Evidence map›Paper›PMID 37744959›Full record

ArticleAsia Pacific allergy2023

Real-world physician practices on the diagnosis and management of allergic rhinitis in the Philippine setting.

Maria Cristina V Balotro-Torres, Frances M Tan, Cecilia Gretchen Navarro-Locsin, Marysia T Recto, Joel A Romualdez, Josephine B Ramos, Emily G Resurreccion, Rommel Crisenio M Lobo, Eloisa S de Guia, Ma Fredelita Carreon-Asuncion and 1 more

Abstract read
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Article in Asia Pacific allergy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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.

  1. Article
  2. Review
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

11 authors.

Maria Cristina V Balotro-TorresSection of Allergy, Asthma and Immunology, University of Santo Tomas Hospital, Manila, Philippines.
Frances M TanDepartment of Pediatrics, Victor R. Potenciano Medical Center, Mandaluyong, Philippines.
Cecilia Gretchen Navarro-LocsinDepartment of Otolaryngology-Head & Neck Surgery, St. Luke's Medical Center, Quezon City, Philippines.
Marysia T RectoDivision of Allergy and Immunology, University of the Philippines Manila - Philippine General Hospital, Manila, Philippines.
Joel A RomualdezDepartment of Otolaryngology-Head & Neck Surgery, St. Luke's Medical Center, Quezon City, Philippines.
Josephine B RamosSection of Pulmonary Medicine, The Medical City Ortigas, Pasig, Philippines.
Emily G ResurreccionSection of Pediatric Pulmonology, Philippine Children's Medical Center, Quezon City, Philippines.
Rommel Crisenio M LoboAllergy Immunology Section, Fe Del Mundo Medical Center, Quezon City, Philippines.
Eloisa S de GuiaSection of Pulmonary Medicine, Veterans Memorial Medical Center, Quezon City, Philippines.
Ma Fredelita Carreon-AsuncionProgram of Internal Medicine, San Beda University College of Medicine, Manila, Philippines.
Jean BousquetDepartment of Respiratory Diseases, University Hospital, Hôpital Arnaud de Villeneuve, Montpellier, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Physician awareness and adherence to guidelines varies among countries and between types of physician practice. Identifying the needs of the physician and patient is essential to improve patient outcome. Data on physician diagnosis and management of allergic rhinitis (AR) in the Philippines is currently limited. Objective: Study objectives are to assess awareness and use of guidelines, practices on diagnosis and management of intermittent and persistent AR, reasons for choice of therapy, and familiarity with immunotherapy. Methods: A cross-section of 590 specialist and 223 subspecialist physicians from 17 regions of the Philippines were surveyed from October 2021 to July 2022. Survey consisted of a 12-point validated online questionnaire on knowledge and use of guidelines for diagnosis and treatment, use of diagnostic tests, preferred pharmacologic treatment, preferred adjuvant therapy, reasons for treatment choice, and familiarity with immunotherapy. Results: Seventy-seven percent of respondents used Allergic Rhinitis and its Impact on Asthma guidelines for diagnosis and management of AR. Three-fifths of respondents "always" routinely evaluated AR patients' history and performed a physical examination for asthma; 57% of respondents "always" routinely evaluated asthma patients' history and performed a physical examination for AR. Allergy testing was "sometimes" recommended by 62.2%. Oral second-generation antihistamines were the preferred choice for the treatment of intermittent AR. Intranasal steroids were the preferred treatment for persistent AR. Top reasons for choice of treatment were guideline recommendations, efficacy, onset of action, cost, and availability of treatment. Conclusion: Filipino specialists and subspecialists are aware and use guidelines in diagnosis and management of AR. Clinical history and physical examination are the cornerstone of diagnosis. Management practices for intermittent and persistent AR are similar for both groups. Recognizing the role of patient treatment preferences and allergen-specific immunotherapy remains to be a gap in the management of AR by Filipino physicians.

Indexed as

Allergic rhinitisdiagnosisFilipino physiciansguidelinesmanagementPhilippines

Identifiers

PMID37744959
PMCPMC10516311

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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.