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Review
. 2020 Feb 28;49(1):10.
doi: 10.1186/s40463-020-00406-9.

Choosing Wisely Canada rhinology recommendations

Neil Arnstead  1 , Yvonne Chan  2 , Shaun Kilty  3 , Ragavan Ganeshathasan  4 , Armin Rahmani  5 , Eric Monteiro  6 ; Rhinology Subspecialty Group of the Canadian Society of Otolaryngology – Head & Neck Surgery
Affiliations
Review

Choosing Wisely Canada rhinology recommendations

Neil Arnstead et al. J Otolaryngol Head Neck Surg. .

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.

Keywords: Anti-bacterial agents; Choosing Wisely Canada; Computed tomography; Drug utilization; Medical overuse; Nasal fracture; Radiography; Rhinology; Sinusitis.

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Conflict of interest statement

The authors declare that they have no competing interests.

References

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