Cross-Cultural Adaptation and Validation of the Turkish Version of the Tonsil and Adenoid Health Status Instrument

BACKGROUND: Tonsil and Adenoid Health Status Instrument (TAHSI) is a powerful, validated, and disease specific assessment tool for adenotonsillectomy. Adenotonsillectomy rates show geographic variation. In addition, healthcare utilization and patient behaviors are very different among countries. Therefore, validation and cross cultural adaptation of TAHSI is required. AIM: This paper aimed to validate the cross cultural adapted version of the TAHSI. Methods: This single center prospective study included 129 patients who had undergone adenotonsillectomy or tonsillectomy and 98 healthy children in a single institution between January 2018 and June 2022. RESULTS: T TAHSI and all eight subscales' total scores were higher in the patient group compared to the healthy group. In addition, the difference in T TAHSI scores before and after surgery was significant. After surgical intervention, a substantial decrease in the T TAHSI score was observed. CONCLUSION: T TAHSI is a dependable and thoroughly validated tool, adapted for use across various cultures. It serves as a powerful tool for medical professionals, particularly for assessing the outcomes of surgical procedures in adenotonsillar disease. T TAHSI is instrumental in determining the success of surgical treatments. Additionally, elevated scores on this tool should signal to clinicians the potential need for surgical intervention.