{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T04:37:08Z","timestamp":1781757428870,"version":"3.54.5"},"reference-count":35,"publisher":"Wiley","license":[{"start":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T00:00:00Z","timestamp":1723593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe postoperative analgesic regimens and patient\u2010reported pain\u2010related outcomes after tonsil surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<jats:bold>s<\/jats:bold><\/jats:title><jats:p>Cohort study including perioperative data (<jats:italic>n<\/jats:italic>\u2009=\u20099274) and patient\u2010reported outcome measures (<jats:italic>n<\/jats:italic>\u2009=\u20095080) registered in the Swedish Quality Register for Tonsil Surgery during 2023.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After tonsil surgery, 92.7% received at least paracetamol and a NSAID\/COX inhibitor, while 6.8% received no NSAID\/COX inhibitor. Opioids were prescribed after tonsillectomy to 62.9% of adults and less often to adolescents and children (13\u201317\u2010year\u2010olds: 48.2%, 6\u201312\u2010year\u2010olds: 8.8%, 0\u20135\u2010year\u2010olds: 4.0%). Clonidine was frequently prescribed to 0\u20135\u2010year\u2010olds after tonsillectomy (54.4%). Overall, 11.7% reported dissatisfaction with the pain treatment, with the highest dissatisfaction rate after tonsillectomy in adolescents (20.6%) and adults (20.0%), and the lowest after tonsillotomy in children (4.9\u20136.8%). The most common complaint among dissatisfied patients was analgesics not being sufficiently helpful. Adult patients who received addition of opioids were less dissatisfied with the pain treatment (15.9% vs. 25.9%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), but also reported more side effects (5.7% vs. 2.7%, <jats:italic>p<\/jats:italic>\u2009=\u20090.039), compared with patients who received only paracetamol and NSAID\/COX inhibitors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Tonsil surgery patients in Sweden receive various analgesic regimens. Although most are satisfied with pain treatment, there is room for improvement, particularly among adolescents and adults undergoing tonsillectomy. Paracetamol and a NSAID\/COX inhibitor seem advisable as basic treatment. However, many patients need more effective treatment. The addition of opioids in adults results in greater satisfaction with pain treatment, but safety issues with opioid prescriptions must be taken into consideration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Levels of Evidence<\/jats:title><jats:p>Level 4 <jats:italic>Laryngoscope<\/jats:italic>, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31691","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T09:53:24Z","timestamp":1723629204000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Postoperative Analgesic Regimens and Their Satisfaction Rates\u2014Data from the Swedish Quality Register for Tonsil Surgery"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4718-3361","authenticated-orcid":false,"given":"Fredrik","family":"Alm","sequence":"first","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine and Health \u00d6rebro University  \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Odhagen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology S\u00f6dra \u00c4lvsborgs Hospital  Bor\u00e5s Sweden"},{"name":"Department of Otorhinolaryngology \u2010Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ola","family":"Sunnergren","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology \u2010Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"},{"name":"Centre for Oral Health, School of Health and Welfare J\u00f6nk\u00f6ping University  J\u00f6nk\u00f6ping Sweden"},{"name":"Department of Otorhinolaryngology Region J\u00f6nk\u00f6ping County  J\u00f6nk\u00f6ping Sweden"},{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"Nerfeldt","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Karolinska University Hospital  Stockholm Sweden"},{"name":"Department of Clinical Science, Intervention and Technology (CLINTEC) Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,14]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Socialstyrelsens.Statistik om operationer och behandlingar i specialistv\u00e5rd. 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