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Choosing Wisely Canada - pediatric otolaryngology recommendations
Mitchell McDonough1, Kalpesh Hathi1, Gerard Corsten2
1Dalhousie Medicine New Brunswick, Saint John, New Brunswick, Canada.
Summary
Choosing Wisely Canada offers nine evidence-based recommendations for pediatric otolaryngology to reduce unnecessary tests and treatments. These guidelines help physicians and patients make informed decisions for common ear, nose, and throat conditions.
Area of Science:
- Pediatric Otolaryngology
- Evidence-Based Medicine
- Healthcare Quality Improvement
Background:
- The Choosing Wisely Canada campaign aims to reduce unnecessary medical tests and treatments.
- Physicians and patients need guidance on appropriate care for common pediatric otolaryngology conditions.
Purpose of the Study:
- To develop evidence-based recommendations for pediatric otolaryngology to improve decision-making.
- To reduce the use of inappropriate tests and treatments in pediatric ear, nose, and throat care.
Main Methods:
- An online survey was used to gather input from members of the Pediatric Otolaryngology Subspecialty Group.
- Nine evidence-based recommendations were developed for common pediatric otolaryngology presentations.
Main Results:
- Recommendations cover nasal fractures, sinusitis, otitis media with effusion, otorrhea, otitis externa, post-tonsillectomy pain, tonsillectomy, and chronic rhinosinusitis.
- Specific guidance is provided on imaging, medication use, and surgical interventions.
Conclusions:
- The recommendations aim to guide physicians and patients toward more appropriate and effective treatment decisions.
- Implementing these guidelines can help improve the quality and reduce the cost of pediatric otolaryngology care.
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