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A 20‐year observational cohort of a 5 million patient population—Tonsillectomy rates in the context of two national policy changes

Overview of attention for article published in Clinical Otolaryngology & Allied Sciences, October 2018
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Title
A 20‐year observational cohort of a 5 million patient population—Tonsillectomy rates in the context of two national policy changes
Published in
Clinical Otolaryngology & Allied Sciences, October 2018
DOI 10.1111/coa.13233
Pubmed ID
Authors

Catriona M. Douglas, Ursula Altmyer, Laura Cottom, David Young, Penelope Redding, Louise J. Clark

Abstract

To report national trends for tonsillectomy, tonsillitis, peri-tonsillar abscess and deep neck space infection in secondary care. To report national trends in sore throat consultations in primary care. To report national trends in antibiotic prescribing in both primary and secondary care between 2011 and 2015. Retrospective nationwide cohort study. Data requested from Information Statistics Department (ISD) Scotland for tonsillectomy, tonsillitis admissions, peri-tonsillar abscess admissions and deep neck space infection (DNSI) admissions in Scotland, between 1993/94 and 2015/16. Data for antibiotic prescriptions in general practice and hospital admissions between 2011 - 2015. Scottish ENT departments and GP practices. Scottish patients who underwent tonsillectomy, or were admitted to hospital with tonsillitis, peritonsillar abscess or deep neck space infection. Scottish patients that attended their GP with tonsillitis. Tonsillectomy rates between 1993/94 and 2015/16 decreased by 48% (p<0.001). Over the same time period there has been a corresponding 136% increase in tonsillitis admission(p<0.001) and a 167% increase in peri-tonsillar abscess admissions, (p<0.001). Between 1996/97 and 2015/16 there was a 500% increase in deep neck space abscesses (p<0.001). There has been a significant decrease in tonsillectomy rates over the past two decades. Over the same time period there has been a significant increase in admissions to secondary care with tonsillitis, peri-tonsillar abscess and deep neck space infection. These changes have happened in the context of two separate national policies being introduced - SIGN guidelines for management of sore throat and the Scottish Reduction in Antibiotic Prescribing. This article is protected by copyright. All rights reserved.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 39 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 39 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 6 15%
Student > Doctoral Student 5 13%
Student > Master 4 10%
Student > Ph. D. Student 4 10%
Other 3 8%
Other 7 18%
Unknown 10 26%
Readers by discipline Count As %
Medicine and Dentistry 11 28%
Pharmacology, Toxicology and Pharmaceutical Science 4 10%
Unspecified 2 5%
Immunology and Microbiology 2 5%
Social Sciences 2 5%
Other 6 15%
Unknown 12 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 November 2022.
All research outputs
#16,728,456
of 25,385,509 outputs
Outputs from Clinical Otolaryngology & Allied Sciences
#773
of 1,618 outputs
Outputs of similar age
#221,066
of 361,805 outputs
Outputs of similar age from Clinical Otolaryngology & Allied Sciences
#7
of 26 outputs
Altmetric has tracked 25,385,509 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,618 research outputs from this source. They receive a mean Attention Score of 3.7. This one is in the 49th percentile – i.e., 49% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 361,805 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 26 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 61% of its contemporaries.