Awareness of, Opinions About, and Adherence to Evidence-Based Guidelines in Otorhinolaryngology

Abstract

Dutch otorhinolaryngologists are well aware of the available evidence-based guidelines, and many use these to support their clinical practice. The treatment by Dutch otorhinolaryngologists is in accordance with the Dutch guidelines. When guidelines, however, do not provide strict recommendations and allow flexibility in treatment, larger variations in chosen treatment occur. This may reflect that otorhinolaryngologists still may encounter difficulties when applying the current guidelines to an individual patient.

Otolaryngologists adhere to evidence-based guidelines for chronic rhinosinusitis

“…In the study of Aarts et al [2], 61% of Dutch Otolaryngologists reported to have accurate knowledge of the CBO guideline, our results show adherence has improved since then. Other studies on the implementation of CBO or EPOS have not been performed.…”

“…The self-reported adherence to evidence-based guidelines among Dutch Otolaryngologists has been previously assessed, in 2010, and is considered rather high [2]. That is, 62% indicated that their daily practice was supported by guidelines, and 32% stated that guidelines guided their clinical practice.…”

Inpatient treatment of patients with acute idiopathic peripheral facial palsy: A population‐based healthcare research study

“…All three guidelines do not give clear criteria when to add antiviral therapy. If guidelines do not provide strict recommendations, physician in general may have more difficulties when applying guidelines to an individual patient …”

Implementation of study results in guidelines and adherence to guidelines in clinical practice

“…Aarts et al [2] investigated the adherence to guidelines of otolaryngologists in the Netherlands (N=440, response rate: 187/440=42.5%) by means of questionnaires. Hereby, 70% of the responders stated that they observed guidelines in daily routine, 61% did so every day, 20% 2–3 times per week, and 19% once per week or more rarely.…”