Aggregate evidence quality: B; overwhelmingly consistent evidence from observational studies.
BenefitAvoids exposure to radiation and costs of studies. Avoids unnecessary therapy for false-positive diagnoses.
CostAvoids cost of imaging.
Benefits-harm assessmentExclusive benefit.
Value judgmentsConcern for unnecessary radiation and costs.
Role of patient preferenceLimited. Parents may value a negative study and avoidance of antibiotics as worthy of radiation but panel disagrees.
Intentional vaguenessNone.
ExclusionsPatients with complications of sinusitis.
StrengthStrong recommendation.