Evidence map›Paper›PMID 34178240›Full record

ArticleThe World Allergy Organization journal2021

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

Lei Cheng, Hua-Bin Li, Ya-Mei Zhang, Chang-Qing Zhao, Fu-Quan Chen, Li Shi, Na Li, Bei-Bei Yang, Yong Li, Hui-Jun Li and 13 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The World Allergy Organization journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Lei ChengDepartment of Otorhinolaryngology & Clinical Allergy Center, The First Affiliated Hospital, Nanjing Medical University, Nanjing, China.
Hua-Bin LiDepartment of Otolaryngology-Head Neck Surgery, Affiliated Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai, China.
Ya-Mei ZhangDepartment of Otolaryngology-Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Chang-Qing ZhaoDepartment of Otolaryngology-Head and Neck Surgery, Second Hospital of Shanxi Medical University, Taiyuan, China.
Fu-Quan ChenDepartment of Otolaryngology-Head and Neck Surgery, Xijing Hospital, Air Force Medical University of PLA, Xi'an, China.
Li ShiDepartment of Nasal Allergy, Shandong Provincial ENT Hospital, Shandong University, Jinan, China.
Na LiDepartment of Otorhinolaryngology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Bei-Bei YangDepartment of Otorhinolaryngology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Yong LiDepartment of Otolaryngology, Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Hui-Jun LiDepartment of Otorhinolaryngology-Head and Neck Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Sheng-Nan YeDepartment of Otolaryngology, The First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Ze-Zhang TaoDepartment of Otolaryngology-Head and Neck Surgery, Renmin Hospital, Wuhan University, Wuhan, China.
Ge-Hua ZhangDepartment of Otolaryngology-Head Neck Surgery, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Rui XuDepartment of Otorhinolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Qin-Tai YangDepartment of Otolaryngology-Head Neck Surgery, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Dong-Dong ZhuDepartment of Otorhinolaryngology-Head and Neck Surgery, China-Japan Union Hospital, Jilin University, Changchun, China.
Feng LiuDepartment of Otolaryngology, West China Hospital, Sichuan University, Chengdu, China.
Hua ZhangDepartment of Otolaryngology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
Yu-Cheng YangDepartment of Otolaryngology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Peng LinDepartment of Otorhinolaryngology-Head and Neck Surgery, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin, China.
Chang-Yu QiuDepartment of Otorhinolaryngology & Clinical Allergy Center, The First Affiliated Hospital, Nanjing Medical University, Nanjing, China.
Bing ZhouDepartment of Otolaryngology-Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Beijing, China.
Rhinology Group of the Chinese Society of Otorhinolaryngology-Head and Neck Surgery

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA higher compliance with clinical guidelines helps improve treatment outcomes. But the clinical practice of otolaryngologists is not always consistent with guidelines.

objectiveTo 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.

methodsA 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.

resultsA 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.

conclusionA 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.

Indexed as

AdherenceAllergic rhinitisClinical practice guidelinesOtolaryngologistsPerceptionSurvey

Identifiers

PMID34178240
PMCPMC8192728

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.