Disclaimer
is Guideline attempts to define principles of practice that should produce high-quality patient care.
It is applicable to specialists, primary care, and providers at all levels. is Guideline should not be
considered exclusive of other methods of care reasonably directed at obtaining the same results. e
ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer
consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated with
the distributor of this clinical reference tool.
Abbreviations
GABHS, group A β-hemolytic streptococcus; PFAPA, periodic fever, aphthous stomatitis,
pharyngitis, and adenitis; PSG, polysomnography; QoL, quality of life; SDB, sleep-disordered
breathing
Source
Baugh RF, Archer SM, Mitchell RB, et al; American Academy of Otolaryngolog y-Head and
Neck Surgery Foundation. Clinical practice guideline: tonsillectomy in children. Otolaryngol
Head Neck Surg. 2011;144(1 suppl):S1-30.
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AAOTON14033
Evidence Quality and Recommendation Grades
a
Evidence Quality Recommendation
Treatment and Harm Diagnosis Strength
A High-quality RCTs Systematic review
of consistent cross-
sectional studies
S Strong
Recommendation
B Consistent RCTs Consistent individual
cross-sectional studies
R Recommendation
C Observational studies Nonconsecutive studies,
case-control studies, or
other studies of poor
quality.
O Option
D Case reports, consensus opinions
X Exceptional situations with clear benefit X
a
See full text guidelines for details.
