Decision making for children with obstructive sleep apnea without tonsillar hypertrophy

Stacey L. Ishman, Alice Tang, Aliza P. Cohen, Haithem Elhadi Babiker, Barbara Chini, Zarmina Ehsan, Robert J. Fleck, Christopher Gordon, Gary L. McPhail, Brian Pan, Howard M. Saal, Sally R. Shott, Raouf S. Amin

Research output: Contribution to journalArticle

Abstract

Objective Evidence-based medicine is the gold standard practice model for patient management. Our aim was to determine whether decisions made by pediatric subspecialists regarding management of obstructive sleep apnea in children without tonsillar hypertrophy adhered to this model or were based on clinical experiences. Study Design Single-institution prospective study. Setting Multidisciplinary upper airway center in an academic pediatric hospital. Subjects and Methods Twelve pediatric subspecialists representing 8 specialties participating in upper airway clinics and management conferences. Real-time decisions made in treatment conferences and upper airway clinics were collected. Physicians were queried regarding the basis of their decisions, and these decisions were then classified into 10 categories. Results Over 13 days (10 case conferences, 3 half-day clinics), 324 decisions were made for 58 patients (mean age = 8.9 ± 7.4 years, mean body mass index percentile = 75 ± 29); 34% (n = 108) of decisions were evidence based; 59% (n = 193) were nonevidence based; and 7% (n = 23) were based on parental preference. Providers were able to cite specific studies for

Original languageEnglish (US)
Pages (from-to)527-531
Number of pages5
JournalOtolaryngology - Head and Neck Surgery
Volume154
Issue number3
DOIs
StatePublished - Mar 1 2016
Externally publishedYes

Fingerprint

Obstructive Sleep Apnea
Hypertrophy
Decision Making
Pediatrics
Pediatric Hospitals
Airway Management
Evidence-Based Medicine
Body Mass Index
Prospective Studies
Physicians
Therapeutics

Keywords

  • evidence-based medicine
  • gaps in evidence
  • medical decision making
  • obstructive sleep apnea
  • pediatric

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Ishman, S. L., Tang, A., Cohen, A. P., Elhadi Babiker, H., Chini, B., Ehsan, Z., ... Amin, R. S. (2016). Decision making for children with obstructive sleep apnea without tonsillar hypertrophy. Otolaryngology - Head and Neck Surgery, 154(3), 527-531. https://doi.org/10.1177/0194599815621552

Decision making for children with obstructive sleep apnea without tonsillar hypertrophy. / Ishman, Stacey L.; Tang, Alice; Cohen, Aliza P.; Elhadi Babiker, Haithem; Chini, Barbara; Ehsan, Zarmina; Fleck, Robert J.; Gordon, Christopher; McPhail, Gary L.; Pan, Brian; Saal, Howard M.; Shott, Sally R.; Amin, Raouf S.

In: Otolaryngology - Head and Neck Surgery, Vol. 154, No. 3, 01.03.2016, p. 527-531.

Research output: Contribution to journalArticle

Ishman, SL, Tang, A, Cohen, AP, Elhadi Babiker, H, Chini, B, Ehsan, Z, Fleck, RJ, Gordon, C, McPhail, GL, Pan, B, Saal, HM, Shott, SR & Amin, RS 2016, 'Decision making for children with obstructive sleep apnea without tonsillar hypertrophy', Otolaryngology - Head and Neck Surgery, vol. 154, no. 3, pp. 527-531. https://doi.org/10.1177/0194599815621552
Ishman, Stacey L. ; Tang, Alice ; Cohen, Aliza P. ; Elhadi Babiker, Haithem ; Chini, Barbara ; Ehsan, Zarmina ; Fleck, Robert J. ; Gordon, Christopher ; McPhail, Gary L. ; Pan, Brian ; Saal, Howard M. ; Shott, Sally R. ; Amin, Raouf S. / Decision making for children with obstructive sleep apnea without tonsillar hypertrophy. In: Otolaryngology - Head and Neck Surgery. 2016 ; Vol. 154, No. 3. pp. 527-531.
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