Impact of Pediatric Tonsillectomy Guidelines on Clinical Practice

What impact have the pediatric tonsillectomy guidelines, published by the AAO-HNS in January 2011, had on the individual practicing clinician?

Bottom line
To achieve a higher adherence to clinical practice guidelines and reduce variability, it will be necessary to understand the rationale utilized by those clinicians who choose not to adhere and develop additional processes to foster compliance.

Background: Despite tonsillectomy being 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.

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