Management of Laryngopharyngeal Reflux Around the World: An International Study
Objective To investigate worldwide practices of otolaryngologists in the management of laryngopharyngeal reflux (LPR). Methods An online survey was sent on the management of LPR to members of many otolaryngological societies. The following aspects were evaluated: LPR definition, prevalence, clinical...
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| Veröffentlicht in: | The Laryngoscope 2021-05, Vol.131 (5), p.E1589-E1597 |
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| container_title | The Laryngoscope |
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| creator | Lechien, Jerome R. Allen, Jacqueline E. Barillari, Maria R. Karkos, Petros D. Jia, Huan Ceccon, Fabio P. Imamura, Rui Metwaly, Osama Chiesa‐Estomba, Carlos M. Bock, Jonathan M. Carroll, Thomas L. Saussez, Sven Akst, Lee M. |
| description | Objective
To investigate worldwide practices of otolaryngologists in the management of laryngopharyngeal reflux (LPR).
Methods
An online survey was sent on the management of LPR to members of many otolaryngological societies. The following aspects were evaluated: LPR definition, prevalence, clinical presentation, diagnosis, and treatment.
Results
A total of 824 otolaryngologists participated, spread over 65 countries. The symptoms most usually attributed to LPR are cough after lying down/meal, throat clearing and globus sensation while LPR‐related findings are arytenoid erythema and posterior commissure hypertrophy. Irrespective to geography, otolaryngologists indicate lack of familiarity with impedance pH monitoring, which they attribute to lack of knowledge in result interpretation. The most common therapeutic regimens significantly vary between world regions, with a higher use of H2 blocker in North America and a lower use of alginate in South America. The duration of treatment also significantly varies between different regions, with West Asia/Africa and East Asia/Oceania otolaryngologists prescribing medication for a shorter period than the others. Only 21.1% of respondents are aware about the existence of nonacid LPR. Overall, only 43.2% of otolaryngologists believe themselves sufficiently knowledgeable about LPR.
Conclusions
LPR knowledge and management significantly vary across the world. International guidelines on LPR definition, diagnosis, and treatment are needed to improve knowledge and management around the world.
Level of Evidence
N.A. Laryngoscope, 131:E1589–E1597, 2021 |
| doi_str_mv | 10.1002/lary.29270 |
| format | Article |
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To investigate worldwide practices of otolaryngologists in the management of laryngopharyngeal reflux (LPR).
Methods
An online survey was sent on the management of LPR to members of many otolaryngological societies. The following aspects were evaluated: LPR definition, prevalence, clinical presentation, diagnosis, and treatment.
Results
A total of 824 otolaryngologists participated, spread over 65 countries. The symptoms most usually attributed to LPR are cough after lying down/meal, throat clearing and globus sensation while LPR‐related findings are arytenoid erythema and posterior commissure hypertrophy. Irrespective to geography, otolaryngologists indicate lack of familiarity with impedance pH monitoring, which they attribute to lack of knowledge in result interpretation. The most common therapeutic regimens significantly vary between world regions, with a higher use of H2 blocker in North America and a lower use of alginate in South America. The duration of treatment also significantly varies between different regions, with West Asia/Africa and East Asia/Oceania otolaryngologists prescribing medication for a shorter period than the others. Only 21.1% of respondents are aware about the existence of nonacid LPR. Overall, only 43.2% of otolaryngologists believe themselves sufficiently knowledgeable about LPR.
Conclusions
LPR knowledge and management significantly vary across the world. International guidelines on LPR definition, diagnosis, and treatment are needed to improve knowledge and management around the world.
Level of Evidence
N.A. Laryngoscope, 131:E1589–E1597, 2021</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.29270</identifier><identifier>PMID: 33200831</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject><![CDATA[Clinical Competence - statistics & numerical data ; diagnosis ; gastroesophageal ; GERD ; Global Burden of Disease - statistics & numerical data ; Humans ; laryngitis ; Laryngopharyngeal ; Laryngopharyngeal Reflux - diagnosis ; Laryngopharyngeal Reflux - epidemiology ; Laryngopharyngeal Reflux - therapy ; Laryngoscopy ; management ; Otolaryngologists - standards ; Otolaryngologists - statistics & numerical data ; Otolaryngology ; Otolaryngology - methods ; Otolaryngology - standards ; Otolaryngology - statistics & numerical data ; Practice Guidelines as Topic ; Practice Patterns, Physicians' - standards ; Practice Patterns, Physicians' - statistics & numerical data ; Prevalence ; reflux ; Societies, Medical - standards ; Societies, Medical - statistics & numerical data ; survey ; Surveys and Questionnaires - statistics & numerical data ; treatment]]></subject><ispartof>The Laryngoscope, 2021-05, Vol.131 (5), p.E1589-E1597</ispartof><rights>2020 American Laryngological, Rhinological and Otological Society Inc, "The Triological Society" and American Laryngological Association (ALA)</rights><rights>2020 American Laryngological, Rhinological and Otological Society Inc, "The Triological Society" and American Laryngological Association (ALA).</rights><rights>2021 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3570-db53f6d76e03a6efd81a87d3e69e0d8303dce44f690f8af00324561f74bfd93e3</citedby><cites>FETCH-LOGICAL-c3570-db53f6d76e03a6efd81a87d3e69e0d8303dce44f690f8af00324561f74bfd93e3</cites><orcidid>0000-0002-0845-0845 ; 0000-0001-5666-2482 ; 0000-0002-4367-7527 ; 0000-0002-3302-7045 ; 0000-0001-9454-9464 ; 0000-0003-2488-5539 ; 0000-0002-8925-0545 ; 0000-0003-2689-5976</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.29270$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.29270$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33200831$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lechien, Jerome R.</creatorcontrib><creatorcontrib>Allen, Jacqueline E.</creatorcontrib><creatorcontrib>Barillari, Maria R.</creatorcontrib><creatorcontrib>Karkos, Petros D.</creatorcontrib><creatorcontrib>Jia, Huan</creatorcontrib><creatorcontrib>Ceccon, Fabio P.</creatorcontrib><creatorcontrib>Imamura, Rui</creatorcontrib><creatorcontrib>Metwaly, Osama</creatorcontrib><creatorcontrib>Chiesa‐Estomba, Carlos M.</creatorcontrib><creatorcontrib>Bock, Jonathan M.</creatorcontrib><creatorcontrib>Carroll, Thomas L.</creatorcontrib><creatorcontrib>Saussez, Sven</creatorcontrib><creatorcontrib>Akst, Lee M.</creatorcontrib><title>Management of Laryngopharyngeal Reflux Around the World: An International Study</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objective
To investigate worldwide practices of otolaryngologists in the management of laryngopharyngeal reflux (LPR).
Methods
An online survey was sent on the management of LPR to members of many otolaryngological societies. The following aspects were evaluated: LPR definition, prevalence, clinical presentation, diagnosis, and treatment.
Results
A total of 824 otolaryngologists participated, spread over 65 countries. The symptoms most usually attributed to LPR are cough after lying down/meal, throat clearing and globus sensation while LPR‐related findings are arytenoid erythema and posterior commissure hypertrophy. Irrespective to geography, otolaryngologists indicate lack of familiarity with impedance pH monitoring, which they attribute to lack of knowledge in result interpretation. The most common therapeutic regimens significantly vary between world regions, with a higher use of H2 blocker in North America and a lower use of alginate in South America. The duration of treatment also significantly varies between different regions, with West Asia/Africa and East Asia/Oceania otolaryngologists prescribing medication for a shorter period than the others. Only 21.1% of respondents are aware about the existence of nonacid LPR. Overall, only 43.2% of otolaryngologists believe themselves sufficiently knowledgeable about LPR.
Conclusions
LPR knowledge and management significantly vary across the world. International guidelines on LPR definition, diagnosis, and treatment are needed to improve knowledge and management around the world.
Level of Evidence
N.A. Laryngoscope, 131:E1589–E1597, 2021</description><subject>Clinical Competence - statistics & numerical data</subject><subject>diagnosis</subject><subject>gastroesophageal</subject><subject>GERD</subject><subject>Global Burden of Disease - statistics & numerical data</subject><subject>Humans</subject><subject>laryngitis</subject><subject>Laryngopharyngeal</subject><subject>Laryngopharyngeal Reflux - diagnosis</subject><subject>Laryngopharyngeal Reflux - epidemiology</subject><subject>Laryngopharyngeal Reflux - therapy</subject><subject>Laryngoscopy</subject><subject>management</subject><subject>Otolaryngologists - standards</subject><subject>Otolaryngologists - statistics & numerical data</subject><subject>Otolaryngology</subject><subject>Otolaryngology - methods</subject><subject>Otolaryngology - standards</subject><subject>Otolaryngology - statistics & numerical data</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians' - standards</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Prevalence</subject><subject>reflux</subject><subject>Societies, Medical - standards</subject><subject>Societies, Medical - statistics & numerical data</subject><subject>survey</subject><subject>Surveys and Questionnaires - statistics & numerical data</subject><subject>treatment</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90EtLAzEUhuEgiq3VjT9ABtyIMPVkMld3pXgpjAhVUVdDOjlpp2SSOhe0_960U124cHUWefgILyGnFIYUwLtSvFoPvcSLYI_0acCo6ydJsE_69pG5ceC99chRXS8BaMQCOCQ9xjyAmNE-eXzgms-xRN04RjqpndJzs1psL3LlTFGq9ssZVabVwmkW6LyaSolrZ6SdiW6w0rwpjLbyqWnF-pgcSK5qPNndAXm5vXke37vp491kPErdnAURuGIWMBmKKERgPEQpYsrjSDAMEwQRM2AiR9-XYQIy5hKAeX4QUhn5MykShmxALrrdVWU-WqybrCzqHJXiGk1bZ54fUpYkke9bev6HLk1rv62sCij1bKyIWnXZqbwydV2hzFZVUdoMGYVskznbZM62mS0-2022sxLFL_3pagHtwGehcP3PVJaOpu_d6DfJ_YdQ</recordid><startdate>202105</startdate><enddate>202105</enddate><creator>Lechien, Jerome R.</creator><creator>Allen, Jacqueline E.</creator><creator>Barillari, Maria R.</creator><creator>Karkos, Petros D.</creator><creator>Jia, Huan</creator><creator>Ceccon, Fabio P.</creator><creator>Imamura, Rui</creator><creator>Metwaly, Osama</creator><creator>Chiesa‐Estomba, Carlos M.</creator><creator>Bock, Jonathan M.</creator><creator>Carroll, Thomas L.</creator><creator>Saussez, Sven</creator><creator>Akst, Lee M.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0845-0845</orcidid><orcidid>https://orcid.org/0000-0001-5666-2482</orcidid><orcidid>https://orcid.org/0000-0002-4367-7527</orcidid><orcidid>https://orcid.org/0000-0002-3302-7045</orcidid><orcidid>https://orcid.org/0000-0001-9454-9464</orcidid><orcidid>https://orcid.org/0000-0003-2488-5539</orcidid><orcidid>https://orcid.org/0000-0002-8925-0545</orcidid><orcidid>https://orcid.org/0000-0003-2689-5976</orcidid></search><sort><creationdate>202105</creationdate><title>Management of Laryngopharyngeal Reflux Around the World: An International Study</title><author>Lechien, Jerome R. ; Allen, Jacqueline E. ; Barillari, Maria R. ; Karkos, Petros D. ; Jia, Huan ; Ceccon, Fabio P. ; Imamura, Rui ; Metwaly, Osama ; Chiesa‐Estomba, Carlos M. ; Bock, Jonathan M. ; Carroll, Thomas L. ; Saussez, Sven ; Akst, Lee M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3570-db53f6d76e03a6efd81a87d3e69e0d8303dce44f690f8af00324561f74bfd93e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Clinical Competence - statistics & numerical data</topic><topic>diagnosis</topic><topic>gastroesophageal</topic><topic>GERD</topic><topic>Global Burden of Disease - statistics & numerical data</topic><topic>Humans</topic><topic>laryngitis</topic><topic>Laryngopharyngeal</topic><topic>Laryngopharyngeal Reflux - diagnosis</topic><topic>Laryngopharyngeal Reflux - epidemiology</topic><topic>Laryngopharyngeal Reflux - therapy</topic><topic>Laryngoscopy</topic><topic>management</topic><topic>Otolaryngologists - standards</topic><topic>Otolaryngologists - statistics & numerical data</topic><topic>Otolaryngology</topic><topic>Otolaryngology - methods</topic><topic>Otolaryngology - standards</topic><topic>Otolaryngology - statistics & numerical data</topic><topic>Practice Guidelines as Topic</topic><topic>Practice Patterns, Physicians' - standards</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Prevalence</topic><topic>reflux</topic><topic>Societies, Medical - standards</topic><topic>Societies, Medical - statistics & numerical data</topic><topic>survey</topic><topic>Surveys and Questionnaires - statistics & numerical data</topic><topic>treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lechien, Jerome R.</creatorcontrib><creatorcontrib>Allen, Jacqueline E.</creatorcontrib><creatorcontrib>Barillari, Maria R.</creatorcontrib><creatorcontrib>Karkos, Petros D.</creatorcontrib><creatorcontrib>Jia, Huan</creatorcontrib><creatorcontrib>Ceccon, Fabio P.</creatorcontrib><creatorcontrib>Imamura, Rui</creatorcontrib><creatorcontrib>Metwaly, Osama</creatorcontrib><creatorcontrib>Chiesa‐Estomba, Carlos M.</creatorcontrib><creatorcontrib>Bock, Jonathan M.</creatorcontrib><creatorcontrib>Carroll, Thomas L.</creatorcontrib><creatorcontrib>Saussez, Sven</creatorcontrib><creatorcontrib>Akst, Lee M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lechien, Jerome R.</au><au>Allen, Jacqueline E.</au><au>Barillari, Maria R.</au><au>Karkos, Petros D.</au><au>Jia, Huan</au><au>Ceccon, Fabio P.</au><au>Imamura, Rui</au><au>Metwaly, Osama</au><au>Chiesa‐Estomba, Carlos M.</au><au>Bock, Jonathan M.</au><au>Carroll, Thomas L.</au><au>Saussez, Sven</au><au>Akst, Lee M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Management of Laryngopharyngeal Reflux Around the World: An International Study</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2021-05</date><risdate>2021</risdate><volume>131</volume><issue>5</issue><spage>E1589</spage><epage>E1597</epage><pages>E1589-E1597</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objective
To investigate worldwide practices of otolaryngologists in the management of laryngopharyngeal reflux (LPR).
Methods
An online survey was sent on the management of LPR to members of many otolaryngological societies. The following aspects were evaluated: LPR definition, prevalence, clinical presentation, diagnosis, and treatment.
Results
A total of 824 otolaryngologists participated, spread over 65 countries. The symptoms most usually attributed to LPR are cough after lying down/meal, throat clearing and globus sensation while LPR‐related findings are arytenoid erythema and posterior commissure hypertrophy. Irrespective to geography, otolaryngologists indicate lack of familiarity with impedance pH monitoring, which they attribute to lack of knowledge in result interpretation. The most common therapeutic regimens significantly vary between world regions, with a higher use of H2 blocker in North America and a lower use of alginate in South America. The duration of treatment also significantly varies between different regions, with West Asia/Africa and East Asia/Oceania otolaryngologists prescribing medication for a shorter period than the others. Only 21.1% of respondents are aware about the existence of nonacid LPR. Overall, only 43.2% of otolaryngologists believe themselves sufficiently knowledgeable about LPR.
Conclusions
LPR knowledge and management significantly vary across the world. International guidelines on LPR definition, diagnosis, and treatment are needed to improve knowledge and management around the world.
Level of Evidence
N.A. Laryngoscope, 131:E1589–E1597, 2021</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>33200831</pmid><doi>10.1002/lary.29270</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-0845-0845</orcidid><orcidid>https://orcid.org/0000-0001-5666-2482</orcidid><orcidid>https://orcid.org/0000-0002-4367-7527</orcidid><orcidid>https://orcid.org/0000-0002-3302-7045</orcidid><orcidid>https://orcid.org/0000-0001-9454-9464</orcidid><orcidid>https://orcid.org/0000-0003-2488-5539</orcidid><orcidid>https://orcid.org/0000-0002-8925-0545</orcidid><orcidid>https://orcid.org/0000-0003-2689-5976</orcidid></addata></record> |
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| ispartof | The Laryngoscope, 2021-05, Vol.131 (5), p.E1589-E1597 |
| issn | 0023-852X 1531-4995 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Clinical Competence - statistics & numerical data diagnosis gastroesophageal GERD Global Burden of Disease - statistics & numerical data Humans laryngitis Laryngopharyngeal Laryngopharyngeal Reflux - diagnosis Laryngopharyngeal Reflux - epidemiology Laryngopharyngeal Reflux - therapy Laryngoscopy management Otolaryngologists - standards Otolaryngologists - statistics & numerical data Otolaryngology Otolaryngology - methods Otolaryngology - standards Otolaryngology - statistics & numerical data Practice Guidelines as Topic Practice Patterns, Physicians' - standards Practice Patterns, Physicians' - statistics & numerical data Prevalence reflux Societies, Medical - standards Societies, Medical - statistics & numerical data survey Surveys and Questionnaires - statistics & numerical data treatment |
| title | Management of Laryngopharyngeal Reflux Around the World: An International Study |
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