Routine evaluation of tonsillectomy specimens: a cross-sectional survey of Canadian Otolaryngology: Head and Neck Surgeons.
Routine evaluation of tonsillectomy specimens: a cross-sectional survey of Canadian Otolaryngology: Head and Neck Surgeons.
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DOI：
10.1186/s40463-022-00569-7
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发表时间：
2022-04-06
期刊：
影响因子：
--
通讯作者：
Taylor B
中科院分区：
文献类型：
--
作者：
Kuhnow A;Al-Sayed AA;Taylor B
扁桃体切除术是加拿大常见的手术。隐匿性恶性肿瘤的发生率在成人和儿童人群中是罕见的。目前，没有指南存在周围的扁桃体标本，当没有恶性肿瘤的怀疑，需要进行常规的组织病理学评价。我们向加拿大耳鼻咽喉-头颈外科学会（CSO-HNS）的活跃成员发送了一份机密的在线调查，内容是关于他们目前的扁桃体切除术实践以及在怀疑无恶性肿瘤时需要对扁桃体切除术标本进行常规组织病理学评价的信念。我们使用Opinio调查软件进行数据收集和描述性统计。95名参与者完成了我们的调查（回复率19.3%）。大多数参与者报告进行成人和儿童扁桃体切除术。当没有怀疑是恶性肿瘤时，参与者的反应分为是否只在儿科（4.2%），只在成人（31.6%），或不发送标本（29.5%）。一半的参与者报告说，定期发送标本，以排除隐匿性恶性肿瘤是一个机构的政策。大约75%的参与者赞成在儿童和成人人群中取消这种做法。大多数研究参与者支持取消在没有怀疑恶性肿瘤时自动发送扁桃体标本进行组织病理学评价的做法。这与“明智选择”是一致的，这是一项旨在促进关于不必要的医疗检查和程序的对话的活动。为了改变这种做法，可能需要进行体制改革。在线版本包含补充材料，可通过10.1186/s40463-022-00569-7获得。
Tonsillectomy is a commonly performed procedure in Canada. The rate of occult malignancy is rare in adult and pediatric populations. At present, no guidelines exist surrounding the need for routine histopathological evaluation of tonsil specimens when no malignancy is suspected. We sent a confidential online survey to active members of the Canadian Society of Otolaryngology – Head and Neck Surgery (CSO-HNS) about their current tonsillectomy practice and beliefs surrounding the need for routine histopathological evaluation of tonsillectomy specimens when no malignancy is suspected. We used Opinio survey software for data collection and descriptive statistics. 95 participants completed our survey (response rate 19.3%). Most participants reported performing both adult and pediatric tonsillectomies. When no malignancy is suspected, participant responses were split between whether they send tonsil specimens in pediatrics only (4.2%), in adults only (31.6%), or not sending specimens (29.5%). Half of the participants reported that routinely sending specimens to rule out occult malignancy is an institutional policy. Approximately 75% of participants were in favour of removing this practice in both the pediatric and adult populations. Eliminating the practice of automatically sending tonsil specimens for histopathological evaluation when no malignancy is suspected was supported by the majority of study participants. This is in keeping with Choosing Wisely, a campaign designed to facilitate conversations about unnecessary medical tests and procedures. Institutional change is likely required in order to alter this practice. The online version contains supplementary material available at 10.1186/s40463-022-00569-7.
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