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

作者全名："Cheng, Lei; Li, Hua-Bin; Zhang, Ya-Mei; Zhao, Chang-Qing; Chen, Fu-Quan; Shi, Li; Li, Na; Yang, Bei-Bei; Li, Yong; Li, Hui-Jun; Ye, Sheng-Nan; Tao, Ze-Zhang; Zhang, Ge-Hua; Xu, Rui; Yang, Qin-Tai; Zhu, Dong-Dong; Liu, Feng; Zhang, Hua; Yang, Yu-Cheng; Lin, Peng; Qiu, Chang-Yu; Zhou, Bing"

作者地址："[Cheng, Lei; Qiu, Chang-Yu] Nanjing Med Univ, Affiliated Hosp 1, Dept Otorhinolaryngol, 300 Guangzhou Rd, Nanjing 210029, Peoples R China; [Cheng, Lei; Qiu, Chang-Yu] Nanjing Med Univ, Affiliated Hosp 1, Clin Allergy Ctr, 300 Guangzhou Rd, Nanjing 210029, Peoples R China; [Cheng, Lei] Nanjing Med Univ, Int Ctr Allergy Res, Nanjing, Peoples R China; [Li, Hua-Bin] Fudan Univ, Affiliated Eye Ear Nose & Throat Hosp, Dept Otolaryngol Head Neck Surg, Shanghai, Peoples R China; [Zhang, Ya-Mei] Capital Med Univ, Beijing Childrens Hosp, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China; [Zhao, Chang-Qing] Shanxi Med Univ, Hosp 2, Dept Otolaryngol Head & Neck Surg, Taiyuan, Peoples R China; [Chen, Fu-Quan] Air Force Med Univ PLA, Xijing Hosp, Dept Otolaryngol Head & Neck Surg, Xian, Peoples R China; [Shi, Li] Shandong Univ, Shandong Prov ENT Hosp, Dept Nasal Allergy, Jinan, Peoples R China; [Li, Na] Qingdao Univ, Affiliated Hosp, Dept Otorhinolaryngol, Qingdao, Peoples R China; [Yang, Bei-Bei] Zhejiang Univ, Affiliated Hosp 2, Sch Med, Dept Otorhinolaryngol, Hangzhou, Peoples R China; [Li, Yong] Zhejiang Univ, Hangzhou Peoples Hosp 1, Sch Med, Dept Otolaryngol, Hangzhou, Peoples R China; [Li, Hui-Jun] Harbin Med Univ, Affiliated Hosp 1, Dept Otorhinolaryngol Head & Neck Surg, Harbin, Peoples R China; [Ye, Sheng-Nan] Fujian Med Univ, Affiliated Hosp 1, Dept Otolaryngol, Fuzhou, Peoples R China; [Tao, Ze-Zhang] Wuhan Univ, Renmin Hosp, Dept Otolaryngol Head & Neck Surg, Wuhan, Peoples R China; [Zhang, Ge-Hua; Yang, Qin-Tai] Sun Yat Sen Univ, Affiliated Hosp 3, Dept Otolaryngol Head Neck Surg, Guangzhou, Peoples R China; [Xu, Rui] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Otorhinolaryngol, Guangzhou, Peoples R China; [Yang, Qin-Tai] Sun Yat Sen Univ, Affiliated Hosp 3, Dept Allergy, Guangzhou, Peoples R China; [Zhu, Dong-Dong] Jilin Univ, China Japan Union Hosp, Dept Otorhinolaryngol Head & Neck Surg, Changchun, Peoples R China; [Liu, Feng] Sichuan Univ, West China Hosp, Dept Otolaryngol, Chengdu, Peoples R China; [Zhang, Hua] Xinjiang Med Univ, Affiliated Hosp 1, Dept Otolaryngol, Urumqi, Peoples R China; [Yang, Yu-Cheng] Chongqing Med Univ, Affiliated Hosp 1, Dept Otolaryngol, Chongqing, Peoples R China; [Lin, Peng] Nankai Univ, Tianjin Cent Hosp 1, Sch Med, Dept Otorhinolaryngol Head & Neck Surg, Tianjin, Peoples R China; [Zhou, Bing] Capital Med Univ, Beijing TongRen Hosp, Dept Otolaryngol Head & Neck Surg, 1 Dong Jiao Min Xiang, Beijing 100730, Peoples R China"

通信作者："Cheng, L (corresponding author), Nanjing Med Univ, Affiliated Hosp 1, Dept Otorhinolaryngol, 300 Guangzhou Rd, Nanjing 210029, Peoples R China.; Cheng, L (corresponding author), Nanjing Med Univ, Affiliated Hosp 1, Clin Allergy Ctr, 300 Guangzhou Rd, Nanjing 210029, Peoples R China.; Zhou, B (corresponding author), Capital Med Univ, Beijing TongRen Hosp, Dept Otolaryngol Head & Neck Surg, 1 Dong Jiao Min Xiang, Beijing 100730, Peoples R China."

来源：WORLD ALLERGY ORGANIZATION JOURNAL

ESI学科分类：IMMUNOLOGY

WOS号：WOS:000664070600005

JCR分区：Q1

影响因子：5.1

年份：2021

卷号：14

期号：6

开始页：　

结束页：　

文献类型：Article

关键词：Allergic rhinitis; Otolaryngologists; Clinical practice guidelines; Adherence; Perception; Survey

摘要："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."

基金机构：MSD China

基金资助正文：Funding for this research was provided by MSD China.