title: [Not Available].
abstract: OBJECTIVE
  There was a dual objective. The first was to assess the impact of applying CPG for functional surgery of the nasal septum in the improvement of the indications accepted in the scientific literature.The second was to determine compliance to this care process,by evaluating professional satisfaction with the CPG recommendations.
  
  
  METHODS
  A descriptive retrospective study of a series of 598 patients operated on for a nasal septum deviation in the period between January 2000 and December 2005. A questionnaire on the assessment of adherence to the CPG and of the care provided to patients who were operated on, at four different times: before the PG was created (year 2000; pre-CPG control group), after the creation of the CPG (year 2001; CPG group), when the tool for assessing adherence to the CPG was implemented (year 2002; CPG-survey group), and after being established 3 years (CPG study group,the CPG as well the aforementioned assessment of adherence to a CPG tool). The variables selected for the study were represented by the tool for assessing adherence to the CPG, which included questions with "yes" or "no" responses. In the assessment of adherence to the CPG, the percentage of affirmative responses (yes), was taken into account, with five qualitative categories: excellent (> 95%),very good (90-94.9%), good (85-89.9%), sufficient (80-84.9%) and deficient (< 80%).
  
  
  RESULTS
  Of the surgical criteria or judgements established in the CPG, the low deviations of nasal septum predominated (478;88.2%). The type of nasal septum deviation was not recorded in 56(9.4%) of the clinical files reviewed. The period between 2003 and 2005 gave results of a higher quality for the medical surgical performance of the Ear, Nose and Throat Department, with three excellent evaluations and three good for 37.5%, respectively, and one fair (12.5%) which we assume is due to the use of both tools (CPG and the tool for the assessment of adherence to it).
  
  
  CONCLUSIONS
  The assessment of the adherence to the CPG in the patients operated on for deviation of nasal septum is a very useful tool to assess medical surgical performance in this disease, thus becoming a highly valued tool for the continued improvement of the quality of our medical care provided to our patients.
authors.affiliation: Servicio de Otorrinolaringología. Hospital Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos. Cuba. Electronic address: rene@gal.sld.cu.
authors.forename: René Esteban
authors.initials: RE
authors.lastname: Moreno Rajadel
authors.forename: Frank
authors.initials: F
authors.lastname: Carlos Álvarez Li