BACKGROUND: : Evidence suggests that the UK primary care management of people with allergic rhinitis is sub-optimal. Common deficiencies are thought to include under-diagnosis, mis-diagnosis and sub-optimal treatment. OBJECTIVES: : We sought to assess GPs' understanding and perspectives on key issues in the management of allergic rhinitis, comparing these with recommendations contained in the Consensus statement on the treatment of allergic rhinitis. METHODS: : Sampling frame of 210GPs with a self-declared interest in the management of allergic and respiratory disorders from 70GP practices in the UK. Semi-structured interviews were used to assess GPs' knowledge and views on clinical practice. Trained personnel conducted all interviews. Interviews were taped and transcribed; each transcript was scrutinised to see if GP knowledge and practice was consistent with the standards set. STANDARDS AND CRITERIA:: We used the most recent Consensus statement on the treatment of allergic rhinitis as our standard, aiming to assess quality of care in four main domains: identification of symptoms; collection of information to support a clinical diagnosis; examination and investigations performed to support the clinical diagnosis; treating and managing the condition. RESULTS: : We successfully interviewed 90% (n=188) of GPs. Only 14% (n=26) of GPs satisfied all the criteria set for Standard 1 (identification of symptoms); 23% (n=43) satisfied criteria for Standard 2 (collection of information to support a clinical diagnosis); 0% (n=0) satisfied criteria for Standard 3 (examination and investigations performed to support the clinical diagnosis); and 0.6% (n=1) satisfied criteria set for Standard 4 (adequate treatment issued). CONCLUSIONS: : This national baseline audit of GPs with a self-declared interest in allergic and respiratory disorders reveals considerable scope for improvement in GP awareness and management of allergic rhinitis.
BACKGROUND: : Evidence suggests that the UK primary care management of people with allergic rhinitis is sub-optimal. Common deficiencies are thought to include under-diagnosis, mis-diagnosis and sub-optimal treatment. OBJECTIVES: : We sought to assess GPs' understanding and perspectives on key issues in the management of allergic rhinitis, comparing these with recommendations contained in the Consensus statement on the treatment of allergic rhinitis. METHODS: : Sampling frame of 210GPs with a self-declared interest in the management of allergic and respiratory disorders from 70GP practices in the UK. Semi-structured interviews were used to assess GPs' knowledge and views on clinical practice. Trained personnel conducted all interviews. Interviews were taped and transcribed; each transcript was scrutinised to see if GP knowledge and practice was consistent with the standards set. STANDARDS AND CRITERIA:: We used the most recent Consensus statement on the treatment of allergic rhinitis as our standard, aiming to assess quality of care in four main domains: identification of symptoms; collection of information to support a clinical diagnosis; examination and investigations performed to support the clinical diagnosis; treating and managing the condition. RESULTS: : We successfully interviewed 90% (n=188) of GPs. Only 14% (n=26) of GPs satisfied all the criteria set for Standard 1 (identification of symptoms); 23% (n=43) satisfied criteria for Standard 2 (collection of information to support a clinical diagnosis); 0% (n=0) satisfied criteria for Standard 3 (examination and investigations performed to support the clinical diagnosis); and 0.6% (n=1) satisfied criteria set for Standard 4 (adequate treatment issued). CONCLUSIONS: : This national baseline audit of GPs with a self-declared interest in allergic and respiratory disorders reveals considerable scope for improvement in GP awareness and management of allergic rhinitis.
Authors: G Walter Canonica; Jean Bousquet; Thomas Casale; Richard F Lockey; Carlos E Baena-Cagnani; Ruby Pawankar; Paul C Potter; Philippe J Bousquet; Linda S Cox; Stephen R Durham; Harold S Nelson; Giovanni Passalacqua; Dermot P Ryan; Jan L Brozek; Enrico Compalati; Ronald Dahl; Luis Delgado; Roy Gerth van Wijk; Richard G Gower; Dennis K Ledford; Nelson Rosario Filho; Erkka J Valovirta; Osman M Yusuf; Torsten Zuberbier Journal: World Allergy Organ J Date: 2009-11-19 Impact factor: 4.084
Authors: Vicky Kritikos; David Price; Alberto Papi; Antonio Infantino; Björn Ställberg; Dermot Ryan; Federico Lavorini; Henry Chrystyn; John Haughney; Karin Lisspers; Kevin Gruffydd-Jones; Miguel Román Rodríguez; Svein Høegh Henrichsen; Thys van der Molen; Victoria Carter; Sinthia Bosnic-Anticevich Journal: J Asthma Allergy Date: 2020-10-06
Authors: Giorgio Walter Canonica; Linda Cox; Ruby Pawankar; Carlos E Baena-Cagnani; Michael Blaiss; Sergio Bonini; Jean Bousquet; Moises Calderón; Enrico Compalati; Stephen R Durham; Roy Gerth van Wijk; Désirée Larenas-Linnemann; Harold Nelson; Giovanni Passalacqua; Oliver Pfaar; Nelson Rosário; Dermot Ryan; Lanny Rosenwasser; Peter Schmid-Grendelmeier; Gianenrico Senna; Erkka Valovirta; Hugo Van Bever; Pakit Vichyanond; Ulrich Wahn; Osman Yusuf Journal: World Allergy Organ J Date: 2014-03-28 Impact factor: 4.084
Authors: Victoria S Hammersley; Rob A Elton; Samantha Walker; Christian H Hansen; Aziz Sheikh Journal: NPJ Prim Care Respir Med Date: 2014-06-05 Impact factor: 2.871
Authors: David B Price; Glenis Scadding; Claus Bachert; Hesham Saleh; Shuaib Nasser; Victoria Carter; Julie von Ziegenweidt; Alice M S Durieux; Dermot Ryan Journal: NPJ Prim Care Respir Med Date: 2016-06-23 Impact factor: 2.871