{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T21:35:55Z","timestamp":1774647355000,"version":"3.50.1"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> To create and validate a German version of the Tonsil and Adenoid Health Status Instrument (TAHSI) for evaluation of tonsillectomy outcome in adult patients with chronic or recurrent tonsillitis. <\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and methods<\/jats:title><jats:p> 46 healthy volunteers were assessed twice in a 6\u2009week interval with the TAHSI questionnaire. Their results were compared with 45 patients suffering from chronic tonsillitis before tonsillectomy and 6\u2009months following surgery. For internal consistency, Cronbach's alpha was calculated; to identify normal score values, the optimum cutoff between healthy and diseased individuals was identified with receiver operating characteristic analysis; and responsiveness was assessed using Guyatt's Responsiveness Index (GRI). <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Cronbach's alpha for all questions was 0.92. Test- retest intraclass correlation coefficient was 0.89 (95% confidence interval 0.80-0.94 p\u2009&lt;\u20090.001). Mean score for the healthy individuals was 7.0 (95% confidence interval 4.2-9.7). The optimum cut off score between healthy and diseased was 20 with a sensitivity of 80% and a specificity of 90% to differentiate controls from tonsillectomy patients. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> The TAHSI performed well in this validation tests and is considered a favorable instrument to evaluate the effectiveness of tonsillectomy in adults with chronic or recurrent tonsillitis. <\/jats:p><\/jats:sec>","DOI":"10.1186\/s40463-014-0041-7","type":"journal-article","created":{"date-parts":[[2014,11,3]],"date-time":"2014-11-03T10:08:09Z","timestamp":1415009289000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Evaluation of a German version of the tonsil and adenoid health status instrument"],"prefix":"10.1177","volume":"43","author":[{"given":"Teresa","family":"Steinbichler","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Medical University of Innsbruck, Anichstr 35, A-6020, Innsbruck, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Birte","family":"Bender","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Medical University of Innsbruck, Anichstr 35, A-6020, Innsbruck, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Blassnigg","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Community Hospital Kufstein, Endach 27, A-6330, Kufstein, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Herbert","family":"Riechelmann","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Medical University of Innsbruck, Anichstr 35, A-6020, Innsbruck, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,1,1]]},"reference":[{"key":"bibr1-s40463-014-0041-7","unstructured":"Comprehensive DRG Related Hospital Statistics of Inpatient Surgical Procedures. 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