title: Awareness and daily practices of family physicians and trainees towards laryngopharyngeal reflux.
abstract: Laryngopharyngeal reflux (LPR) is a type of reflux, seen with complaints of hoarseness, chronic cough, and globus sensation, different from gastroesophageal reflux disease (GERD). The aim of this study was to evaluate the awareness, knowledge, and practices of family physicians and trainees who were being trained in medical branches other than ENT and to determine the effective factors on decision making for diagnosis of this disorder. The study was designed as a two-stage study. At the first stage, a data collection tool, involving 29 questions by which the knowledge, awareness, and applications of the physicians about LPR would be determined, was developed with 12 specialists, using Delphi method. At the second stage, 101 family physicians replied the questionnaire online. For 45 trainees other than ENT, the questionnaire was filled face-to-face by one of the investigators. In patients admitted with complaints of hoarseness, lasting longer than 2 weeks, cough, lasting longer than 3 weeks, and globus sensation, the physicians considered LPR as the preliminary diagnosis with rates of 88.4, 82.2, and 62.8 %, respectively. 87.0 % of physicians, participating in the study, started treatment for reflux empirically in patients having complaints of hoarseness, chronic cough, and globus sensation; however, only 29.0 % of physicians prescribed this treatment for periods of 3 or 6 months. 69.9 % of physicians, participating in the study, made a diagnosis of reflux in general during their daily practices; only 6.9 % made the discrimination between LPR and GERD. Of all physicians, 27.9 % prescribed double-dose PPI or H2.
authors.affiliation: Department of Otorhinolaryngology, Faculty of Medicine, Adnan Menders University, Aydin, Turkey. draylineryilmaz@gmail.com.
authors.forename: Aylin
authors.initials: A
authors.lastname: Eryilmaz
authors.affiliation: Department of Otorhinolaryngology, Faculty of Medicine, Adnan Menders University, Aydin, Turkey.
authors.forename: Yesim
authors.initials: Y
authors.lastname: Basal
authors.affiliation: Department of Otorhinolaryngology, Faculty of Medicine, Adnan Menders University, Aydin, Turkey.
authors.forename: Ceren
authors.initials: C
authors.lastname: Gunel
authors.affiliation: Department of Otorhinolaryngology, Faculty of Medicine, Adnan Menders University, Aydin, Turkey.
authors.forename: Sema
authors.initials: S
authors.lastname: Basak
authors.affiliation: Department of Biostatistics, Faculty of Medicine, Adnan Menders University, Aydin, Turkey.
authors.forename: Mevlut
authors.initials: M
authors.lastname: Ture
authors.affiliation: Atca Family Health Center, Aydin, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Elatik
authors.affiliation: Department of Family Medicine, Faculty of Medicine, Adnan Menders University, Aydin, Turkey.
authors.forename: Okay
authors.initials: O
authors.lastname: Basak
mesh_terms: D000328:Adult; D002908:Chronic Disease; D002983:Clinical Competence; D003371:Cough / Q000209:etiology; D003680:Deglutition Disorders / Q000209:etiology; D003697:Delphi Technique; D003937:Diagnosis, Differential; D005260:Female; D005764:Gastroesophageal Reflux / Q000175:diagnosis; D007722:Health Knowledge, Attitudes, Practice; D006685:Hoarseness / Q000209:etiology; D006801:Humans; D057045:Laryngopharyngeal Reflux / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D010821:Physicians, Family / Q000193:education / Q000592:standards* / Q000706:statistics & numerical data; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D063189:Symptom Assessment / Q000706:statistics & numerical data; D013997:Time Factors
chemical_list: D054328:Proton Pump Inhibitors
keywords: Awareness; Family physicians; Laryngopharyngeal reflux; Trainees