1. Management of chronic spontaneous urticaria: a worldwide perspective
- Author
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Pavel Kolkhir, Dmitry Pogorelov, Razvigor Darlenski, Marco Caminati, Luciana Kase Tanno, Duy Le Pham, Alexei Gonzalez-Estrada, Darío Antolín-Amérigo, Ves Dimov, Karsten Weller, Mario Sánchez-Borges, Ignacio Ansotegui, Marcus Maurer, and on behalf of the WAO Junior Members Group
- Subjects
Pulmonary and Respiratory Medicine ,lcsh:Immunologic diseases. Allergy ,medicine.medical_specialty ,Allergy ,Second Generation Antihistamines ,Immunology ,Specialty ,Guidelines ,Global survey ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,immune system diseases ,parasitic diseases ,medicine ,Immunology and Allergy ,Urticaria management ,skin and connective tissue diseases ,Asthma ,Original Research ,Chronic spontaneous urticaria ,Guideline adherence ,Urticaria treatment ,Worldwide ,medicine.diagnostic_test ,business.industry ,Complete blood count ,Guideline ,medicine.disease ,030228 respiratory system ,Family medicine ,Erythrocyte sedimentation rate ,Autologous serum skin test ,business ,lcsh:RC581-607 - Abstract
Background The approaches to the diagnosis and treatment of chronic spontaneous urticaria (CSU) differ in various parts of the world. We sought to determine the adherence to international and national urticaria guidelines as well as the motives to deviate from the guidelines among physicians worldwide. Methods A web-based questionnaire was created and launched via e-mail by the World Allergy Organization (WAO) to representatives of all WAO Member Societies, the members of the American Academy of Allergy, Asthma & Immunology (AAAAI) and the members of the WAO Junior Members Group (JMG), regardless of the specialty, affiliation, or nationality in March 2017. Results We received 1140 completed surveys from participating physicians from 99 countries. Virtually all participants (96%) were aware of at least one urticaria guideline and reported that they follow a guideline. However, one in five physicians who follow a guideline (22%) reported to deviate from it. Reliance on own clinical experience is the most frequent reason for deviation from guidelines or not following them (44%). Young (
- Published
- 2018