Effects of guidelines on adeno-tonsillar surgery on the clinical behaviour of otorhinolaryngologists in Italy

Table 3 Main indications for T and AT and number of recommendations related to to surgical management in GL on adeno-tonsillar disease

GL	Number of FEART	Strength of the recommendation*	NRO	Otitis media	Number of recommendations
SIGN: 1999 ³	≥ 5 a year	C/A-C	Not mentioned	Not mentioned	3
AAOHNS: 2000 ¹	≥ 3 a year	-	Hypertrophy causing upper airway obstruction	RAOM or EOM	8
PNLG: 2003 ⁵	≥ 5 a year	A/A-D	OSAS	Surgery is not recommended	53
SNLG 2008 ⁶	≥ 5 a year	A/A-D	OSAS	Surgery is not recommended	79
SIGN: 2010 ⁴	≥ 7 in the last year	D/A-D	Not mentioned	Not mentioned	4
	≥ 5 in the last 2 years
	≥ 3 in the last 3 years
AAOHNS: 2011 ²	≥ 7 in the last year	B/A-D	Sleep Disordered Breathing (SDB), including snoring, mouth breathing, pauses in breathing, etc. (“comorboid conditions”)	Not mentioned	10
	≥ 5 in the last 2 years
	≥ 3 in the last 3 years

GL = Guidelines; FEART = Feverish Episodes due to Acute Recurrent Tonsillitis; NRO = Nasal Respiratory Obstruction. SIGN = Scottish Intercollegiate Guidelines Network; AAOHNS = American Academy of Otolaryngology-Head and Neck Surgery; PNLG =Programma Nazionale Linee Guida; SNLG = Sistema Nazionale Linee Guida. Strength of the recommendation related to the number of FEART.

ISSN: 1472-6815