Cargando…

Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists()

OBJECTIVE: The aim of this study was to evaluate clinical practice patterns of preoperative and postoperative medical therapies immediately surrounding sinus surgery for chronic rhinosinusitis (CRS) by Chinese otolaryngologists. METHODS: Two anonymous web-based surveys of preoperative and postoperat...

Descripción completa

Detalles Bibliográficos
Autores principales: Huang, Zhen-Xiao, Li, Yun-Xia, Wu, Yu-Bin, Liu, Hai-Cheng, Zhou, Bing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: KeAi Publishing 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284195/
https://www.ncbi.nlm.nih.gov/pubmed/30564788
http://dx.doi.org/10.1016/j.wjorl.2018.06.001
_version_ 1783379294669504512
author Huang, Zhen-Xiao
Li, Yun-Xia
Wu, Yu-Bin
Liu, Hai-Cheng
Zhou, Bing
author_facet Huang, Zhen-Xiao
Li, Yun-Xia
Wu, Yu-Bin
Liu, Hai-Cheng
Zhou, Bing
author_sort Huang, Zhen-Xiao
collection PubMed
description OBJECTIVE: The aim of this study was to evaluate clinical practice patterns of preoperative and postoperative medical therapies immediately surrounding sinus surgery for chronic rhinosinusitis (CRS) by Chinese otolaryngologists. METHODS: Two anonymous web-based surveys of preoperative and postoperative medical therapies were performed. These surveys assessed the frequency of prescription of oral corticosteroids, intranasal corticosteroid sprays, oral antibiotics, nasal saline irrigation, oral antihistamines, nasal antihistamines, anti-leukotriene agents, topical decongestants and oral mucolytics. RESULTS: A total of 304 (17.5%) preoperative and 143 (23.5%) postoperative questionnaires were completed and returned. Seventy-eight percent, 63% and 56% of respondents used preoperative intranasal corticosteroid sprays, oral antibiotics and oral mucolytics “always or often”, respectively. Ninety-four percent, 93%, 72% and 69% of respondents used postoperative intranasal corticosteroid sprays, nasal saline irrigation, oral antibiotics and oral mucolytics “always or often”, respectively. Oral antihistamines, nasal antihistamines, anti-leukotrienes and topical decongestants were not commonly used preoperatively or postoperatively. CONCLUSIONS: Our study demonstrated that current practice patterns of preoperative medical therapies among otolaryngologists are not uniformly based on evidence-based outcomes research. Postoperative oral antibiotics, intranasal corticosteroid sprays, nasal saline irrigation and oral mucolytics are commonly used by a majority of Chinese otolaryngologist for CRS. Practice patterns of postoperative medical therapy reflect recent guidelines.
format Online
Article
Text
id pubmed-6284195
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher KeAi Publishing
record_format MEDLINE/PubMed
spelling pubmed-62841952018-12-18 Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists() Huang, Zhen-Xiao Li, Yun-Xia Wu, Yu-Bin Liu, Hai-Cheng Zhou, Bing World J Otorhinolaryngol Head Neck Surg Research Paper OBJECTIVE: The aim of this study was to evaluate clinical practice patterns of preoperative and postoperative medical therapies immediately surrounding sinus surgery for chronic rhinosinusitis (CRS) by Chinese otolaryngologists. METHODS: Two anonymous web-based surveys of preoperative and postoperative medical therapies were performed. These surveys assessed the frequency of prescription of oral corticosteroids, intranasal corticosteroid sprays, oral antibiotics, nasal saline irrigation, oral antihistamines, nasal antihistamines, anti-leukotriene agents, topical decongestants and oral mucolytics. RESULTS: A total of 304 (17.5%) preoperative and 143 (23.5%) postoperative questionnaires were completed and returned. Seventy-eight percent, 63% and 56% of respondents used preoperative intranasal corticosteroid sprays, oral antibiotics and oral mucolytics “always or often”, respectively. Ninety-four percent, 93%, 72% and 69% of respondents used postoperative intranasal corticosteroid sprays, nasal saline irrigation, oral antibiotics and oral mucolytics “always or often”, respectively. Oral antihistamines, nasal antihistamines, anti-leukotrienes and topical decongestants were not commonly used preoperatively or postoperatively. CONCLUSIONS: Our study demonstrated that current practice patterns of preoperative medical therapies among otolaryngologists are not uniformly based on evidence-based outcomes research. Postoperative oral antibiotics, intranasal corticosteroid sprays, nasal saline irrigation and oral mucolytics are commonly used by a majority of Chinese otolaryngologist for CRS. Practice patterns of postoperative medical therapy reflect recent guidelines. KeAi Publishing 2018-09-07 /pmc/articles/PMC6284195/ /pubmed/30564788 http://dx.doi.org/10.1016/j.wjorl.2018.06.001 Text en © 2018 Chinese Medical Association. Production and hosting by Elsevier B.V. on behalf of KeAi Communications Co., Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Paper
Huang, Zhen-Xiao
Li, Yun-Xia
Wu, Yu-Bin
Liu, Hai-Cheng
Zhou, Bing
Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists()
title Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists()
title_full Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists()
title_fullStr Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists()
title_full_unstemmed Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists()
title_short Preoperative and postoperative medical therapies for chronic rhinosinusitis: National surveys among Chinese otolaryngologists()
title_sort preoperative and postoperative medical therapies for chronic rhinosinusitis: national surveys among chinese otolaryngologists()
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284195/
https://www.ncbi.nlm.nih.gov/pubmed/30564788
http://dx.doi.org/10.1016/j.wjorl.2018.06.001
work_keys_str_mv AT huangzhenxiao preoperativeandpostoperativemedicaltherapiesforchronicrhinosinusitisnationalsurveysamongchineseotolaryngologists
AT liyunxia preoperativeandpostoperativemedicaltherapiesforchronicrhinosinusitisnationalsurveysamongchineseotolaryngologists
AT wuyubin preoperativeandpostoperativemedicaltherapiesforchronicrhinosinusitisnationalsurveysamongchineseotolaryngologists
AT liuhaicheng preoperativeandpostoperativemedicaltherapiesforchronicrhinosinusitisnationalsurveysamongchineseotolaryngologists
AT zhoubing preoperativeandpostoperativemedicaltherapiesforchronicrhinosinusitisnationalsurveysamongchineseotolaryngologists