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Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber
Published on: March 3, 2023
Current Allergic Rhinitis Experiences Survey (CARES): Health-care practitioners' awareness, attitudes and practices.
Michael S Blaiss1, Leonard M Fromer, Juby A Jacob-Nara
1University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Healthcare providers believe patients recognize allergic rhinitis (AR) symptoms and can self-manage. They recommend over-the-counter (OTC) treatments before prescription options, with intranasal steroids as the preferred therapy for AR.
Area of Science:
- Allergy and Immunology
- Primary Care Medicine
- Health Services Research
Background:
- Allergic rhinitis (AR) significantly impacts quality of life despite available treatments.
- Current management strategies and healthcare provider (HCP) perceptions of AR are not fully understood.
Purpose of the Study:
- To assess US healthcare providers' perceptions of allergic rhinitis diagnosis and management.
- To understand HCPs' views on patient self-recognition, symptom management, and treatment pathways for AR.
Main Methods:
- A national survey (Current Allergic Rhinitis Experiences Survey - CARES) of 750 US healthcare providers (375 PCPs, 375 NPs/PAs) who treat at least 15 AR patients monthly.
- Data collected on HCPs' perceptions of AR symptom recognition, diagnosis methods, patient self-management, and preferred treatment sequences.
Main Results:
- 86% of HCPs believe patients recognize AR symptoms; 57% report patients self-recognize symptoms.
- Diagnosis primarily relies on history and physical exam (82%), with testing often post-treatment.
- HCPs prefer OTC medications before prescription (Rx) options and consider intranasal steroids (INSs) the gold standard for AR treatment.
Conclusions:
- HCPs perceive AR patients as capable of symptom recognition and self-management.
- Current diagnostic practices for AR rely heavily on clinical evaluation.
- There is a consensus among HCPs that OTC treatments should precede Rx options, with INSs being the preferred therapy.
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