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Choosing Wisely Canada rhinology recommendations
Neil Arnstead1, Yvonne Chan2, Shaun Kilty3
1Department of Otolaryngology - Head & Neck Surgery, University of Toronto, C. David Naylor Building, Suite 120, 6 Queen's Park Crescent West, Toronto, ON, M5S 3H2, Canada. neil.arnstead@mail.utoronto.ca.
Abstract:
The Choosing Wisely Canada campaign is an initiative that aims to involve physicians and patients in collaborative decision making to avoid unnecessary tests and treatments. The Rhinology Subspecialty Group of the Canadian Society of Otolaryngology - Head & Neck Surgery developed a list of five evidence-based recommendations for the management of acute rhinosinusitis and nasal fractures: (1) don't prescribe antibiotics to patients with acute sinusitis who do not meet the diagnostic criteria for acute bacterial rhinosinusitis; (2) don't order a CT scan for uncomplicated acute rhinosinusitis; (3) don't order plain film sinus x-rays; (4) don't swab the nasal cavity as part of the work up for rhinosinusitis; and (5) don't order a plain film x-ray in the evaluation of nasal fractures.
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