Otolaryngologists adhere to evidence-based guidelines for chronic rhinosinusitis

Abstract

PurposeTo assess awareness of, opinion about and adherence to evidence-based guidelines on chronic rhinosinusitis among Dutch Otolaryngologists.MethodsWe assessed implementation of two guidelines, one Dutch and one European, that are both intended for diagnosis and treatment of patients with chronic rhinosinusitis. We invited 485 Otolaryngologists to fill out a questionnaire and report on their opinion on and adherence to the guidelines. The adherence was further tested by 4 clinical case scenarios, derived from guideline recommendations.Results166 (34%) completed the questionnaire. 99% of the respondents was aware of one or both guidelines. Most respondents (90%) consider the guidelines as directing or supportive for their clinical practice based on the clinical case scenarios, between 62 and 99% of the respondents act according to guidelines. Concerning diagnosis, CT-imaging is performed more and allergy testing less than recommended. Where multiple treatment options are recommended, the responses are more heterogeneous as a result of this. Nonetheless, high recommended treatment was chosen more often. Otolaryngologists were reluctant in surgical treatment as a first option, which is according to the guidelines.ConclusionsOverall, both the EPOS and CBO guideline are well known among Dutch Otolaryngologists and 90% indicates that the guideline is important in their daily practice. Adherence to the guidelines is sufficient to high. If multiple treatment or diagnostic options are recommended this leads to a more heterogeneous response pattern. Recommendations with a high grade of recommendation were followed up most often.Electronic supplementary materialThe online version of this article (10.1007/s00405-019-05289-9) contains supplementary material, which is available to authorized users.

Olfactory Performance among Hospital Residents

“…We believe that the awareness of otorhinolaryngology residents regarding the prevention of nasal inflammatory and infectious processes should be associated with these results. 11 12 In addition, we believe that easy access to free samples of topical nasal corticosteroids and the common practice of washing the nose with saline solution were significant factors that subjects forgot to mention during the interview. These factors would have prevented any inflammatory disease of the olfactory epithelium 12 and the common epistaxis caused by the dry climate of our geographic area.…”

Healthcare utilisation, follow‐up of guidelines and practice variation on rhinosinusitis in adults: A healthcare reimbursement claims study in The Netherlands

“…In the Netherlands, a national CPG is available (CBO 2010), providing recommendations only on CRS . Previous research shows that this CPG is used by most Dutch otolaryngologists . In 2010, 61% of them reported being familiar with the CBO CPG .…”

“…Previous research shows that this CPG is used by most Dutch otolaryngologists . In 2010, 61% of them reported being familiar with the CBO CPG . More recently, research showed that 96% of Dutch otolaryngologists are aware of this CPG, with sufficient to good adherence to its recommendations .…”

“…8,9 In 2010, 61% of them reported being familiar with the CBO CPG. 8 More recently, research showed that 96% of Dutch otolaryngologists are aware of this CPG, with sufficient to good adherence to its recommendations. 9 However, data concerning actual CPG compliance in daily practice are lacking.…”

Chronic rhinosinusitis: microbiology and treatment of acute exacerbations in patients after endoscopic surgery

“…Perhaps in the future it will be possible to standardise care for acute exacerbation of chronic rhinosinusitis according to the latest evidence. 11 It would shorten the time of treatment and also reduce the total cost relating to this condition.…”