Year: 2022
Type: article
Study design: Observational Study
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.
Authors: Shan Shao, Ming Zheng, Xiangdong Wang, Amir Ha Latiff, Dong Young Kim, Jiu Yao Wang, Marysia Recto, Michaela Lucas, Munkhbayarlakh Sonomjamts, Narantsetseg Logi, Niken Lestari, Nina Irawati, Pongsakorn Tantilipikorn, Samir Bhargava, Soumya Ms, Takeshi Shimizu, Ting Fan Leung, Wasu Kamchaisatian, Ruby Pawankar, Luo Zhang
Institutions: Capital Medical University, Beijing YouAn Hospital, Beijing Tongren Hospital, Pantai Hospital, Kuala Lumpur, Seoul National University, Seoul National University Hospital, National Cheng Kung University Hospital, National Cheng Kung University, Philippine General Hospital, The University of Western Australia, Sir Charles Gairdner Hospital, Pathwest Laboratory Medicine, Mongolian National University of Medical Sciences, University of Indonesia, Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo, Universitas Awal Bros, Siriraj Hospital, Mahidol University, Cooper Hospital, St.John's Medical College Hospital, Kansai Rosai Hospital, Chinese University of Hong Kong, Prince of Wales Hospital, Nippon Medical School
Language: English
Subfield: Otorhinolaryngology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4282913673