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Towards universal chemosensory testing: needs, barriers, and opportunities.
Steven D Munger1,2, Kai Zhao3, Linda A Barlow4,5,6
1Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, VA 22908, United States.
Chemical Senses
|May 20, 2025
Summary
Millions suffer from smell and taste disorders, impacting health and safety. Universal chemosensory testing in healthcare is crucial for early detection and better patient outcomes.
Area of Science:
- Healthcare Policy
- Sensory Science
- Public Health
Background:
- Chemosensory disorders (anosmia, parosmia, dysgeusia) affect millions, diminishing quality of life and safety.
- These dysfunctions are linked to poor nutrition, social isolation, frailty, anxiety, depression, and can indicate underlying diseases.
- Older adults are disproportionately affected, yet smell and taste are rarely assessed in routine care.
Purpose of the Study:
- To identify barriers to integrating routine chemosensory testing into US healthcare.
- To explore opportunities for overcoming these barriers and promoting universal testing.
- To foster discussion among scientists, clinicians, patients, and experts on chemosensory health.
Main Methods:
- Convened the "Towards Universal Chemosensory Testing" conference (November 5-7, 2023, Philadelphia, PA).
- Brought together diverse stakeholders including scientists, clinicians, and patients.
- Focused discussions on barriers and solutions within the US healthcare system.
Main Results:
- Prevalence and significant impact of smell/taste disorders on health and quality of life.
- Lack of regular chemosensory assessment in routine healthcare represents a missed opportunity.
- Identified the need for a multi-stakeholder approach to overcome testing barriers.
Conclusions:
- Routine chemosensory testing is vital for early detection, patient support, and identifying underlying health conditions.
- Addressing barriers is essential to implement universal chemosensory testing.
- The conference provided a platform for collaborative strategies to improve chemosensory healthcare.

