Abstract:
BACKGROUND:In February 2015, the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNSF) published the Allergic Rhinitis Clinical Practice Guideline (AR-CPG). The objective of this study was to assess otolaryngologists' perception of the accuracy and adherence to the AR-CPG. METHODS:A survey was distributed to fellows of the American Academy of Otolaryngic Allergy and members of the American Academy of Otolaryngology-Head and Neck Surgery Foundation. A total of 601 otolaryngologists responded. The survey evaluated otolaryngologists' demographic data, perception of the accuracy of the guideline, and adherence to the guideline action statements. RESULTS:The majority of respondents were actively practicing (544 [90.5%]), for a duration of 11-30 years (308 [51.2%]), in a private practice setting (387 [64.4%]). The cohort was largely fellowship trained (348 [57.9%]) and had reviewed the guideline (428 [71.2%]). Most respondents perceived the guideline as being correct "a great deal" (295 [69.7%]) and deviated from the guideline "only a little" (302 [71.6%]). High rates of adherence to the strong guideline recommendations were observed. Respondents "always/most of the time" recommended intranasal steroids (581 [97.6%]), and oral antihistamines (439 [74%]) as primary therapy. Otolaryngologists in practice for longer were more likely to deviate from the guideline recommendations by obtaining sinonasal imaging (p = 0.007) and recommending oral leukotriene receptor antagonists as primary therapy (p = 0.0001). CONCLUSION:Overall perception of the correctness of and adherence to the AR-CPG was high in this cohort. Targeted education resources should be provided to otolaryngologists in practice for longer in efforts to reduce harmful or unnecessary variations in care.
journal_name
Int Forum Allergy Rhinoljournal_title
International forum of allergy & rhinologyauthors
Honeybrook A,Ellison M,Puscas L,Raynor Edoi
10.1002/alr.22096subject
Has Abstractpub_date
2018-06-01 00:00:00pages
741-750issue
6eissn
2042-6976issn
2042-6984journal_volume
8pub_type
杂志文章abstract:BACKGROUND:Allergy-related illness impacts millions of individuals worldwide. Our objectives were to characterize current trends of clinical trials research relating to allergen immunotherapy and to describe the landscape of allergen immunotherapy in National Institutes of Health (NIH)-supported research inquiry. METH...
journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
doi:10.1002/alr.22016
更新日期:2017-12-01 00:00:00
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journal_title:International forum of allergy & rhinology
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更新日期:2020-08-11 00:00:00
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更新日期:2011-05-01 00:00:00
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更新日期:2011-01-01 00:00:00
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更新日期:2014-05-01 00:00:00
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更新日期:2013-09-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2016-02-01 00:00:00
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更新日期:2019-10-01 00:00:00
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更新日期:2015-05-01 00:00:00
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更新日期:2015-12-01 00:00:00
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章,评审
doi:10.1002/alr.21054
更新日期:2012-09-01 00:00:00
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更新日期:2012-09-01 00:00:00
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更新日期:2013-08-01 00:00:00
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更新日期:2012-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1002/alr.21654
更新日期:2016-03-01 00:00:00
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更新日期:2014-01-01 00:00:00
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更新日期:2020-04-01 00:00:00
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abstract:BACKGROUND:Many asthmatic patients have coexisting allergic rhinitis (AR). This study aims to investigate the compliance of physicians with respiratory medicine specialty (PRMs) to Global Initiative for Asthma (GINA) and Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines during the management of their asthma-...
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pub_type: 杂志文章
doi:10.1002/alr.21449
更新日期:2015-03-01 00:00:00