PMID- 25099888
OWN - NLM
STAT- MEDLINE
DCOM- 20150611
LR  - 20160511
IS  - 2042-6984 (Electronic)
IS  - 2042-6976 (Linking)
VI  - 4
IP  - 10
DP  - 2014 Oct
TI  - Current practice trends in allergy: results of a united states survey of 
      otolaryngologists, allergist-immunologists, and primary care physicians.
PG  - 789-95
LID - 10.1002/alr.21359 [doi]
AB  - BACKGROUND: Clinical practices for the diagnosis and treatment of allergic 
      disease evolve over time in response to a variety of forces. The techniques used 
      by various physician specialties are not clearly defined and may vary from 
      published descriptions or recommendations in the literature. METHODS: This work 
      is a Web-based survey enrolling 250 U.S. physicians in the following specialties: 
      otolaryngology (ENT), allergy-immunology (A/I), and primary care (PCP). RESULTS: 
      Respondents reported that skin-prick testing is the most common diagnostic 
      testing method, followed by in vitro specific immunoglobulin E (IgE) testing. 
      ENTs were more likely to use intradermal testing compared to other specialties (p 
      = 0.0003 vs A/I; p < 0.0001 vs PCP). Respondents reported a wide distribution in 
      number of allergens tested, regardless of testing method (range, 11 to >60). 
      Significant use of home immunotherapy injections (defined as >10% of 
      immunotherapy patients) ranged from 27% to 36% of physicians, with no 
      statistically significant difference noted based upon specialty. PCPs reported 
      greater use of sublingual immunotherapy (PCP, 68%; A/I, 45%; otolaryngology, 35%; 
      A/I vs PCP, p = 0.005; ENT vs PCP p < 0.001)). CONCLUSION: A variety of allergy 
      testing and treatment methods are employed by U.S. physicians, with some 
      differences noted based upon specialty. Home immunotherapy continues to be 
      employed in allergy practices, and sublingual immunotherapy is a common form of 
      delivery, especially in primary care practices.
CI  - (c) 2014 ARS-AAOA, LLC.
FAU - Ryan, Matthew W
AU  - Ryan MW
AD  - Department of Otolaryngology, University of Texas (UT) Southwestern Medical 
      Center, Dallas, TX.
FAU - Marple, Bradley F
AU  - Marple BF
FAU - Leatherman, Bryan
AU  - Leatherman B
FAU - Mims, J Whit
AU  - Mims JW
FAU - Fornadley, John
AU  - Fornadley J
FAU - Veling, Maria
AU  - Veling M
FAU - Lin, Sandra Y
AU  - Lin SY
LA  - eng
PT  - Journal Article
DEP - 20140805
PL  - United States
TA  - Int Forum Allergy Rhinol
JT  - International forum of allergy & rhinology
JID - 101550261
RN  - 0 (Allergens)
SB  - IM
MH  - Allergens/*immunology
MH  - Allergy and Immunology/*trends
MH  - Diagnostic Tests, Routine/statistics & numerical data
MH  - Health Surveys
MH  - Humans
MH  - Hypersensitivity/*diagnosis/therapy
MH  - Otolaryngology/*trends
MH  - Physicians, Primary Care/*trends
MH  - Practice Patterns, Physicians'/*statistics & numerical data
MH  - Skin Tests/statistics & numerical data
MH  - United States
OTO - NOTNLM
OT  - allergen immunotherapy
OT  - allergy
OT  - allergy testing
OT  - food allergy
OT  - home immunotherapy
OT  - sublingual immunotherapy
EDAT- 2014/08/08 06:00
MHDA- 2015/06/13 06:00
CRDT- 2014/08/08 06:00
PHST- 2014/02/13 00:00 [received]
PHST- 2014/04/19 00:00 [revised]
PHST- 2014/05/04 00:00 [accepted]
PHST- 2014/08/08 06:00 [entrez]
PHST- 2014/08/08 06:00 [pubmed]
PHST- 2015/06/13 06:00 [medline]
AID - 10.1002/alr.21359 [doi]
PST - ppublish
SO  - Int Forum Allergy Rhinol. 2014 Oct;4(10):789-95. doi: 10.1002/alr.21359. Epub 
      2014 Aug 5.