Stakeholders’ views of recurrent sore throat, tonsillitis and their management: a qualitative interview study for the NAtional Trial of Tonsillectomy IN Adults (NATTINA Part 1)

McSweeney, Lorraine, Rousseau, Nikki, Wilson, Janet, Wilkes, Scott and Haighton, Katie (2017) Stakeholders’ views of recurrent sore throat, tonsillitis and their management: a qualitative interview study for the NAtional Trial of Tonsillectomy IN Adults (NATTINA Part 1). Clinical Otolaryngology, 42 (2). pp. 301-306. ISSN 1749-4478

[img] Text (Article)
Stakeholders views of recurrent sore throat tonsillitis_etc.Final clean version_09_08_16.docx - Accepted Version

Download (52kB)
[img]
Preview
Text (Article)
Stakeholders views of recurrent sore throat tonsillitis_etc.Final clean version_09_08_16.pdf - Accepted Version

Download (151kB) | Preview
Official URL: http://dx.doi.org/10.1111/coa.12720

Abstract

Objectives - To determine the impact of recurrent sore throats and tonsillitis in adults and stakeholder views of treatment pathways.

Design - Qualitative semistructured interview design reporting novel data from a feasibility study for a UK national trial of tonsillectomy in adults.

Setting - Nine study sites linked to ear, nose and throat departments in National Health Service hospitals located across the United Kingdom.

Participants - Fifteen patients, 11 general practitioners and 22 ear, nose and throat staff consented to in-depth interviews, which were analysed using a framework analysis approach.

Main outcome measures - Views of stakeholder groups.

Results - Recurrent sore throats were reported to severely impact patients’ family, work and social life. Ear, nose and throat staff stated that patients faced increasing barriers to secondary care service access. General practitioners were under pressure to reduce ‘limited clinical value’ surgical procedures.

Conclusions -The findings from this study suggest that there is a disconnect between the attitudes of the stakeholders and the reality of recurrent sore throat, tonsillectomy procedures and service provision. More evidence for the role of tonsillectomy is needed from randomised controlled trials to determine whether it should continue to be ranked as a procedure of limited clinical effectiveness.

Item Type: Article
Subjects: A300 Clinical Medicine
Department: Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Ay Okpokam
Date Deposited: 08 Feb 2017 12:53
Last Modified: 27 Oct 2017 19:29
URI: http://nrl.northumbria.ac.uk/id/eprint/29569

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics


Policies: NRL Policies | NRL University Deposit Policy | NRL Deposit Licence