Allergy Asthma Immunol Res.  2017 May;9(3):265-271. 10.4168/aair.2017.9.3.265.

Unmet Primary Physicians' Needs for Allergic Rhinitis Care in Korea

Affiliations
  • 1Department of Pediatrics, Pediatric Allergy and Respiratory Center, Soonchunhyang University College of Medicine, Seoul, Korea.
  • 2SCH Biomedical Informatics Research Unit, Soonchunhyang University Hospital, Seoul, Korea.
  • 3Department of Otorhinolaryngology, Inha University College of Medicine, Incheon, Korea.
  • 4Department of Biostatistic Consulting, Clinical Trial Center, Soonchunhyang Medical Center, Bucheon, Korea.
  • 5MBL Children's Hospital, Daejeon, Korea.
  • 6Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Chuncheon Sacred Heart Hospital and Nano-Bio Regenerative Medical Institute, Hallym University College of Medicine, Chuncheon, Korea.
  • 7Department of Pulmonology, Allergy and Critical Care Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
  • 8Department of Pediatrics, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
  • 9Wooridul Private Internal Clinic, Gwangju, Korea.
  • 10Department of Pediatrics, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.
  • 11Department of Pediatrics, Wonkwang University Sanbon Hospital, Wonkwang University College of Medicine, Gunpo, Korea.
  • 12A & A Clinic, Seongnam, Korea.
  • 13Department of Otorhinolaryngology, Head and Neck Surgery, Dong-A University College of Medicine, Busan, Korea.
  • 14Department of Otorhinolaryngology-Head & Neck Surgery, Catholic Kwandong Universtiy, International St. Mary's Hospital, Incheon, Korea.
  • 15Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.
  • 16Division of Pulmonology and Allergy, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
  • 17GF Internal Medicine Allergy Clinic, Seoul, Korea.
  • 18Lee & Hong ENT, Sleep and Cosmetic Center, Seongnam, Korea.
  • 19Cho & Park ENT Clinics, Suwon, Korea.
  • 20Derpartment of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
  • 21Department of Pulmonology and Allergy, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea. mdqueen@hallym.or.kr
  • 22Department of Pediatrics, Korea University Anam Hospital, Seoul, Korea. yoolina@korea.ac.kr
  • 23Allergy Immunology Center, Korea University, Seoul, Korea.
  • 24Department of Internal Medicine, Chonnam National University Medical School & Hospital, Gwangju, Korea.

Abstract

Allergic rhinitis (AR) is one of the most common chronic allergic respiratory diseases worldwide. Various practical guidelines for AR have been developed and updated to improve the care of AR patients; however, up to 40% patients remain symptomatic. The unmet need for AR care is one of the greatest public health problems in the world. The gaps between guideline and real-world practice, and differences according to the region, culture, and medical environments may be the causes of unmet needs for AR care. Because there is no evidence-based AR practical guideline reflecting the Korean particularity, various needs are increasing. The purpose of the study was to evaluate whether existing guidelines are sufficient for AR patient management in real practice and whether development of regional guidelines to reflect regional differences is needed in Korea. A total of 99 primary physicians comprising internists, pediatricians, and otolaryngologists (n=33 for each) were surveyed by a questionnaire relating to unmet needs for AR care between June 2 and June 16 of 2014. Among 39 question items, participants strongly agreed on 15 items that existing guidelines were highly insufficient and needed new guidelines. However, there was some disagreement according to specialties for another 24 items. In conclusion, the survey results demonstrated that many physicians did not agree with the current AR guideline, and a new guideline reflecting Korean particularity was needed.

Keyword

Allergic rhinitis; needs assessment; survey and questionnaires

MeSH Terms

Humans
Korea*
Needs Assessment
Public Health
Rhinitis, Allergic*

Reference

1. Yoo KH, Ahn HR, Park JK, Kim JW, Nam GH, Hong SK, et al. Burden of respiratory disease in Korea: an observational study on allergic rhinitis, asthma, COPD, and rhinosinusitis. Allergy Asthma Immunol Res. 2016; 8:527–534. PMID: 27582404.
Article
2. Kim DH, Han K, Kim SW. Relationship between allergic rhinitis and mental health in the general Korean adult population. Allergy Asthma Immunol Res. 2016; 8:49–54. PMID: 26540501.
Article
3. Price D, Smith P, Hellings P, Papadopoulos N, Fokkens W, Muraro A, et al. Current controversies and challenges in allergic rhinitis management. Expert Rev Clin Immunol. 2015; 11:1205–1217. PMID: 26325631.
Article
4. Rhee CS, Wee JH, Ahn JC, Lee WH, Tan KL, Ahn S, et al. Prevalence, risk factors and comorbidities of allergic rhinitis in South Korea: the fifth Korea National Health and Nutrition Examination Survey. Am J Rhinol Allergy. 2014; 28:e107–e114. PMID: 24717946.
Article
5. Cho YS, Choi SH, Park KH, Park HJ, Kim JW, Moon IJ, et al. Prevalence of otolaryngologic diseases in South Korea: data from the Korea national health and nutrition examination survey 2008. Clin Exp Otorhinolaryngol. 2010; 3:183–193. PMID: 21217958.
Article
6. National Health Insurance Service (KR). Health Insurance Review & Assessment Service (KR). National health insurance statistical yearbook: 2006. Seoul: National Health Insurance Service;2007.
7. Kim SY, Yoon SJ, Jo MW, Kim EJ, Kim HJ, Oh IH. Economic burden of allergic rhinitis in Korea. Am J Rhinol Allergy. 2010; 24:e110–e113. PMID: 21244726.
Article
8. Brozek JL, Bousquet J, Baena-Cagnani CE, Bonini S, Canonica GW, Casale TB, et al. Allergic rhinitis and its impact on asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol. 2010; 126:466–476. PMID: 20816182.
9. Seidman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR, et al. Clinical practice guideline: allergic rhinitis. Otolaryngol Head Neck Surg. 2015; 152:S1–43.
10. Mullol J, Bartra J, del Cuvillo A, Izquierdo I, Muñoz-Cano R, Valero A. Specialist-based treatment reduces the severity of allergic rhinitis. Clin Exp Allergy. 2013; 43:723–729. PMID: 23786279.
Article
11. Burke MJ, Dunlap WP. Estimating interrater agreement with the average deviation index: a user’s guide. Organ Res Methods. 2002; 5:159–172.
Article
12. Bousquet PJ, Burbach G, Heinzerling LM, Edenharter G, Bachert C, Bindslev-Jensen C, et al. GA2LEN skin test study III: minimum battery of test inhalent allergens needed in epidemiological studies in patients. Allergy. 2009; 64:1656–1662. PMID: 19824887.
Article
13. Lee J, Lee KH, Lee HS, Hong SC, Kim JH. Japanese cedar (Cryptomeria japonica) pollinosis in Jeju, Korea: is it increasing? Allergy Asthma Immunol Res. 2015; 7:295–300. PMID: 25749782.
Article
14. Lee JE, Ahn JC, Han DH, Kim DY, Kim JW, Cho SH, et al. Variability of offending allergens of allergic rhinitis according to age: optimization of skin prick test allergens. Allergy Asthma Immunol Res. 2014; 6:47–54. PMID: 24404393.
Article
15. The Korean Academy of Asthma, Allergy and Clinical Immunology. National guideline for the diagnosis and management of allergic rhinitis [Internet]. Seoul: The Korean Academy of Asthma, Allergy and Clinical Immunology;1999. cited 2016 Aug 22. Available from: http://www.allergy.or.kr/public/November_1999.pdf.
16. Van Hoecke H, Vandeplas G, Acke F, Thas O, De Sutter A, Gevaert P, et al. Dissemination and implementation of the ARIA guidelines for allergic rhinitis in general practice. Int Arch Allergy Immunol. 2014; 163:106–113. PMID: 24296744.
Article
17. Larenas Linnemann DE, Medina Ávalos MA, Lozano Sáenz J. How an online survey on the treatment of allergic rhinitis and its impact on asthma (ARIA) detected specialty-specific knowledge-gaps. World Allergy Organ J. 2015; 8:18. PMID: 26023324.
Article
18. Chang MY, Kim JW, Rhee CS. The quality of health information on allergic rhinitis, rhinitis, and sinusitis available on the internet. Allergy Asthma Immunol Res. 2015; 7:141–147. PMID: 25729621.
Article
19. Costa DJ, Amouyal M, Lambert P, Ryan D, Schünemann HJ, Daures JP, et al. How representative are clinical study patients with allergic rhinitis in primary care? J Allergy Clin Immunol. 2011; 127:920–926. PMID: 21269670.
Article
20. Bernstein JA. Allergic and mixed rhinitis: epidemiology and natural history. Allergy Asthma Proc. 2010; 31:365–369. PMID: 20929601.
Article
21. Bauchau V, Durham SR. Epidemiological characterization of the intermittent and persistent types of allergic rhinitis. Allergy. 2005; 60:350–353. PMID: 15679721.
Article
22. Global Initiative for Asthma. Global strategy for asthma management and prevention: 2016 [Internet]. [place unknown]: Global Initiative for Asthma;2016. cited 2016 Sep 1. Available from: http://www.ginasthma.org.
Full Text Links
  • AAIR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr