CJO - Abstract - Implementation by Scottish otolaryngologists of the Scottish Intercollegiate Guidelines Network document <em>Management of Sore Throats and the Indications for Tonsillectomy</em>: four years on

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    Implementation by Scottish otolaryngologists of the Scottish Intercollegiate Guidelines Network document Management of Sore Throats and the Indications for Tonsillectomy: four years on

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The Journal of Laryngology & Otology (2004), 118 : 357-361 Cambridge University Press
Copyright © Royal Society of Medicine Press Limited 2004
doi:10.1258/002221504323086543 (About doi)
Published online by Cambridge University Press 08 Mar 2006
 
Journal of Laryngology & Otology (2004), 118:5:357-361 Royal Society of Medicine Press
Copyright © Royal Society of Medicine Press Limited 2004
doi:10.1258/002221504323086543


(RF) Otorhinolaryngology

Implementation by Scottish otolaryngologists of the Scottish Intercollegiate Guidelines Network document Management of Sore Throats and the Indications for Tonsillectomy: four years on

W. Andrew Clement a1 and John H. Dempster a1
a1 Department of Otolaryngology - Head and Neck Surgery, Crosshouse Hospital, Kilmarnock, Scotland, UK.

Article author query
clement w   [PubMed] [Google Scholar] 
dempster h   [PubMed] [Google Scholar] 

Abstract

A postal survey was undertaken to assess otolaryngologists’ awareness, implementation and perceived weaknesses of the Scottish Intercollegiate Guidelines Network (SIGN) clinical guideline for the Management of Sore Throat and Indications for Tonsillectomy. The reply rate was 77 per cent. There was high awareness of the guideline and while 84 per cent of the correspondents felt that they followed the guideline, or a guideline based on it, only 35 per cent were able to accurately recall the four main criteria recommended for listing for tonsillectomy. Twenty-five per cent of the surgeons were in departments that had ongoing implementation programmes for these guidelines but only 10 per cent of surgeons were in departments that had audited their compliance. The most common criticism of the guideline (22 per cent) was that it failed to consider the impact of the disease process on the patient’s quality of life. Suggestions made to improve the guideline are included.


Key Words: Practice Guidelines; Otolaryngology; Tonsillectomy.

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