Analysis of factors influencing the determination of indications for allergen-specific immunotherapy

• Bo Ding ^[1] ; Shiwen Gao ^[2] ; Jun Huang ^[3] ; Songdi Gong ^[4] ; Jiahui Lin ^[4] ; Guoliang Ding ^[5] ; Qiuzhi Shen ^[1] ; Wentao Wang ^[6] ; Mei Yang ^[7] ; Hui Wang ^[8] ; Chunmei Shen ^[9] ; Yanming Lu ^[1]
  1. [1] Shanghai Jiao Tong University

     Shanghai Jiao Tong University

     China

     
  2. [2] Internal Medicine Department, Yongsheng County People’s Hospital, Lijiang, Yunnan, China.
  3. [3] Department of Dermatology, Ningbo Hangzhou Bay Hospital, Ningbo, Zhejiang, China.
  4. [4] Department of Pediatrics, Ningbo Hangzhou Bay Hospital, Ningbo, Zhejiang, China.
  5. [5] Medical Center Department, Renze District People’s Hospital of Xingtai, Xingtai, Hebei, China.
  6. [6] Department of Pediatrics, Hospital Affiliated to Chengde Medical University, Chengde, Hebei, China.
  7. [7] Department of Pediatrics, Puxing Community Health Service Center, Shanghai, China.
  8. [8] Department of Pediatrics, Xuanqiao Community Health Service Center, Shanghai, China.
  9. [9] South Quay Community Health Service Centre, Shanghai, China.

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• Localización: Allergologia et immunopathologia: International journal for clinical and investigate allergology and clinical immunology, ISSN-e 1578-1267, ISSN 0301-0546, Vol. 51, Nº. 1, 2023, págs. 168-176
• Idioma: inglés
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• Resumen

  • Objective: To develop a questionnaire and a scoring system for evaluating physicians’ knowledge of allergen immunotherapy (AIT).

    Methods: Questionnaire was designed using the Questionnaire Star tool. A total of 1024 physicians were assessed, and based on the score divided into accurate judgment and inaccurate judgment groups. Statistical analysis was done, and counting data were expressed as frequencies and percentage values. Chi-square test and multi-factor logistic analysis were used to determine influencing factors on the indications for AIT.

    Results: Physician’s age, grade of the hospital, and pediatric specialty influenced the accurate judgment of AIT indication after adjustment for independent variables (P < 0.05). In all, 80.5% physicians exercised accurate assessment for allergic rhinitis. Allergic conjunctivitis was judged accurately by 47.0% physicians. Bronchial asthma was judged accurately by 71.0% physicians, and atopic dermatitis by 61.3% physicians, with a higher accuracy rate for pediatricians than nonpediatricians for all the mentioned conditions (P < 0.05). There was no significant difference in the accuracy of judgment between pediatricians and non-pediatricians in terms of AIT for food allergy and dust mite sensitization (P > 0.05).

    Conclusion: The results of our study demonstrated a high accuracy judgment rate among clinicians for rhinitis, asthma, and dermatitis, and a low accuracy rate for desensitization of healthy people with allergic conjunctivitis, food allergies, and allergen sensitization.