{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T04:53:37Z","timestamp":1793336017287,"version":"4.5.0"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,3,22]],"date-time":"2022-03-22T00:00:00Z","timestamp":1647907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2022,5]]},"abstract":"Abstract<\/jats:title>\n \n Objectives<\/jats:title>\n To identify paediatric intracapsular Coblation tonsillectomy procedures from routine administrative data in England, and determine their safety.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective observational cohort study of four ENT centres using routine data from Hospital Episode Statistics (HES).<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Acute NHS trusts in England conducting exclusively intracapsular Coblation tonsillectomy.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Children (\u226416\u00a0years old) undergoing bilateral intracapsular Coblation tonsillectomy.<\/jats:p>\n <\/jats:sec>\n \n Main outcome measures<\/jats:title>\n Number of procedures, readmissions for pain, readmissions for bleeding and requirement for additional surgery for regrowth.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 5525 procedures were identified. The median patient age was 4 (IQR 2\u20135). In\u2010hospital complications occurred in 1%, with 0.1% returning to theatre for arrest of primary tonsil bleeding. Almost half of the procedures were conducted as a day\u2010case (44%), with only a small proportion staying in hospital more than one night (7%). Within 28\u00a0days, 1.2% of patients were readmitted with bleeding, 0.7% with infection and 0.3% with pain; 0.2% of patients required return to theatre for control of secondary haemorrhage. Longitudinal follow\u2010up has found that revision tonsil surgery is 0.3% at 1\u00a0year (\n n<\/jats:italic>\n \u00a0=\u00a04498), 1.1% at 2\u00a0years (\n n<\/jats:italic>\n \u00a0=\u00a02938), 1.7% at 3\u00a0years (\n n<\/jats:italic>\n \u00a0=\u00a01781), 1.9% at 4\u00a0years (\n n<\/jats:italic>\n \u00a0=\u00a0905) and 2.2% at 5\u00a0years (\n n<\/jats:italic>\n \u00a0=\u00a0305).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Intracapsular coblation tonsillectomy safety outcomes in this study show primary and secondary bleeding rates and emergency return to theatre rates are lower than all tonsillectomy techniques reported in the National Prospective Tonsillectomy Audit and also lower than previously published Hospital Episode Statistics analysis of tonsillectomy procedures.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/coa.13929","type":"journal-article","created":{"date-parts":[[2022,3,15]],"date-time":"2022-03-15T04:05:18Z","timestamp":1647317118000},"page":"471-477","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Coblation intracapsular tonsillectomy: A cohort study of NHS practice in England using Hospital Episode Statistics"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7181-4608","authenticated-orcid":false,"given":"Steven","family":"Powell","sequence":"first","affiliation":[{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust Newcastle upon Tyne UK"},{"name":"Population Health Sciences Institute Faculty of Medical Sciences University of Newcastle upon Tyne Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1387-1580","authenticated-orcid":false,"given":"Daniel J.","family":"Tweedie","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6614-0028","authenticated-orcid":false,"given":"Nicolaas E.","family":"Jonas","sequence":"additional","affiliation":[{"name":"Cambridge University Hospitals NHS Foundation Trust Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil D.","family":"Bateman","sequence":"additional","affiliation":[{"name":"Manchester University NHS Foundation Trust Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5108-6279","authenticated-orcid":false,"given":"Kim","family":"Keltie","sequence":"additional","affiliation":[{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust Newcastle upon Tyne UK"},{"name":"Translational and Clinical Research Institute Faculty of Medical Sciences University of Newcastle upon Tyne Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9553-7278","authenticated-orcid":false,"given":"Andrew J.","family":"Sims","sequence":"additional","affiliation":[{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust Newcastle upon Tyne UK"},{"name":"Translational and Clinical Research Institute Faculty of Medical Sciences University of Newcastle upon Tyne Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13707"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/mlg.0b013e318031f0b0"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5541121407"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2004.07.006"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13790"},{"key":"e_1_2_10_7_1","first-page":"CD011365","article-title":"Tonsillectomy versus tonsillotomy for obstructive sleep\u2010disordered breathing in children","volume":"4","author":"Blackshaw H","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.329.7462.369"},{"key":"e_1_2_10_9_1","volume-title":"R: A Language and Environment for Statistical Computing","author":"R Core Team"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2017.1327122"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16896-7"},{"key":"e_1_2_10_12_1","unstructured":"The National Institute for Health and Care Excellence.Interventional Procedure Guidance 150: Electrosurgery (diathermy and coblation) for tonsillectomy. 14 December2015. Last Accessed January 06 2022. Available from:https:\/\/www.nice.org.uk\/guidance\/ipg150"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3431-6"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000342319"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3871-7"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2020.110113"}],"updated-by":[{"DOI":"10.1111\/coa.13979","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2022,10,9]],"date-time":"2022-10-09T00:00:00Z","timestamp":1665273600000}}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13929","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/coa.13929","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13929","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T23:22:32Z","timestamp":1692832952000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.13929"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,22]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1111\/coa.13929"],"URL":"https:\/\/doi.org\/10.1111\/coa.13929","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/COA.13929\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.13929\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.13929\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.13929\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.13929\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/COA.13929\/v1\/review2","asserted-by":"object"}]},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,22]]},"assertion":[{"value":"2022-01-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}