Awareness about laryngopharyngeal reflux disease among Chinese otolaryngologists: a nationwide survey
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
Affiliations
Chen Zhao
Child Development Center, China Development Research Foundation, Beijing, China
Liang Tang
Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
Ting Chen
Department of Pharmacy, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, People`s Republic of China
Hui Yang
Department of Otolaryngology, Head and Neck Surgery, West China Hospital of Sichuan University, Chengdu, Sichuan, China
Xiong Chen
Department of Oncology, Mengchao Hepatobiliary Hospital of Fujian Medical University, Fuzhou, Fujian, China
Xiaobo Cui
1 Beijing Tobacco Control Association, Beijing, China
Li Shi
1 Department of Epidemiology, Zhengzhou University, Zhengzhou, Henan, China
Xiangping Li
1 Department of Otorhinolaryngology Head and Neck Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China
Jian He
Department of Otolaryngology, Head and Neck Surgery, Gansu Provincial Hospital, Lanzhou, Gansu, China
Xiaoxia Peng
Center for Clinical Epidemiology and Evidence-based Medicine, Beijing Children`s Hospital, Capital Medical University, National Center for Children Health, Beijing, China
Shuifang Xiao
Department of Otolaryngology, Head and Neck Surgery, Peking University First Hospital, Beijing, China
Jinrang Li
Department of Otolaryngology, Head and Neck Surgery, The Sixth Medical Center of Chinese PLA General Hospital, Beijing, China
Hongliang Zheng
Department of Otolaryngology, Head and Neck Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China
Junbo Zhang
Department of Otolaryngology, Head and Neck Surgery, Peking University First Hospital, Beijing, China
Shuihong Zhou
Department of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China
Donghui Chen
Department of Otolaryngology, Head and Neck Surgery, Jiangsu Province Hospital, Nanjing, Jiangsu, China
Xuping Xiao
Department of Otolaryngology, Head and Neck Surgery, Hunan Provincial People`s Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan, China
Hui Huangfu
Department of Otolaryngology, Head and Neck Surgery, The First Hospital of Shanxi Medical University, Taiyuan, Shanxi, China
Zhenfeng Tao
Department of Otolaryngology, Head and Neck Surgery, Bethune International Peace Hospital, Shijiazhuang, Hebei, China
Yehai Liu
Department of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
Shenhong Qu
Department of Otolaryngology, Head and Neck Surgery, The People`s Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China
Guangke Wang
Department of Otolaryngology, Head and Neck Surgery, Henan Provincial People`s Hospital, Zhengzhou, Henan, China
Linli Tian
Department of Otolaryngology, Head and Neck Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China
Wensheng Zhou
Department of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
Hongyan Fang
Department of Otolaryngology, Head and Neck Surgery, Chongqing General Hospital, Chongqing, China
Yongwang Huang
Department of Otolaryngology, Head and Neck Surgery, The Second Hospital of Tianjin Medical University, Tianjin, China
Guodong Yu
Department of Otolaryngology, Head and Neck Surgery, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
Zhenqun Lin
Department of Otolaryngology, Head and Neck Surgery, Hainan Provincial People`s Hospital, Haikou, Hainan, China
Ruixia Ma
Department of Otolaryngology, Head and Neck Surgery, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China
Zhaoyan Yu
Department of Otolaryngology, Head and Neck Surgery, Shandong Provincial ENT Hospital, Shandong Provincial ENT Hospital Affiliated to Shandong University, Jinan, Shandong, China
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
