title: The effectiveness of guidelines in reducing inappropriate CT scans of the paranasal sinuses.
abstract: An effective system for scoring pathological changes on CT scans of the paranasal sinuses has been developed by Lund & Mackay. We have performed an audit using 100 outpatients with nasal symptoms and found that adherence to guidelines prior to ordering CT scans of the paranasal sinuses correlates with an increased average Lund & Mackay score. Using these guidelines has also reduced the number of inappropriate CT scan requests.
authors.affiliation: Department of Otolaryngology Head & Neck Surgery, University Hospital Lewisham, Lewisham High Street, Lewisham, London SE13 6LH, United Kingdom.
authors.forename: G A
authors.initials: GA
authors.lastname: Worley
authors.forename: R
authors.initials: R
authors.lastname: Kotnis
authors.forename: J
authors.initials: J
authors.lastname: Jacomb-Hood
authors.forename: N
authors.initials: N
authors.lastname: Salama
mesh_terms: D006801:Humans; D010254:Paranasal Sinus Diseases / Q000145:classification / Q000000981:diagnostic imaging*; D017410:Practice Guidelines as Topic; D014057:Tomography, X-Ray Computed / Q000706:statistics & numerical data