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A nationwide survey of otolaryngologists' compliance with Chinese guidelines for diagnosis and treatment of allergic rhinitis.


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.

SUBMITTER: Cheng L 

PROVIDER: S-EPMC8192728 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature

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Publications

A nationwide survey of otolaryngologists' compliance with Chinese guidelines for diagnosis and treatment of allergic rhinitis.

Cheng Lei L   Li Hua-Bin HB   Zhang Ya-Mei YM   Zhao Chang-Qing CQ   Chen Fu-Quan FQ   Shi Li L   Li Na N   Yang Bei-Bei BB   Li Yong Y   Li Hui-Jun HJ   Ye Sheng-Nan SN   Tao Ze-Zhang ZZ   Zhang Ge-Hua GH   Xu Rui R   Yang Qin-Tai QT   Zhu Dong-Dong DD   Liu Feng F   Zhang Hua H   Yang Yu-Cheng YC   Lin Peng P   Qiu Chang-Yu CY   Zhou Bing B  

The World Allergy Organization journal 20210607 6


<h4>Background</h4>A higher compliance with clinical guidelines helps improve treatment outcomes. But the clinical practice of otolaryngologists is not always consistent with guidelines.<h4>Objective</h4>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.<h4>Methods</h4>A cross-sectional nationwide survey was designed and conducted v  ...[more]

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