TY - JOUR
T1 - Impact of subspecialty training on management of laryngopharyngeal reflux
T2 - results of a worldwide survey
AU - Lechien, Jerome R.
AU - Carroll, Thomas L.
AU - Allen, Jacqueline E.
AU - Ayad, Tareck
AU - Enver, Necati
AU - Eun, Young Gyu
AU - Perazzo, Paulo S.
AU - Ceccon, Fabio Pupo
AU - Sant’Anna, Geraldo D.
AU - Imamura, Rui
AU - Raghunandhan, Sampath Kumar
AU - Chiesa-Estomba, Carlos M.
AU - Calvo-Henriquez, Christian
AU - Saussez, Sven
AU - Karkos, Petros D.
AU - Remacle, Marc
AU - Akst, Lee M.
AU - Bock, Jonathan M.
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.
PY - 2021/6
Y1 - 2021/6
N2 - Objective: To study the management of laryngopharyngeal reflux (LPR) among the subspecialties of practicing otolaryngology-head and neck surgeons and their trainees. Methods: A survey was sent to over 8000 otolaryngologists (OTOHNS) over 65 countries, utilizing membership lists of participating otolaryngological societies. The outcomes were answers to questions regarding LPR knowledge and practice patterns, and included queries about its definition, prevalence, clinical presentation, diagnosis, and treatment. Results: Of the 824 respondents, 658 practiced in one specific otolaryngologic subspecialty. The symptoms and findings thought to be the most related to LPR varied significantly between subspecialists. Extra-laryngeal findings were considered less by laryngologists while more experienced OTOHNS did not often consider digestive complaints. Compared with colleagues, otologists, rhinologists and laryngologists were less aware of the involvement of LPR in otological, rhinological and laryngological disorders, respectively. Irrespective of subspecialty, OTOHNS consider symptoms and signs and a positive response to empirical therapeutic trial to establish a LPR diagnosis. Awareness regarding the usefulness of impedance pH-studies is low in all groups. The therapeutic approach significantly varies between groups, although all were in agreement for the treatment duration. The management of non-responder patients demonstrated significant differences among laryngologists who performed additional examinations. The majority of participants (37.1%) admitted to being less than knowledgeable about LPR management. Conclusions: LPR knowledge and management vary significantly across otolaryngology subspecialties. International guidelines on LPR management appear necessary to improve knowledge and management of LPR across all subspecialties of otolaryngology.
AB - Objective: To study the management of laryngopharyngeal reflux (LPR) among the subspecialties of practicing otolaryngology-head and neck surgeons and their trainees. Methods: A survey was sent to over 8000 otolaryngologists (OTOHNS) over 65 countries, utilizing membership lists of participating otolaryngological societies. The outcomes were answers to questions regarding LPR knowledge and practice patterns, and included queries about its definition, prevalence, clinical presentation, diagnosis, and treatment. Results: Of the 824 respondents, 658 practiced in one specific otolaryngologic subspecialty. The symptoms and findings thought to be the most related to LPR varied significantly between subspecialists. Extra-laryngeal findings were considered less by laryngologists while more experienced OTOHNS did not often consider digestive complaints. Compared with colleagues, otologists, rhinologists and laryngologists were less aware of the involvement of LPR in otological, rhinological and laryngological disorders, respectively. Irrespective of subspecialty, OTOHNS consider symptoms and signs and a positive response to empirical therapeutic trial to establish a LPR diagnosis. Awareness regarding the usefulness of impedance pH-studies is low in all groups. The therapeutic approach significantly varies between groups, although all were in agreement for the treatment duration. The management of non-responder patients demonstrated significant differences among laryngologists who performed additional examinations. The majority of participants (37.1%) admitted to being less than knowledgeable about LPR management. Conclusions: LPR knowledge and management vary significantly across otolaryngology subspecialties. International guidelines on LPR management appear necessary to improve knowledge and management of LPR across all subspecialties of otolaryngology.
KW - Diagnosis
KW - GERD
KW - Gastroesophageal
KW - Laryngitis
KW - Laryngopharyngeal
KW - Management
KW - Reflux
KW - Survey
KW - Treatment
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U2 - 10.1007/s00405-021-06710-y
DO - 10.1007/s00405-021-06710-y
M3 - Article
C2 - 33638681
AN - SCOPUS:85101936899
SN - 0937-4477
VL - 278
SP - 1933
EP - 1943
JO - European Archives of Oto-rhino-laryngology
JF - European Archives of Oto-rhino-laryngology
IS - 6
ER -