1. 1

    Do not routinely perform electroencephalographs (EEGs) for children presenting with febrile seizures

  2. 2

    Do not routinely perform computed tomography (CT) scanning of children presenting with new onset seizures

  3. 3

    Do not routinely undertake repeat blood level monitoring of antiepileptic drug (AED) treatments

  4. 4

    Do not routinely undertake neuroimaging for new onset primary headache without first examining for neurological abnormality

  5. 5

    Do not routinely perform electroencephalographs (EEGs) for children presenting with syncope (fainting) 

How this list was developed

Following deliberations, the ANZCNS Board determined to investigate the evidence for nine priority recommendations regarding low-value clinical practices in paediatric neurology. An evidence review was developed for these recommendations and served as the basis for an online survey sent to all ANZCNS members asking respondents if they agreed, disagreed or were unsure if these recommendations were evidence based, undertaken in significant numbers, and important in terms of reducing patient harm and unnecessary healthcare expenditure.  Based on survey responses, each of the nine was assigned a score and ranked accordingly. Based on this information and a final evidence review, these top-5 recommendations were chosen.

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