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Contemporary analysis of otolaryngic allergy

机译:耳鼻喉科过敏的当代分析

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摘要

Objectives Investigate the current trends in otolaryngic allergy (OA). Study Design Cross‐sectional survey. Methods Survey of active AAOA membership. Results Response rate was 27.3%. Regional response distribution rates were proportional to the AAOA membership distribution within the United States (R2 = 0.95; P 0.001), with no significant regional response bias demonstrated ( P = 0.428). Self‐reported duration to OA competency was 5.8 years. Physicians reporting OA competency were more likely to be board‐certified ( P 0.001) and have AAOA fellowship status ( P 0.001). The AAOA was reported to be the most valuable educational resource toward achieving OA competency, with residency training being least valuable ( P 0.001). 91.5% of respondents’ practices offered OA services. Subcutaneous injections predominated at twice the utilization of sublingual immunotherapy. Allergy immunotherapy tablets were rarely utilized. Home allergy shots were offered by 45.2% of respondents. In‐office immunotherapy vial compounding was preferred (95.8%) to third‐party vendors. 94% of AAOA respondents identified patient compliance to be an issue within OA. Non‐inhalant allergy service integration included food allergy (63.5%), asthma (44.9%), allergic fungal sinusitis (43.8%), penicillin allergy (18%), stinging insect allergy (12.6%), and aspirin desensitization (3.9%). Conclusion Reported duration to OA competency after residency was surprisingly long. Further investigation of current and future educational/clinical training is warranted given clinical integration reported for OA. Otolaryngology is in the unique position to develop a comprehensive sino‐allergy evidence‐based strategy integrating the extensive diagnostic and medical treatment arms alongside the surgical expertise of the specialty within a clinical sino‐allergy home concept. Level of Evidence 5 Laryngoscope , 130:283–289, 2020
机译:目标调查耳鼻喉科过敏(OA)的当前趋势。研究设计横断面调查。方法对主动AAOA成员的调查。结果响应率为27.3%。区域响应分配率与美国AAOA成员分布成比例(R2 = 0.95; P <0.001),没有明显的区域响应偏差(P = 0.428)。自我报告的OA能力持续时间为5.8年。报告OA能力的医生更有可能成为董事会认证(P <0.001),并具有AAOA奖学金状态(P <0.001)。据报道,AAOA是实现OA能力的最有价值的教育资源,居留培训是最不有价值的(P <0.001)。 91.5%的受访者的做法提供了OA服务。皮下注射占舌下免疫疗法的两倍。易于使用过敏免疫疗摄管片。 45.2%的受访者提供了家庭过敏镜头。办公室免疫疗法小瓶配合优选(95.8%)至第三方供应商。 94%的AAOA受访者确定了患者遵守议题是OA内的问题。含有食物过敏(63.5%),哮喘(44.9%),过敏性真菌鼻窦炎(43.8%),青霉素过敏(18%),刺痛昆虫过敏(12.6%)和阿司匹林脱敏(3.9%) 。结论居住后,报告居住后的持续时间令人惊讶。对OA报告的临床一体化进行了进一步调查当前和未来的教育/临床培训。耳鼻喉学在独特的地位,开发一个综合的中路证据基于证据的战略,整合了广泛的诊断和医疗武器,与临床中际房屋概念中专业的外科专业知识相结合。证据水平5喉镜,130:283-289,2020

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