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The status quo and unmet needs in the management of allergic rhinitis and chronic rhinosinusitis: a Malaysian perspective.

Prepageran N, Wang de Y, Nair G, Maurer M - Asia Pac Allergy (2014)

Bottom Line: Notably, complaints of drowsiness associated with nonsedative antihistamines were the major unmet need identified in the survey.The majority of the respondents preferred a treatment duration of >3 months with antihistamines.The majority of physicians and pharmacists are satisfied with the recommendations in the ARIA guidelines.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, University Malaya Faculty of Medicine, Kuala Lumpur 50603, Malaysia.

ABSTRACT

Background: Allergic rhinitis and rhinosinusitis, common and debilitating conditions, should be managed in accordance with guideline recommendations. Guideline adherence shows regional differences. As of now, there is little data from Asia and none from Malaysia on the current treatment practices and unmet needs in the management of these conditions.

Objective: The objective of this study was to assess the current practice in the management of allergic rhinitis and rhinosinusitis by conducting a survey among ear, nose and throat (ENT) specialists, pharmacists, and general practitioners (GPs) in Malaysia.

Methods: We conducted a survey study among ENT specialists, pharmacists, and GPs in Malaysia, who answered a multiple choice questionnaire focused on the current practice in the management of allergic rhinitis and rhinosinusitis in their respective field. More than 200 ENT specialists, 100 pharmacists, and 200 GPs participated in the survey.

Results: Antihistamines were the most preferred choice for the treatment of mild allergic rhinitis by ENT specialists (45%), pharmacists (78%), and GPs (51%), with the most preferable duration of <2 weeks. In moderate-to-severe allergic rhinitis, a combination of antihistamines and intranasal steroids was the most preferred treatment of choice in 90% of ENT specialists, 72% of pharmacists, and 69% of GPs. Efficacy of antihistamines was the main criteria of choice in 58%, 53%, and 38% of ENT specialists, pharmacists, and GPs, respectively. Notably, complaints of drowsiness associated with nonsedative antihistamines were the major unmet need identified in the survey. For chronic rhinosinusitis, a combination of antihistamines and intranasal steroids was the most preferred treatment. The majority of the respondents preferred a treatment duration of >3 months with antihistamines. Satisfaction with the recommendations in the current Allergic Rhinitis and its Impact on Asthma (ARIA) guideline was high; 66%, 58%, and 89% of the ENT specialists, pharmacists, GPs, respectively, reported that the current ARIA guidelines are sufficient for their clinical/pharmacy practice.

Conclusion: The current practices in the management of allergic rhinitis in Malaysia are largely in line with the ARIA guidelines. The majority of physicians and pharmacists are satisfied with the recommendations in the ARIA guidelines.

No MeSH data available.


Related in: MedlinePlus

(A) Preferred treatment of choice for mild allergic rhinitis. (B) Preferred treatment of choice for moderate-to-severe allergic rhinitis. (C) Preferred duration of treatment for antihistamines in mild allergic rhinitis. (D) Preferred duration of treatment for antihistamines in moderate-to-severe allergic rhinitis. ENT, ear, nose, and throat; PRN, as needed.
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Figure 1: (A) Preferred treatment of choice for mild allergic rhinitis. (B) Preferred treatment of choice for moderate-to-severe allergic rhinitis. (C) Preferred duration of treatment for antihistamines in mild allergic rhinitis. (D) Preferred duration of treatment for antihistamines in moderate-to-severe allergic rhinitis. ENT, ear, nose, and throat; PRN, as needed.

Mentions: For the treatment of mild AR, antihistamines were the most preferred treatment of choice in all the groups (45%, 78%, and 51% of the ENT specialists, pharmacists,and GPs, respectively) (Fig. 1A). For moderate-to-severe AR, the majority of ENT specialists (90%), pharmacists (72%), and GPs (69%) preferred a combination of antihistamines and intranasal steroids as the treatment of choice (Fig. 1B).


The status quo and unmet needs in the management of allergic rhinitis and chronic rhinosinusitis: a Malaysian perspective.

Prepageran N, Wang de Y, Nair G, Maurer M - Asia Pac Allergy (2014)

(A) Preferred treatment of choice for mild allergic rhinitis. (B) Preferred treatment of choice for moderate-to-severe allergic rhinitis. (C) Preferred duration of treatment for antihistamines in mild allergic rhinitis. (D) Preferred duration of treatment for antihistamines in moderate-to-severe allergic rhinitis. ENT, ear, nose, and throat; PRN, as needed.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4116040&req=5

Figure 1: (A) Preferred treatment of choice for mild allergic rhinitis. (B) Preferred treatment of choice for moderate-to-severe allergic rhinitis. (C) Preferred duration of treatment for antihistamines in mild allergic rhinitis. (D) Preferred duration of treatment for antihistamines in moderate-to-severe allergic rhinitis. ENT, ear, nose, and throat; PRN, as needed.
Mentions: For the treatment of mild AR, antihistamines were the most preferred treatment of choice in all the groups (45%, 78%, and 51% of the ENT specialists, pharmacists,and GPs, respectively) (Fig. 1A). For moderate-to-severe AR, the majority of ENT specialists (90%), pharmacists (72%), and GPs (69%) preferred a combination of antihistamines and intranasal steroids as the treatment of choice (Fig. 1B).

Bottom Line: Notably, complaints of drowsiness associated with nonsedative antihistamines were the major unmet need identified in the survey.The majority of the respondents preferred a treatment duration of >3 months with antihistamines.The majority of physicians and pharmacists are satisfied with the recommendations in the ARIA guidelines.

View Article: PubMed Central - PubMed

Affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, University Malaya Faculty of Medicine, Kuala Lumpur 50603, Malaysia.

ABSTRACT

Background: Allergic rhinitis and rhinosinusitis, common and debilitating conditions, should be managed in accordance with guideline recommendations. Guideline adherence shows regional differences. As of now, there is little data from Asia and none from Malaysia on the current treatment practices and unmet needs in the management of these conditions.

Objective: The objective of this study was to assess the current practice in the management of allergic rhinitis and rhinosinusitis by conducting a survey among ear, nose and throat (ENT) specialists, pharmacists, and general practitioners (GPs) in Malaysia.

Methods: We conducted a survey study among ENT specialists, pharmacists, and GPs in Malaysia, who answered a multiple choice questionnaire focused on the current practice in the management of allergic rhinitis and rhinosinusitis in their respective field. More than 200 ENT specialists, 100 pharmacists, and 200 GPs participated in the survey.

Results: Antihistamines were the most preferred choice for the treatment of mild allergic rhinitis by ENT specialists (45%), pharmacists (78%), and GPs (51%), with the most preferable duration of <2 weeks. In moderate-to-severe allergic rhinitis, a combination of antihistamines and intranasal steroids was the most preferred treatment of choice in 90% of ENT specialists, 72% of pharmacists, and 69% of GPs. Efficacy of antihistamines was the main criteria of choice in 58%, 53%, and 38% of ENT specialists, pharmacists, and GPs, respectively. Notably, complaints of drowsiness associated with nonsedative antihistamines were the major unmet need identified in the survey. For chronic rhinosinusitis, a combination of antihistamines and intranasal steroids was the most preferred treatment. The majority of the respondents preferred a treatment duration of >3 months with antihistamines. Satisfaction with the recommendations in the current Allergic Rhinitis and its Impact on Asthma (ARIA) guideline was high; 66%, 58%, and 89% of the ENT specialists, pharmacists, GPs, respectively, reported that the current ARIA guidelines are sufficient for their clinical/pharmacy practice.

Conclusion: The current practices in the management of allergic rhinitis in Malaysia are largely in line with the ARIA guidelines. The majority of physicians and pharmacists are satisfied with the recommendations in the ARIA guidelines.

No MeSH data available.


Related in: MedlinePlus