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Chronic cough diagnosis, treatment, and referral practices among family physicians in the United States: a survey study. | LitMetric

Chronic cough diagnosis, treatment, and referral practices among family physicians in the United States: a survey study.

BMC Prim Care

American Academy of Family Physicians National Research Network, 11400 Tomahawk Creek Parkway, Leawood, KS, 66211, United States of America.

Published: May 2024

AI Article Synopsis

  • Cough is a prevalent issue in primary care, and this study investigates how family physicians understand and manage chronic cough based on existing guidelines.
  • A survey of 5,000 family physicians revealed that nearly half align with the American College of Chest Physicians' definition, while others vary in their understanding of chronic cough duration.
  • The findings indicate that family physicians feel capable of diagnosing and treating chronic cough within their practice but seek additional resources for optimal management, highlighting the complexity of this condition.

Article Abstract

Background: Cough is one of the most common presenting problems for patients in primary care and is largely managed in primary care clinical settings. Family physicians' familiarity with chronic cough guidelines and the extent to which these guidelines translate into everyday practice have not been well described. The objective of this study was to characterize current diagnosis, treatment, and referral practices among family physicians and to identify potentially impactful strategies to optimize chronic cough management in primary care.

Methods: We conducted a cross-sectional survey of 5,000 family physicians to explore diagnosis, treatment, and referral practices related to chronic cough management in adults in primary care. Respondents completed the survey via paper or online. The outcome measures were self-reported numeric ratings and responses related to the survey elements.

Results: 588 surveys were completed (11.8% response rate). About half (49.6%) of respondents defined chronic cough in a manner consistent with the American College of Chest Physicians (ACCP) chronic cough guidelines, with the rest differing in opinion primarily regarding duration of symptom presentation. Respondents reported trying to rule out most common causes of chronic cough themselves before referring (mean 3.41 on a 4-point scale where 4 is "describes me completely") and indicated a desire for more resources to help them manage and treat chronic cough. Years in practice and rural/urban setting influenced diagnosis and referral practices.

Conclusions: Family physicians see chronic cough as a complicated condition that can be and is often diagnosed and treated entirely in a primary care setting. They also value the ability to refer in complex cases. Our results support that family physicians provide evidence-based management of chronic cough.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11112819PMC
http://dx.doi.org/10.1186/s12875-024-02433-1DOI Listing

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