AI Article Synopsis
- A nationwide survey in China assessed how well otolaryngologists follow guidelines for managing allergic rhinitis (AR) and found that while most comply, a significant number adapt guidelines based on personal experience.
- Out of 2142 responding doctors, 18.3% strictly adhered to guidelines, with 86.8% compliant with intranasal steroids, while concerns about medication efficacy and safety were prioritized over patient preferences.
- The study concluded that educational background influences adherence to guidelines, suggesting that enhancing education could promote better compliance and consideration of patient preferences in treatment.
Article Abstract
Background: A higher compliance with clinical guidelines helps improve treatment outcomes. But the clinical practice of otolaryngologists is not always consistent with guidelines.
Objective: To describe otolaryngologists' compliance with guidelines about allergic rhinitis (AR) management and identify factors responsible for the discordance between clinical practice and guideline recommendations in China.
Methods: A cross-sectional nationwide survey was designed and conducted via an online platform. Recruitment was done by emailing otolaryngologists registered in the Chinese Society of Otorhinolaryngology-Head and Neck Surgery or by inviting otolaryngologists to scan a Quick Respond (QR) code that linked to the questionnaire at various academic meetings.
Results: A total of 2142 otolaryngologists were eligible and completed the survey. Of them, 64.7% had over 10 years work experience and 97.4% had a bachelor's degree or higher. About 18.3% of the participants strictly copied the guideline in clinical practice, while 73.7% used the guideline that had been adjusted according to their clinical experience. Otolaryngologists were most concerned about the efficacy, safety, and minimum age of AR medications, and least concerned about patient preferences. Regarding the use of intranasal steroids (INS), leukotriene receptor antagonists (LTRA), and H1-antihistamines, 86.8%, 55.7% and 51.2% of otolaryngologists complied with the guideline recommendations, respectively. Educational background was a factor affecting the compliance with guidelines and acceptance of INS.
Conclusion: A vast majority of Chinese otolaryngologists complied with the current Chinese AR guidelines. A difference still existed between the otolaryngologists' real-world and guideline-recommended management. The otolaryngologists should pay more attention to patient preferences. A higher education could improve otolaryngologists' adherence to the guidelines.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192728 | PMC |
| http://dx.doi.org/10.1016/j.waojou.2021.100552 | DOI Listing |
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