Skip to main content
. 2018 Nov 6;69(678):e33–e41. doi: 10.3399/bjgp18X699833

Table 2.

Numbers of children with potential indications for tonsillectomy, annual incidence of potential indications, and the proportions of these children undergoing tonsillectomy, 2005 to 2016

Recorded indication for tonsillectomya Number with this indication Proportion with this indication undergoing tonsillectomy, % Proportion of all tonsillectomies attributable to this indication, % Average annual incidence of this indication (per 100 000 person–years)
Evidence-based Tonsillar tumour 5 0.0 0.0 0.2
Periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis syndrome (PFAPA) 435 3.4 0.1 8.5
Paradise criteriab 15 320 13.9 11.6 412.8
Non evidence-based Obstructive sleep apnoea 3185 22.2 3.9 65.9
Other sleep disordered breathing 15 205 14.8 12.3 369.9
Peritonsillar abscess 675 14.8 0.5 14.9
Recurrent sore throats: five to six in 1 yearc 25 420 8.9 12.4 840.4
Recurrent sore throats: two to four in 1 year with guttate or chronic plaque psoriasisc 939 3.7 0.2 21.3
Recurrent sore throats: two to four in 1 year with glomerulonephritisc 148 4.7 0.0 3.5
Recurrent sore throats: three to four in 1 yearc 170 687 3.2 30.1 5869.1
Recurrent sore throats: two in 1 yearc 251 247 1.0 14.3 12 321.6
Recurrent sore throats: one in 1 yearc 446 275 0.4 9.9 27 896.5
No indication identified 701 266 0.1 4.7 n/a
Total 1 630 807 1.1 100.0 n/a
a

If a child meets criteria for several indications, the indication higher in the hierarchy is counted.

b

Paradise criteria: Recurrent sore throats or upper respiratory tract infections: seven or more a year; five or more yearly for 2 years; three or more yearly for 3 years.

c

Broad definition of sore throat: includes consultations for any upper respiratory tract infection or otitis media. n/a = not applicable.