Evidence map›Paper›PMID 40391622›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale

Reducing Unnecessary X-Rays for Nasal Fractures: A Quality Improvement Project.

Jess Rhee, Danielle Kelton, Sheena Belisle, Agnieszka Dzioba, Leigh Sowerby, Andrew Simpson, Julie E Strychowsky

Abstract read
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In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jess RheeDepartment of Otolaryngology-Head and Neck Surgery, London Health Sciences Centre, London, ON, Canada.ORCID 0000-0001-5884-2110
Danielle KeltonDivision of Emergency Medicine, Department of Medicine, London Health Sciences Centre, London, ON, Canada.
Sheena BelisleDivision of Pediatric Emergency Medicine, Department of Pediatrics, London Health Sciences Centre, London, ON, Canada.
Agnieszka DziobaDepartment of Otolaryngology-Head and Neck Surgery, London Health Sciences Centre, London, ON, Canada.ORCID 0000-0002-7609-5988
Leigh SowerbyDepartment of Otolaryngology-Head and Neck Surgery, London Health Sciences Centre, London, ON, Canada.
Andrew SimpsonDepartment of Plastic and Reconstructive Surgery, London Health Sciences Centre, London, ON, Canada.
Julie E StrychowskyDepartment of Otolaryngology-Head and Neck Surgery, London Health Sciences Centre, London, ON, Canada.ORCID 0000-0001-5460-3155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundChoosing Wisely Canada recommends against the use of nasal bone X-rays for the evaluation of nasal fractures. The goal of this quality improvement project was to reduce the number of nasal bone X-rays ordered at our institution by 50% by 1 year.MethodsThe Institute for Healthcare Improvement Model for Improvement was used, and a pre- and post-intervention study was conducted. Change ideas included the following: a clinical decision support tool, provider surveys, and education. The number of X-rays ordered monthly was monitored. Financial cost (labor, materials, and overhead) was assessed. Environmental impact was extrapolated based on carbon dioxide equivalent emissions (CO

Indexed as

Nasal BoneQuality ImprovementRadiographySkull FracturesTomography, X-Ray ComputedUnnecessary ProceduresCanadaHumanschoosing wisely medical educationclinical practice guidelinesclinical researchcomprehensive otolaryngologyevidence-based medicinehealth policyquality improvement

Identifiers

PMID40391622
PMCPMC12093000

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.