Currently, the most reliable source of evidence to justify medical treatment is the opinion of medical experts. A consensus is building that evidence from randomized clinical trials and prospective controlled studies (as published in peer-reviewed, scientific literature) should be the foundation for treatment decisions made by physicians, in conjunction with clinical expertise and judgement.
The AAO-HNS supports and endorses EBM when it includes all of these essential components:
Best available external evidence
Individual patient preference
The balance of evidence supplied by these components may shift as data accumulates and our knowledge grows, but a current absence of data should not be equated with absence of effectiveness
Important Disclaimer Notice
Position statements are approved by the American Academy of Otolaryngology—Head and Neck Surgery, Inc. or Foundation (AAO-HNS/F) Boards of Directors and are typically generated from AAO-HNS/F committees. Once approved by the Academy or Foundation Board of Directors, they become official position statements and are added to the existing position statement library. In no sense do they represent a standard of care. The applicability of position statements, as guidance for a procedure, must be determined by the responsible physician in light of all the circumstances presented by the individual patient. Adherence to these clinical position statements will not ensure successful treatment in every situation. As with all AAO-HNS/F guidance, this position statement should not be deemed inclusive of all proper treatment decisions or methods of care, nor exclusive of other treatment decisions or methods of care reasonably directed to obtaining the same results.
Workshops held in cities nationwide will help otolaryngologists, their staff, and other healthcare professionals code correctly, learn risk reduction strategies, and organize business systems.