Nasal airway obstruction: allergy and otolaryngology perspectives

Nasal airway obstruction: allergy and otolaryngology perspectives
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DOI:
10.1016/s1081-1206(10)60221-9
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发表时间:
2008-12-01
影响因子:
5.9
通讯作者:
Chiu, Asriani A.
Chiu, Asriani A.
中科院分区:
医学2区
文献类型:
--
作者:
Shemirani, Nima L.;Rhee, John S.;Chiu, Asriani A.

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背景资料:鼻气道阻塞(NAO)的诊断测试的偏好和管理策略可能会有所不同,这取决于医疗specialty.Objective:辨别目前的态度和做法不同的医疗专业关于诊断和管理策略的患者NAO.Methods:横断面调查的所有执业耳鼻喉科医生和医学过敏科医生在威斯康星州和部分北方伊利诺伊州(N = 268)。调查参与者被要求对他们最常进行的用于区分NAO原因的测试进行排名,并对他们认为对NAO最敏感和特异性(标准)的诊断测试进行排名。调查的第二部分提供了3个不同的病人的情况下,和参与者进行了调查油他们的治疗plannes.Results:两个专业的调查响应率约为50%。鼻内窥镜检查是耳鼻喉科医生与过敏症医生最常见的诊断检查(58%比2%,P
Background: Diagnostic test preferences and management strategies for nasal airway obstruction (NAO) may vary depending on medical specialty.Objective: To discern current attitudes and practices of different medical specialties regarding diagnostic and management strategies for patients with NAO.Methods: Cross-sectional survey of all practicing otolaryngologists and medical allergists in Wisconsin and parts of northern Illinois (N = 268). Survey participants were asked to rank the tests they most commonly perform to differentiate causes of NAO and to rank the diagnostic tests they believed were most sensitive and specific (criterion standard) for NAO. The second portion of the survey provided 3 distinct patient scenarios, and participants were surveyed oil their treatment plans.Results: The survey response rate was approximately 50% for both specialties. Nasal endoscopy was the most common diagnostic test for otolaryngologists vs allergists (58% vs 2%, P