What impact have the pediatric tonsillectomy guidelines, published by the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS) in January 2011, had on the individual practicing clinician?
Bottom line: To achieve a higher adherence to clinical practice guidelines and to reduce variability, we must understand the rationale utilized by those clinicians who choose not to adhere, and we must develop additional processes to foster compliance.
Explore this issue:August 2016
Background: Despite the fact that tonsillectomy is the most common operative procedure performed in the United States, considerable variation exists in management and resource utilization. Clinical practice guidelines contain specific guidance, each emphasized at different levels. “Strong recommendations” are those that show clear benefits that exceed the risk for harm if the recommendation is followed.
Study design: Case series with chart review.