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. 2021 Oct 29;50(1):61.
doi: 10.1186/s40463-021-00533-x.

Choosing Wisely Canada - pediatric otolaryngology recommendations

Mitchell McDonough #  1 , Kalpesh Hathi #  1 , Gerard Corsten  2 , Christopher J Chin  1   2 , Paolo Campisi  3 , Jonathan Cavanagh  4 , Neil Chadha  5 , M Elise Graham  6 , Murad Husein  6 , Liane B Johnson  2 , Jodi Jones  7 , Bruce Korman  8 , John Manoukian  9 , Lily H P Nguyen  9 , Doron D Sommer  8 , Julie Strychowsky  6 , Trina Uwiera  10 , Warren Yunker  11 , Paul Hong  12
Affiliations

Choosing Wisely Canada - pediatric otolaryngology recommendations

Mitchell McDonough et al. J Otolaryngol Head Neck Surg. .

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.

Keywords: Best practice; Choosing Wisely Canada; Health care utilization; Otitis media with effusion; Pediatric otolaryngology; Tonsillectomy.

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Conflict of interest statement

The authors declare that they have no competing interests.

References

    1. Eskander A, Monteiro E, O’Connell D, et al. Head and Neck Surgical Oncology Choosing Wisely Campaign: imaging for patients with hoarseness, fine needle aspiration for neck mass, and ultrasound for odynophagia. J of Otolaryngol Head Neck Surg. 2018;47(2). 10.1186/s40463-017-0251-x. - PMC - PubMed
    1. Ma AK, Nedzelski J, Chen J, et al. Otology/Neurotology recommendations – Choosing Wisely campaign. J of Otolaryngol Head Neck Surg. 2019;48(60). doi:10.1186/s40463-019-0381-4. - PMC - PubMed
    1. Arnstead N, Chan Y, Kilty S, et al. Choosing Wisely Canada rhinology recommendations. J of Otolaryngol Head Neck Surg. 2020;49(10). 10.1186/s40463-020-00406-9. - PMC - PubMed
    1. Choosing Wisely Canada. Medical Professional Society Handbook. 2019. Version 1.2.
    1. Desrosiers AE, 3rd, Thaller SR. Pediatric nasal fractures: evaluation and management. J Craniofac Surg. 2011;22(4):1327–1329. doi: 10.1097/SCS.0b013e31821c932d. - DOI - PubMed