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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorLECHIEN, Jerome R.
dc.contributor.authorCARROLL, Thomas L.
dc.contributor.authorALLEN, Jacqueline E.
dc.contributor.authorAYAD, Tareck
dc.contributor.authorENVER, Necati
dc.contributor.authorEUN, Young-Gyu
dc.contributor.authorPERAZZO, Paulo S.
dc.contributor.authorCECCON, Fabio Pupo
dc.contributor.authorSANT'ANNA, Geraldo D.
dc.contributor.authorIMAMURA, Rui
dc.contributor.authorRAGHUNANDHAN, Sampath Kumar
dc.contributor.authorCHIESA-ESTOMBA, Carlos M.
dc.contributor.authorCALVO-HENRIQUEZ, Christian
dc.contributor.authorSAUSSEZ, Sven
dc.contributor.authorKARKOS, Petros D.
dc.contributor.authorREMACLE, Marc
dc.contributor.authorAKST, Lee M.
dc.contributor.authorBOCK, Jonathan M.
dc.identifier.citationEUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, v.278, n.6, p.1933-1943, 2021
dc.description.abstractObjective To study the management of laryngopharyngeal reflux (LPR) among the subspecialties of practicing otolaryngology-head and neck surgeons and their trainees. Methods A survey was sent to over 8000 otolaryngologists (OTOHNS) over 65 countries, utilizing membership lists of participating otolaryngological societies. The outcomes were answers to questions regarding LPR knowledge and practice patterns, and included queries about its definition, prevalence, clinical presentation, diagnosis, and treatment. Results Of the 824 respondents, 658 practiced in one specific otolaryngologic subspecialty. The symptoms and findings thought to be the most related to LPR varied significantly between subspecialists. Extra-laryngeal findings were considered less by laryngologists while more experienced OTOHNS did not often consider digestive complaints. Compared with colleagues, otologists, rhinologists and laryngologists were less aware of the involvement of LPR in otological, rhinological and laryngological disorders, respectively. Irrespective of subspecialty, OTOHNS consider symptoms and signs and a positive response to empirical therapeutic trial to establish a LPR diagnosis. Awareness regarding the usefulness of impedance pH-studies is low in all groups. The therapeutic approach significantly varies between groups, although all were in agreement for the treatment duration. The management of non-responder patients demonstrated significant differences among laryngologists who performed additional examinations. The majority of participants (37.1%) admitted to being less than knowledgeable about LPR management. Conclusions LPR knowledge and management vary significantly across otolaryngology subspecialties. International guidelines on LPR management appear necessary to improve knowledge and management of LPR across all subspecialties of otolaryngology.eng
dc.relation.ispartofEuropean Archives of Oto-Rhino-laryngology
dc.titleImpact of subspecialty training on management of laryngopharyngeal reflux: results of a worldwide surveyeng
dc.rights.holderCopyright SPRINGEReng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng, Jerome R.:Laryngopharyngeal Reflux Study Grp Young Otolaryn, Paris, France; Univ Mons UMons, Mons Sch Med, UMONS Res Inst Hlth Sci & Technol, Dept Anat & Expt Oncol, Mons, Belgium; Univ Libre Bruxelles, Fac Med, Dept Otorhinolaryngol & Head & Neck Surg, CHU St Pierre, Brussels, Belgium; Paris Saclay Univ, Foch Hosp, Dept Otorhinolaryngol & Head & Neck Surg, Paris, France; Univ Mons UMONS, Fac Med, Lab Anat & Cell Biol, Ave Champ Mars 6, B-7000 Mons, Belgium, Thomas L.:Harvard Med Sch, Brigham & Womens Hosp, Dept Surg, Div Otolaryngol, Boston, MA 02115 USA, Jacqueline E.:Univ Auckland, Dept Surg, Auckland, New Zealand, Tareck:Laryngopharyngeal Reflux Study Grp Young Otolaryn, Paris, France; Univ Montreal, Div Otolaryngol Head & Neck Surg, Ctr Hosp, Montreal, PQ, Canada, Necati:Laryngopharyngeal Reflux Study Grp Young Otolaryn, Paris, France; Marmara Univ, Dept Otolaryngol, Pendik Training & Res Hosp, Istanbul, Turkey, Young-Gyu:Laryngopharyngeal Reflux Study Grp Young Otolaryn, Paris, France; Kyung Hee Univ, Dept Otorhinolaryngol & Head & Neck Surg, Sch Med, Seoul, South Korea, Paulo S.:Sao Paulo Fed Univ, Sch Med, Dept Otolaryngol, Sao Paulo, Brazil, Fabio Pupo:Univ Fed Sao Paulo, Dept Otolaryngol Head & Neck Surg, Sao Paulo, Brazil'ANNA, Geraldo D.:Univ Fed Ciencias Saude Porto Alegre UFCSPA, Disciplina Otorrinolaringol, Porto Alegre, RS, Brazil, Sampath Kumar:Madras ENT Res Fdn, Dept Otol Neurotol & Skullbase Surg, Chennai, Tamil Nadu, India, Carlos M.:Laryngopharyngeal Reflux Study Grp Young Otolaryn, Paris, France; Hosp Univ Donostia, Dept Otorhinolaryngol Head & Neck Surg, San Sebastian, Spain, Christian:Hosp Complex Santiago de Compostela, Dept Otorhinolaryngol & Head & Neck Surg, Santiago De Compostela, Spain, Sven:Laryngopharyngeal Reflux Study Grp Young Otolaryn, Paris, France; Univ Mons UMons, Mons Sch Med, UMONS Res Inst Hlth Sci & Technol, Dept Anat & Expt Oncol, Mons, Belgium; Univ Libre Bruxelles, Fac Med, Dept Otorhinolaryngol & Head & Neck Surg, CHU St Pierre, Brussels, Belgium, Petros D.:Laryngopharyngeal Reflux Study Grp Young Otolaryn, Paris, France; Thessaloniki Med Sch, Dept Otorhinolaryngol & Head & Neck Surg, Thessaloniki, Greece, Marc:Ctr Hosp Luxembourg, Dept Otolaryngol, Luxembourg, Luxembourg, Lee M.:Laryngopharyngeal Reflux Study Grp Young Otolaryn, Paris, France; Johns Hopkins Sch Med, Dept Otolaryngol Head & Neck Surg, Baltimore, MD USA, Jonathan M.:Med Coll Wisconsin, Dept Otolaryngol, Div Laryngol & Profess Voice, Commun Sci, Milwaukee, WI USA
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUNITED STATESeng
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LIM/32 - Laboratório de Otorrinolaringologia

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