title: Unmet Primary Physicians' Needs for Allergic Rhinitis Care in Korea.
abstract: Allergic rhinitis (AR) is one of the most common chronic allergic respiratory diseases worldwide. Various practical guidelines for AR have been developed and updated to improve the care of AR patients; however, up to 40% patients remain symptomatic. The unmet need for AR care is one of the greatest public health problems in the world. The gaps between guideline and real-world practice, and differences according to the region, culture, and medical environments may be the causes of unmet needs for AR care. Because there is no evidence-based AR practical guideline reflecting the Korean particularity, various needs are increasing. The purpose of the study was to evaluate whether existing guidelines are sufficient for AR patient management in real practice and whether development of regional guidelines to reflect regional differences is needed in Korea. A total of 99 primary physicians comprising internists, pediatricians, and otolaryngologists (n=33 for each) were surveyed by a questionnaire relating to unmet needs for AR care between June 2 and June 16 of 2014. Among 39 question items, participants strongly agreed on 15 items that existing guidelines were highly insufficient and needed new guidelines. However, there was some disagreement according to specialties for another 24 items. In conclusion, the survey results demonstrated that many physicians did not agree with the current AR guideline, and a new guideline reflecting Korean particularity was needed.
authors.affiliation: Department of Pediatrics, Pediatric Allergy and Respiratory Center, Soonchunhyang University College of Medicine, Seoul, Korea.|SCH Biomedical Informatics Research Unit, Soonchunhyang University Hospital, Seoul, Korea.
authors.forename: Hyeon Jong
authors.initials: HJ
authors.lastname: Yang
authors.affiliation: Department of Otorhinolaryngology, Inha University College of Medicine, Incheon, Korea.
authors.forename: Young Hyo
authors.initials: YH
authors.lastname: Kim
authors.affiliation: Department of Biostatistic Consulting, Clinical Trial Center, Soonchunhyang Medical Center, Bucheon, Korea.
authors.forename: Bora
authors.initials: B
authors.lastname: Lee
authors.affiliation: MBL Children's Hospital, Daejeon, Korea.
authors.forename: Do Youn
authors.initials: DY
authors.lastname: Kong
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Chuncheon Sacred Heart Hospital and Nano-Bio Regenerative Medical Institute, Hallym University College of Medicine, Chuncheon, Korea.
authors.forename: Dong Kyu
authors.initials: DK
authors.lastname: Kim
authors.affiliation: Department of Pulmonology, Allergy and Critical Care Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
authors.forename: Mi Ae
authors.initials: MA
authors.lastname: Kim
authors.affiliation: Department of Pediatrics, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
authors.forename: Bong Seong
authors.initials: BS
authors.lastname: Kim
authors.affiliation: Wooridul Private Internal Clinic, Gwangju, Korea.
authors.forename: Won Young
authors.initials: WY
authors.lastname: Kim
authors.affiliation: Department of Pediatrics, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.
authors.forename: Jeong Hee
authors.initials: JH
authors.lastname: Kim
authors.affiliation: Department of Pediatrics, Wonkwang University Sanbon Hospital, Wonkwang University College of Medicine, Gunpo, Korea.
authors.forename: Yang
authors.initials: Y
authors.lastname: Park
authors.affiliation: A & A Clinic, Seongnam, Korea.
authors.forename: So Yeon
authors.initials: SY
authors.lastname: Park
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, Dong-A University College of Medicine, Busan, Korea.
authors.forename: Woo Yong
authors.initials: WY
authors.lastname: Bae
authors.affiliation: Department of Otorhinolaryngology-Head & Neck Surgery, Catholic Kwandong Universtiy, International St. Mary's Hospital, Incheon, Korea.
authors.forename: Keejae
authors.initials: K
authors.lastname: Song
authors.affiliation: Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.
authors.forename: Min Suk
authors.initials: MS
authors.lastname: Yang
authors.affiliation: Division of Pulmonology and Allergy, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
authors.forename: Sang Min
authors.initials: SM
authors.lastname: Lee
authors.affiliation: GF Internal Medicine Allergy Clinic, Seoul, Korea.
authors.forename: Young Mok
authors.initials: YM
authors.lastname: Lee
authors.affiliation: Lee & Hong ENT, Sleep and Cosmetic Center, Seongnam, Korea.
authors.forename: Hyun Jong
authors.initials: HJ
authors.lastname: Lee
authors.affiliation: Cho & Park ENT Clinics, Suwon, Korea.
authors.forename: Jae Hong
authors.initials: JH
authors.lastname: Cho
authors.affiliation: Derpartment of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
authors.forename: Hye Mi
authors.initials: HM
authors.lastname: Jee
authors.affiliation: Department of Pulmonology and Allergy, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea. yoolina@korea.ac.kr.
authors.forename: Jeong Hee
authors.initials: JH
authors.lastname: Choi
authors.affiliation: Department of Pediatrics, Korea University Anam Hospital, Seoul, Korea.|Allergy Immunology Center, Korea University, Seoul, Korea. mdqueen@hallym.or.kr.
authors.forename: Young
authors.initials: Y
authors.lastname: Yoo
authors.affiliation: Department of Internal Medicine, Chonnam National University Medical School & Hospital, Gwangju, Korea.
authors.forename: Young Il
authors.initials: YI
authors.lastname: Koh
keywords: Allergic rhinitis; needs assessment; survey and questionnaires