Awareness about laryngopharyngeal reflux disease among Chinese otolaryngologists: a nationwide survey

Objectives This study aimed to investigate the status of the current knowledge about laryngopharyngeal reflux disease (LPRD) among Chinese otolaryngologists.Design Multi-centre cross-sectional survey.Setting 220 medical centres in different regions of China.Participants A total of 2254 otolaryngolog...

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Main Authors: Chen Zhao, Liang Tang, Ting Chen, Hui Yang, Xiong Chen, Xiaobo Cui, Li Shi, Xiangping Li, Jian He, Xiaoxia Peng, Shuifang Xiao, Jinrang Li, Hongliang Zheng, Junbo Zhang, Shuihong Zhou, Donghui Chen, Xuping Xiao, Hui Huangfu, Zhenfeng Tao, Yehai Liu, Shenhong Qu, Guangke Wang, Linli Tian, Wensheng Zhou, Hongyan Fang, Yongwang Huang, Guodong Yu, Zhenqun Lin, Ruixia Ma, Zhaoyan Yu
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e058852.full
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author Chen Zhao
Liang Tang
Ting Chen
Hui Yang
Xiong Chen
Xiaobo Cui
Li Shi
Xiangping Li
Jian He
Xiaoxia Peng
Shuifang Xiao
Jinrang Li
Hongliang Zheng
Junbo Zhang
Shuihong Zhou
Donghui Chen
Xuping Xiao
Hui Huangfu
Zhenfeng Tao
Yehai Liu
Shenhong Qu
Guangke Wang
Linli Tian
Wensheng Zhou
Hongyan Fang
Yongwang Huang
Guodong Yu
Zhenqun Lin
Ruixia Ma
Zhaoyan Yu
author_facet Chen Zhao
Liang Tang
Ting Chen
Hui Yang
Xiong Chen
Xiaobo Cui
Li Shi
Xiangping Li
Jian He
Xiaoxia Peng
Shuifang Xiao
Jinrang Li
Hongliang Zheng
Junbo Zhang
Shuihong Zhou
Donghui Chen
Xuping Xiao
Hui Huangfu
Zhenfeng Tao
Yehai Liu
Shenhong Qu
Guangke Wang
Linli Tian
Wensheng Zhou
Hongyan Fang
Yongwang Huang
Guodong Yu
Zhenqun Lin
Ruixia Ma
Zhaoyan Yu
author_sort Chen Zhao
collection DOAJ
description Objectives This study aimed to investigate the status of the current knowledge about laryngopharyngeal reflux disease (LPRD) among Chinese otolaryngologists.Design Multi-centre cross-sectional survey.Setting 220 medical centres in different regions of China.Participants A total of 2254 otolaryngologists from 220 medical centres in China who were successfully on-site surveyed between November 2019 and December 2020.Main outcome measures Awareness about LPRD included knowledge about risk factors, symptoms, laryngoscope signs, related diseases, current diagnostic methods and treatments.Results The percentage of participants who had heard of LPRD was 96.4%, with academic conferences as the most common source of information (73.3%). The most commonly known risk factor, symptom, laryngoscope sign, related disease, diagnostic method and treatment were alcohol consumption (44.0%), pharyngeal foreign body sensation (66.9%), hyperaemia (52.4%), pharyngolaryngitis (54.8%), pH monitoring (47.6%) and medication (82.1%), respectively. Only 28.3% of all participants knew that 24 h pH or multichannel intraluminal impedance pH monitoring was the most accurate diagnostic test. As many as 73.1% of all participants knew that proton pump inhibitors were the first-line treatment drugs. An analysis of the overall status of awareness using a scoring system suggested that otolaryngologists were better aware owing to more access, working at 3A hospitals, and postgraduate or above educational background (all p<0.05).Conclusion Although the majority of Chinese otolaryngologists had heard of LPRD, their overall awareness about the disease was not encouraging. More efforts are needed to increase the knowledge about LPRD among this group of physicians.Trial registration number ChiCTR1900025581
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spelling doaj-art-7a594790efd04340b7bc12a8e941727c2025-01-27T22:40:11ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-058852Awareness about laryngopharyngeal reflux disease among Chinese otolaryngologists: a nationwide surveyChen Zhao0Liang Tang1Ting Chen2Hui Yang3Xiong Chen4Xiaobo Cui5Li Shi6Xiangping Li7Jian He8Xiaoxia Peng9Shuifang Xiao10Jinrang Li11Hongliang Zheng12Junbo Zhang13Shuihong Zhou14Donghui Chen15Xuping Xiao16Hui Huangfu17Zhenfeng Tao18Yehai Liu19Shenhong Qu20Guangke Wang21Linli Tian22Wensheng Zhou23Hongyan Fang24Yongwang Huang25Guodong Yu26Zhenqun Lin27Ruixia Ma28Zhaoyan Yu29Child Development Center, China Development Research Foundation, Beijing, ChinaInstitute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Pharmacy, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, People`s Republic of ChinaDepartment of Otolaryngology, Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, Sichuan, ChinaDepartment of Oncology, Mengchao Hepatobiliary Hospital of Fujian Medical University, Fuzhou, Fujian, China1 Beijing Tobacco Control Association, Beijing, China1 Department of Epidemiology, Zhengzhou University, Zhengzhou, Henan, China1 Department of Otorhinolaryngology Head and Neck Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Gansu Provincial Hospital, Lanzhou, Gansu, ChinaCenter for Clinical Epidemiology and Evidence-based Medicine, Beijing Children`s Hospital, Capital Medical University, National Center for Children Health, Beijing, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Peking University First Hospital, Beijing, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Changhai Hospital, Second Military Medical University, Shanghai, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Peking University First Hospital, Beijing, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Jiangsu Province Hospital, Nanjing, Jiangsu, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Hunan Provincial People`s Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The First Hospital of Shanxi Medical University, Taiyuan, Shanxi, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Bethune International Peace Hospital, Shijiazhuang, Hebei, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The People`s Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Henan Provincial People`s Hospital, Zhengzhou, Henan, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Chongqing General Hospital, Chongqing, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The Second Hospital of Tianjin Medical University, Tianjin, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Hainan Provincial People`s Hospital, Haikou, Hainan, ChinaDepartment of Otolaryngology, Head and Neck Surgery, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, ChinaDepartment of Otolaryngology, Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong Provincial ENT Hospital Affiliated to Shandong University, Jinan, Shandong, ChinaObjectives This study aimed to investigate the status of the current knowledge about laryngopharyngeal reflux disease (LPRD) among Chinese otolaryngologists.Design Multi-centre cross-sectional survey.Setting 220 medical centres in different regions of China.Participants A total of 2254 otolaryngologists from 220 medical centres in China who were successfully on-site surveyed between November 2019 and December 2020.Main outcome measures Awareness about LPRD included knowledge about risk factors, symptoms, laryngoscope signs, related diseases, current diagnostic methods and treatments.Results The percentage of participants who had heard of LPRD was 96.4%, with academic conferences as the most common source of information (73.3%). The most commonly known risk factor, symptom, laryngoscope sign, related disease, diagnostic method and treatment were alcohol consumption (44.0%), pharyngeal foreign body sensation (66.9%), hyperaemia (52.4%), pharyngolaryngitis (54.8%), pH monitoring (47.6%) and medication (82.1%), respectively. Only 28.3% of all participants knew that 24 h pH or multichannel intraluminal impedance pH monitoring was the most accurate diagnostic test. As many as 73.1% of all participants knew that proton pump inhibitors were the first-line treatment drugs. An analysis of the overall status of awareness using a scoring system suggested that otolaryngologists were better aware owing to more access, working at 3A hospitals, and postgraduate or above educational background (all p<0.05).Conclusion Although the majority of Chinese otolaryngologists had heard of LPRD, their overall awareness about the disease was not encouraging. More efforts are needed to increase the knowledge about LPRD among this group of physicians.Trial registration number ChiCTR1900025581https://bmjopen.bmj.com/content/12/6/e058852.full
spellingShingle Chen Zhao
Liang Tang
Ting Chen
Hui Yang
Xiong Chen
Xiaobo Cui
Li Shi
Xiangping Li
Jian He
Xiaoxia Peng
Shuifang Xiao
Jinrang Li
Hongliang Zheng
Junbo Zhang
Shuihong Zhou
Donghui Chen
Xuping Xiao
Hui Huangfu
Zhenfeng Tao
Yehai Liu
Shenhong Qu
Guangke Wang
Linli Tian
Wensheng Zhou
Hongyan Fang
Yongwang Huang
Guodong Yu
Zhenqun Lin
Ruixia Ma
Zhaoyan Yu
Awareness about laryngopharyngeal reflux disease among Chinese otolaryngologists: a nationwide survey
BMJ Open
title Awareness about laryngopharyngeal reflux disease among Chinese otolaryngologists: a nationwide survey
title_full Awareness about laryngopharyngeal reflux disease among Chinese otolaryngologists: a nationwide survey
title_fullStr Awareness about laryngopharyngeal reflux disease among Chinese otolaryngologists: a nationwide survey
title_full_unstemmed Awareness about laryngopharyngeal reflux disease among Chinese otolaryngologists: a nationwide survey
title_short Awareness about laryngopharyngeal reflux disease among Chinese otolaryngologists: a nationwide survey
title_sort awareness about laryngopharyngeal reflux disease among chinese otolaryngologists a nationwide survey
url https://bmjopen.bmj.com/content/12/6/e058852.full
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