PMID: 15239030Jul 9, 2004Paper

Clinical guidelines, defensive medicine, and the physician between the two

American Journal of Otolaryngology
Asaf TokerHaim Reuveni

Abstract

In this article, we study the use of the American Academy of Otolaryngology-Head and Neck Surgery recommendations regarding coagulation screening tests before tonsillectomy and adenoidectomy by ear, nose, and throat (ENT) physicians in Israel and offer insights into the reasons for accepting/declining this recommendation. During April and May 2002, 309 self-administered questionnaires were sent to all ENT physician members of the Israeli Society of Otolaryngology-Head and Neck Surgery. Physicians answered questions regarding demographic data, their habits of preoperative laboratory and imaging tests before tonsillectomy and adenoidectomy, and the reasons for performing these tests. One hundred ninety-six (63.4% compliance rate) physicians responded to the survey. One hundred fifty-four (78.6% of the responding physicians) do not follow guideline recommendations and ask their otherwise healthy patients to undergo prothrombin time/partial thromboplastin time (PT/PTT) tests before tonsillectomy and adenoidectomy. Common practice in their departments was the leading reasoning for preoperative PT/PTT testing for 101 (51.5%) physicians. Eighty-nine physicians (45.4%) specifically stated that the reason for this behavior is defensive ...Continue Reading

References

Oct 1, 1995·Annals of Internal Medicine·E E Bartlett
Oct 21, 1993·The New England Journal of Medicine·P J Greco, J M Eisenberg
Jan 1, 1993·International Journal of Pediatric Otorhinolaryngology·C S Derkay
Oct 27, 1999·JAMA : the Journal of the American Medical Association·M D CabanaH R Rubin
Sep 16, 2000·JAMA : the Journal of the American Medical Association·J G DemakisW G Henderson
Aug 18, 2001·BMJ : British Medical Journal·M I JonesC P Bradley

❮ Previous
Next ❯

Citations

Nov 9, 2010·Cardiovascular and Interventional Radiology·Randy R SibbittArthur D Bankhurst
Dec 10, 2009·The American Journal of Bioethics : AJOB·Barbara Russell
Oct 31, 2013·BMC Medical Ethics·Osman OrtashiFikri Abu-Zidan
Aug 24, 2012·PloS One·Elad AsherHaim Reuveni
Feb 18, 2014·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Galila Zaher, Khaled Al-Noury
Dec 18, 2010·Annales Françaises D'anesthèsie Et De Rèanimation·S Molliex, C-M Samama
Aug 1, 2006·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·Keng Boon Harold Tan
Aug 12, 2015·BMC Research Notes·Sergio MottaGaetano Motta
Aug 8, 2015·Current Opinion in Hematology·Janice W Lawson, Craig S Kitchens
Sep 1, 2021·Scandinavian Journal of Primary Health Care·Merethe K AndersenLine B Pedersen

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Related Papers

JAMA : the Journal of the American Medical Association
M D CabanaH R Rubin
Anesthesiology Clinics of North America
L Reuven Pasternak
© 2022 Meta ULC. All rights reserved