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Current practice trends in allergy: results of a united states survey of otolaryngologists, allergist-immunologists, and primary care physicians.
- Source :
-
International forum of allergy & rhinology [Int Forum Allergy Rhinol] 2014 Oct; Vol. 4 (10), pp. 789-95. Date of Electronic Publication: 2014 Aug 05. - Publication Year :
- 2014
-
Abstract
- Background: Clinical practices for the diagnosis and treatment of allergic disease evolve over time in response to a variety of forces. The techniques used by various physician specialties are not clearly defined and may vary from published descriptions or recommendations in the literature.<br />Methods: This work is a Web-based survey enrolling 250 U.S. physicians in the following specialties: otolaryngology (ENT), allergy-immunology (A/I), and primary care (PCP).<br />Results: Respondents reported that skin-prick testing is the most common diagnostic testing method, followed by in vitro specific immunoglobulin E (IgE) testing. ENTs were more likely to use intradermal testing compared to other specialties (p = 0.0003 vs A/I; p < 0.0001 vs PCP). Respondents reported a wide distribution in number of allergens tested, regardless of testing method (range, 11 to >60). Significant use of home immunotherapy injections (defined as >10% of immunotherapy patients) ranged from 27% to 36% of physicians, with no statistically significant difference noted based upon specialty. PCPs reported greater use of sublingual immunotherapy (PCP, 68%; A/I, 45%; otolaryngology, 35%; A/I vs PCP, p = 0.005; ENT vs PCP p < 0.001)).<br />Conclusion: A variety of allergy testing and treatment methods are employed by U.S. physicians, with some differences noted based upon specialty. Home immunotherapy continues to be employed in allergy practices, and sublingual immunotherapy is a common form of delivery, especially in primary care practices.<br /> (© 2014 ARS-AAOA, LLC.)
- Subjects :
- Diagnostic Tests, Routine statistics & numerical data
Health Surveys
Humans
Hypersensitivity therapy
Skin Tests statistics & numerical data
United States
Allergens immunology
Allergy and Immunology trends
Hypersensitivity diagnosis
Otolaryngology trends
Physicians, Primary Care trends
Practice Patterns, Physicians' statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 2042-6984
- Volume :
- 4
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- International forum of allergy & rhinology
- Publication Type :
- Academic Journal
- Accession number :
- 25099888
- Full Text :
- https://doi.org/10.1002/alr.21359