Choosing Wisely Canada – pediatric otolaryngology recommendations
Abstract The Choosing Wisely Canada campaign raises awareness amongst physicians and patients regarding unnecessary or inappropriate tests and treatments. Using an online survey, members of the Pediatric Otolaryngology Subspecialty Group within the Canadian Society of Otolaryngology – Head & Nec...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-10-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40463-021-00533-x |
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| author | Mitchell McDonough Kalpesh Hathi Gerard Corsten Christopher J. Chin Paolo Campisi Jonathan Cavanagh Neil Chadha M. Elise Graham Murad Husein Liane B. Johnson Jodi Jones Bruce Korman John Manoukian Lily H. P. Nguyen Doron D. Sommer Julie Strychowsky Trina Uwiera Warren Yunker Paul Hong |
| author_facet | Mitchell McDonough Kalpesh Hathi Gerard Corsten Christopher J. Chin Paolo Campisi Jonathan Cavanagh Neil Chadha M. Elise Graham Murad Husein Liane B. Johnson Jodi Jones Bruce Korman John Manoukian Lily H. P. Nguyen Doron D. Sommer Julie Strychowsky Trina Uwiera Warren Yunker Paul Hong |
| author_sort | Mitchell McDonough |
| collection | DOAJ |
| description | Abstract The Choosing Wisely Canada campaign raises awareness amongst physicians and patients regarding unnecessary or inappropriate tests and treatments. Using an online survey, members of the Pediatric Otolaryngology Subspecialty Group within the Canadian Society of Otolaryngology – Head & Neck Surgery developed a list of nine evidence based recommendations to help physicians and patients make treatment decisions regarding common pediatric otolaryngology presentations: (1) Don’t routinely order a plain film x-ray in the evaluation of nasal fractures; (2) Don’t order imaging to distinguish acute bacterial sinusitis from an upper respiratory infection; (3) Don’t place tympanostomy tubes in most children for a single episode of otitis media with effusion of less than 3 months duration; (4) Don’t routinely prescribe intranasal/systemic steroids, antihistamines or decongestants for children with uncomplicated otitis media with effusion; (5) Don’t prescribe oral antibiotics for children with uncomplicated tympanostomy tube otorrhea or uncomplicated acute otitis externa; (6) Don’t prescribe codeine for post-tonsillectomy/adenoidectomy pain relief in children; (7) Don’t administer perioperative antibiotics for elective tonsillectomy in children; (8) Don’t perform tonsillectomy for children with uncomplicated recurrent throat infections if there have been fewer than 7 episodes in the past year, 5 episodes in each of the past 2 years, or 3 episodes in each of the last 3 years; and (9) Don’t perform endoscopic sinus surgery for uncomplicated pediatric chronic rhinosinusitis prior to failure of maximal medical therapy and adenoidectomy. |
| format | Article |
| id | doaj-art-027a0dee6f6d4fdeb217fbd0b369b5d3 |
| institution | OA Journals |
| issn | 1916-0216 |
| language | English |
| publishDate | 2021-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-027a0dee6f6d4fdeb217fbd0b369b5d32025-08-20T01:47:50ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162021-10-015011510.1186/s40463-021-00533-xChoosing Wisely Canada – pediatric otolaryngology recommendationsMitchell McDonough0Kalpesh Hathi1Gerard Corsten2Christopher J. Chin3Paolo Campisi4Jonathan Cavanagh5Neil Chadha6M. Elise Graham7Murad Husein8Liane B. Johnson9Jodi Jones10Bruce Korman11John Manoukian12Lily H. P. Nguyen13Doron D. Sommer14Julie Strychowsky15Trina Uwiera16Warren Yunker17Paul Hong18Dalhousie Medicine New BrunswickDalhousie Medicine New BrunswickDivision of Otolaryngology - Head & Neck Surgery, Department of Surgery, Dalhousie UniversityDalhousie Medicine New BrunswickDepartment of Otolaryngology - Head & Neck Surgery, University of TorontoDivision of Otolaryngology - Head & Neck Surgery, Department of Surgery, Memorial University of Newfoundland, St. John’s, Newfoundland and LabradorDivision of Otolaryngology - Head & Neck Surgery, Department of Surgery, University of British ColumbiaDepartment of Otolaryngology - Head & Neck Surgery, Western UniversityDepartment of Otolaryngology - Head & Neck Surgery, Western UniversityDivision of Otolaryngology - Head & Neck Surgery, Department of Surgery, Dalhousie UniversityDepartment of Otolaryngology - Head & Neck Surgery, University of ManitobaDepartment of Surgery, Otolaryngology/Head & Neck Surgery Division, McMaster UniversityDivision of Otolaryngology - Head & Neck Surgery, Department of Surgery, McGill UniversityDivision of Otolaryngology - Head & Neck Surgery, Department of Surgery, McGill UniversityDepartment of Surgery, Otolaryngology/Head & Neck Surgery Division, McMaster UniversityDepartment of Otolaryngology - Head & Neck Surgery, Western UniversityDivision of Otolaryngology - Head & Neck Surgery, Department of Surgery, University of AlbertaSection of Otolaryngology - Head & Neck Surgery, Department of Surgery, University of CalgaryDivision of Otolaryngology - Head & Neck Surgery, Department of Surgery, Dalhousie UniversityAbstract The Choosing Wisely Canada campaign raises awareness amongst physicians and patients regarding unnecessary or inappropriate tests and treatments. Using an online survey, members of the Pediatric Otolaryngology Subspecialty Group within the Canadian Society of Otolaryngology – Head & Neck Surgery developed a list of nine evidence based recommendations to help physicians and patients make treatment decisions regarding common pediatric otolaryngology presentations: (1) Don’t routinely order a plain film x-ray in the evaluation of nasal fractures; (2) Don’t order imaging to distinguish acute bacterial sinusitis from an upper respiratory infection; (3) Don’t place tympanostomy tubes in most children for a single episode of otitis media with effusion of less than 3 months duration; (4) Don’t routinely prescribe intranasal/systemic steroids, antihistamines or decongestants for children with uncomplicated otitis media with effusion; (5) Don’t prescribe oral antibiotics for children with uncomplicated tympanostomy tube otorrhea or uncomplicated acute otitis externa; (6) Don’t prescribe codeine for post-tonsillectomy/adenoidectomy pain relief in children; (7) Don’t administer perioperative antibiotics for elective tonsillectomy in children; (8) Don’t perform tonsillectomy for children with uncomplicated recurrent throat infections if there have been fewer than 7 episodes in the past year, 5 episodes in each of the past 2 years, or 3 episodes in each of the last 3 years; and (9) Don’t perform endoscopic sinus surgery for uncomplicated pediatric chronic rhinosinusitis prior to failure of maximal medical therapy and adenoidectomy.https://doi.org/10.1186/s40463-021-00533-xPediatric otolaryngologyChoosing Wisely CanadaHealth care utilizationBest practiceOtitis media with effusionTonsillectomy |
| spellingShingle | Mitchell McDonough Kalpesh Hathi Gerard Corsten Christopher J. Chin Paolo Campisi Jonathan Cavanagh Neil Chadha M. Elise Graham Murad Husein Liane B. Johnson Jodi Jones Bruce Korman John Manoukian Lily H. P. Nguyen Doron D. Sommer Julie Strychowsky Trina Uwiera Warren Yunker Paul Hong Choosing Wisely Canada – pediatric otolaryngology recommendations Journal of Otolaryngology - Head and Neck Surgery Pediatric otolaryngology Choosing Wisely Canada Health care utilization Best practice Otitis media with effusion Tonsillectomy |
| title | Choosing Wisely Canada – pediatric otolaryngology recommendations |
| title_full | Choosing Wisely Canada – pediatric otolaryngology recommendations |
| title_fullStr | Choosing Wisely Canada – pediatric otolaryngology recommendations |
| title_full_unstemmed | Choosing Wisely Canada – pediatric otolaryngology recommendations |
| title_short | Choosing Wisely Canada – pediatric otolaryngology recommendations |
| title_sort | choosing wisely canada pediatric otolaryngology recommendations |
| topic | Pediatric otolaryngology Choosing Wisely Canada Health care utilization Best practice Otitis media with effusion Tonsillectomy |
| url | https://doi.org/10.1186/s40463-021-00533-x |
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