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Review
. 2018 Jan 8;47(1):2.
doi: 10.1186/s40463-017-0251-x.

Head and Neck Surgical Oncology Choosing Wisely Campaign: imaging for patients with hoarseness, fine needle aspiration for neck mass, and ultrasound for odynophagia

Antoine Eskander  1 , Eric Monteiro  2 , Dan O'Connell  3 , S Mark Taylor  4 ; Canadian Association of Head and Neck Surgical Oncology (CAHNSO)
Affiliations
Review

Head and Neck Surgical Oncology Choosing Wisely Campaign: imaging for patients with hoarseness, fine needle aspiration for neck mass, and ultrasound for odynophagia

Antoine Eskander et al. J Otolaryngol Head Neck Surg. .

Abstract

Choosing Wisely Canada, is a campaign designed to raise awareness regarding inappropriate or unnecessary tests and treatments. The Canadian Society of Otolaryngology - Head & Neck Surgery and the Canadian Association of Head and Neck Surgical Oncologists developed a Choosing Wisely Canada list to help promote high quality care for patients presenting with disorders of the head and neck: (1) Don't order imaging - computer tomography (CT) or magnetic resonance imaging (MRI) - as the initial investigation for patients presenting with a chief complaint of hoarseness, (2) Don't perform an open biopsy or excision of a neck mass without having first considered a fine needle aspiration (FNA) biopsy and, (3) Don't order neck ultrasound to investigate odynophagia (discomfort or pain with swallowing) or globus sensation.

Keywords: Choosing Wisely Canada; Communication; Head and neck surgical oncology; Health care delivery; Medical decision making.

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The authors declare that they have no competing interests.

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References

    1. Choosing Wisely Canada Recommendations [Internet]. Toronto, Ontario: Choosing Wisely Canada; 2016 [updated December 1, 2016; cited January 8, 2017]. Available from: http://choosingwiselycanada.org/recommendations/.
    1. Syed I, Daniels E, Bleach NR. Hoarse voice in adults: an evidence-based approach to the 12 minute consultation. Clin Otolaryngol. 2009;34(1):54–58. doi: 10.1111/j.1749-4486.2008.01872.x. - DOI - PubMed
    1. Hoare TJ, Thomson HG, Proops DW. Detection of laryngeal cancer--the case for early specialist assessment. J R Soc Med. 1993;86(7):390–392. - PMC - PubMed
    1. Schwartz SR, Cohen SM, Dailey SH, Rosenfeld RM, Deutsch ES, Gillespie MB, et al. Clinical practice guideline: hoarseness (dysphonia) Otolaryngol Head Neck Surg. 2009;141(3 Suppl 2):S1–S31. doi: 10.1016/j.otohns.2009.06.744. - DOI - PubMed
    1. Hobson JC, Malla JV, Sinha J, Kay NJ, Ramamurthy L. Outcomes for patients referred urgently with suspected head and neck cancer. J Laryngol Otol. 2008;122(11):1241–1244. doi: 10.1017/S0022215108002004. - DOI - PubMed

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