Canadian Health Care Professionals’ Familiarity with Chronic Cough Guidelines and Experiences with Diagnosis and Management: A Cross-Sectional Survey |
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Authors: | Kum Elena Brister Danica Diab Nermin Wahab Mustafaa Abraham Ted Sahakian Sevag Qureshy Kaiser Hernandez Paul Kim Harold Cormier Maxime Lin Peter Ellis Anne Boulet Louis-Philippe Kaplan Alan Field Stephen K Satia Imran |
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Institution: | 1.Department of Medicine, McMaster University, Hamilton, ON, Canada ;2.Division of Respirology, McMaster University, Hamilton, ON, Canada ;3.Merck Canada, Inc., Toronto, ON, Canada ;4.Southmount Health Care Centre, Stoney Creek, ON, Canada ;5.Division of Respirology, Department of Medicine, Dalhousie University, Halifax, NS, Canada ;6.Department of Clinical Immunology and Allergy, Western University, London, ON, Canada ;7.Royal Victoria Hospital, McGill University, Montreal, QC, Canada ;8.Canadian Heart Research Centre, Toronto, ON, Canada ;9.Division of Allergy & Immunology, Department of Medicine, Queen’s University, Kingston, ON, Canada ;10.Quebec Heart and Lung Institute, Université Laval, Quebec, QC, Canada ;11.Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada ;12.Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada ;13.Firestone Institute for Respiratory Health, St. Joseph’s Healthcare, Hamilton, ON, Canada ;14.McMaster University Medical Centre, 3U9, 1280 Main St. West, Hamilton, ON, L85 4LA, Canada ; |
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Abstract: | Introduction Educational programs on chronic cough may improve patient care, but little is known about how Canadian physicians manage this common debilitating condition. We aimed to investigate Canadian physicians’ perceptions, attitudes, and knowledge of chronic cough. MethodsWe administered a 10-min anonymous, online, cross-sectional survey to 3321 Canadian physicians in the Leger Opinion Panel who managed adult patients with chronic cough and had been in practice for?>?2 years. ResultsBetween July 30 and September 22, 2021, 179 physicians (101 general practitioners GPs] and 78 specialists 25 allergists, 28 respirologists, and 25 ear/nose/throat specialists]) completed the survey (response rate: 5.4%). In a month, GPs saw a mean of 27 patients with chronic cough, whereas specialists saw 46. About one-third of physicians appropriately identified a duration of?>?8 weeks as the definition for chronic cough. Many physicians reported not using international chronic cough management guidelines. Patient referrals and care pathways varied considerably, and patients frequently experienced lost to follow-up. While physicians endorsed nasal and inhaled corticosteroids as common treatments for chronic cough, they rarely used other guideline-recommended treatments. Both GPs and specialists expressed high interest in education on chronic cough. ConclusionThis survey of Canadian physicians demonstrates low uptake of recent advances in chronic cough diagnosis, disease categorization, and pharmacologic management. Canadian physicians also report unfamiliarity with guideline-recommended therapies, including centrally acting neuromodulators for refractory or unexplained chronic cough. This data highlights the need for educational programs and collaborative care models on chronic cough in primary and specialist care. |
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