Fulltext

Asia-Pacific survey of physicians' perceptions and managements of chronic rhinosinusitis

Shao S 1 , Zheng M 2 , Wang X 2 , Latiff AH 3 , Kim DY 4 , Wang JY 5 Show all authors , Recto M 6 , Lucas M 7 , Sonomjamts M 8 , Logi N 9 , Lestari N 10 , Irawati N 11 , Tantilipikorn P 12 , Bhargava S 13 , Ms S 14 , Shimizu T 15 , Leung TF 16 , Kamchaisatian W 17 , Pawankar R 18 , Zhang L 2

Affiliations 

  • 1 Department of Otorhinolaryngology Head and Neck Surgery, Beijing Youan Hospital, Capital Medical University, Beijing 100069, China
  • 2 Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • 3 Allergy & Immunology Centre, Pantai Hospital, Kuala Lumpur 59100, Malaysia
  • 4 Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea
  • 5 Center for Allergy and Clinical Immunology Research, College of Medicine, National Cheng Kung University Hospital, Tainan 70428, Taiwan
  • 6 Division of Allergy and Immunology - Department of Pediatrics, Philippine General Hospital, Manila, Philippines
  • 7 Medical School, University of Western Australia, Perth, WA 6009, Australia
  • 8 Department of Pulmonology and Allergology, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
  • 9 Mongolian National University of Medical Sciences: Ulaanbaatar, Ulaanbaatar, MN
  • 10 Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine Universitas Indonesia / Dr. Cipto Mangunkusumo Hospital, Jakarta
  • 11 Awal Bros Hospital, Batam, Riau Island, Indonesia
  • 12 Rhinology & Allergy Division, Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • 13 Department of Otolaryngology- Head and Neck Surgery, HBT Medical College and Dr RN Cooper Municipal General Hospital, Juhu, Mumbai, Maharashtra 400056 India
  • 14 Department of ENT, St John's Medical College Hospital, Bangalore, India
  • 15 Department of Neurosurgery, Kansai Rosai Hospital, Amagaski, Hyogo, Japan
  • 16 Department of Pediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin 00852, Hong Kong China
  • 17 Division of Allergy and Clinical Immunology, Pediatrics Department, Samitivej Children's Hospital, Bangkok, Thailand
  • 18 Department of Pediatrics, Nippon Medical School, 10105, Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
Asian Pac J Allergy Immunol, 2022 May 22.
PMID: 35598189 DOI: 10.12932/AP-130122-1302

Abstract

BACKGROUND: The diagnosis and management of patients with chronic rhinosinusitis (CRS) may vary between otolaryngologists and allergists. Moreover, the adherence of different practitioners to European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS) 2020 guideline recommendations has not been previously ascertained in Asia-Pacific regions.

OBJECTIVE: Different specialists' perceptions and managements of CRS in Asia-Pacific regions were assessed in an attempt to gauge these practices against EPOS 2020 guidelines.

METHODS: A transregional, cross-sectional survey was conducted to assess otolaryngologists' and allergists' perceptions and managements of CRS with regard to diagnosis, management and adherence to EPOS 2020 guidelines.

RESULTS: Sixteen physicians in Asia-Pacific regions responded to the questionnaire. A total of 71.4% of otolaryngologists preferred to diagnose CRS with a combination of positive nasal symptoms and nasal endoscopy plus sinus CT, whereas 22.2% of allergists took such criterion to diagnose CRS. Compared to allergists, otolaryngologists more often considered the endotype classification (85.8% versus 55.5%). For the preferred first-line treatment, in addition to intranasal corticosteroids recommended by all respondents, 66.7% of allergists preferred antihistamines, whereas 71.4% of otolaryngologists preferred nasal saline irrigation. Regarding the proper timing of surgery, 71.5% of otolaryngologists reported 8-12 weeks of treatment after the initiation of medication, while more than half of the allergists recommended 4-6 weeks of medical treatment.

CONCLUSIONS: This survey shows that variable perceptions and practices for CRS may exist between physicians with different specialties and highlights the need for increased communication and awareness between otolaryngologists and allergists to improve the diagnosis and treatment of CRS.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

Similar publications