contributor.author | Ting, Hsuen P | |
dc.contributor.author | Arnolda, Gaston | |
dc.contributor.author | Braithwaite, Jeffrey | |
dc.date.accessioned | 2019-06-07T01:44:40Z | |
dc.date.available | 2019-06-07T01:44:40Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 0194-5998 | |
dc.identifier.doi | 10.1177/0194599818796137 | |
dc.identifier.uri | http://hdl.handle.net/10072/382409 | |
dc.description.abstract | Objective:
The aims of this study were twofold: (1) to design and validate a set of clinical indicators of appropriate care for tonsillitis and (2) to measure the level of tonsillitis care that is in line with guideline recommendations in a sample of Australian children.
Study Design:
A set of tonsillitis care indicators was developed from available national and international guidelines and validated in 4 stages. This research used the same design as the CareTrack Kids study, which was described in detail elsewhere.
Setting:
Samples of patient records from general practices, emergency departments, and hospital admissions were assessed.
Subjects and Methods:
Patient records of children aged 0 to 15 years were assessed for the presence of, and adherence to, the indicators for care delivered in 2012 and 2013.
Results:
Eleven indicators were developed. The records of 821 children (mean age, 5.0 years; SD, 4.0) with tonsillitis were screened. The reviewers conducted 2354 eligible indicator assessments across 1127 visits. Adherence to 6 indicators could be assessed and ranged from 14.3% to 73.2% (interquartile range 31.5% to 72.2%).
Conclusion:
Our main findings are consistent with the international literature: the treatment of many children who present with confirmed or suspected tonsillitis is inconsistent with current guidelines. Future research should consider how the indicators could be applied in a structured and automated manner to increase the reliability and efficiency of record reviews and help raise clinicians’ awareness of appropriate tonsillitis management. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Sage Publications Inc. | |
dc.publisher.place | United States | |
dc.relation.ispartofpagefrom | 137 | |
dc.relation.ispartofpageto | 144 | |
dc.relation.ispartofissue | 1 | |
dc.relation.ispartofjournal | Otolaryngology - Head and Neck Surgery | |
dc.relation.ispartofvolume | 160 | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearch | Clinical sciences not elsewhere classified | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.fieldofresearchcode | 320299 | |
dc.title | Assessing the Quality of the Management of Tonsillitis among Australian Children: A Population-Based Sample Survey | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | de Wet, Carl | |