In January 2017 the Agency for Healthcare Research and Quality (AHRQ) published a Comparative Effectiveness Review on tonsillectomy for obstructive sleep-disordered breathing (OSDB) or recurrent throat infection in children.1 As defined by the AHRQ, comparative effectiveness reviews are “systematic reviews of existing research on the effectiveness, comparative effectiveness, and comparative harms of different health care interventions” that are “intended to…inform real-world health care decision for patients, clinicians, and policy makers.”2 The tonsillectomy review was initiated at the request of the American Academy of Otolaryngology–Head and Neck Surgery to support a planned update of their tonsillectomy clinical practice guideline.3 This Viewpoint summarizes key findings of the 964-page review that are most likely to impact care delivered by clinicians.
Rosenfeld RM. Tonsillectomy for Obstructive Sleep-Disordered Breathing or Recurrent Throat Infection in ChildrenSummary of AHRA Comparative Effectiveness Review. JAMA Otolaryngol Head Neck Surg. Published online October 12, 2017. doi:10.1001/jamaoto.2017.1849