Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Walla, K; Habenbacher, M; Kay, J; Walrave, L; Günzl, P; Tomazic, PV; Andrianakis, A.
Current diagnostic and therapeutic management of chronic rhinosinusitis with nasal polyps in Austria: insights and unmet needs from a nationwide survey.
Sci Rep. 2025; 15(1):23051
Doi: 10.1038/s41598-025-07658-3
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- Führende Autor*innen der Med Uni Graz
- Andrianakis Alexandros
- Walla Katharina
- Co-Autor*innen der Med Uni Graz
- Habenbacher Michael
- Tomazic Peter Valentin
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- Abstract:
- This article aims to describe the current diagnostic and therapeutic practices for managing chronic rhinosinusitis with nasal polyps (CRSwNP) among Austrian ENT specialists. A cross-sectional, nationwide survey was conducted between November and December 2022 in Austria. A total of 50 ENT specialists, evenly split between hospital- and office-based physicians, participated. The questionnaire covered demographics, diagnostic and therapeutic approaches. CT imaging, nasal endoscopy, and blood eosinophil count were the most utilized diagnostic tools. Most participants applied the SNOT-22 for patient-reported outcomes. Local corticosteroids were the most frequently prescribed treatment. Systemic corticosteroid overuse and limited biologic adoption were noted. Hospital-based physicians managed significantly more patients with biologics. The initiation of biologic therapy was considered most appropriate following one FESS by the vast majority of respondents. Adherence to guideline-based evaluation criteria for biologic treatment response was suboptimal, highlighting gaps in clinical practice. Our survey highlights strengths in guideline adherence and areas for improvement, particularly in the diagnostic approach, systemic corticosteroid usage, and biologic treatment. Addressing educational gaps and refining clinical practices could enhance patient outcomes, reduce invasive procedures, and optimize resource utilization in CRSwNP management.
- Find related publications in this database (using NLM MeSH Indexing)
- Humans - administration & dosage
- Sinusitis - diagnosis, therapy, complications, epidemiology
- Nasal Polyps - diagnosis, therapy, complications
- Austria - epidemiology
- Rhinitis - diagnosis, therapy, complications
- Chronic Disease - administration & dosage
- Male - administration & dosage
- Female - administration & dosage
- Cross-Sectional Studies - administration & dosage
- Surveys and Questionnaires - administration & dosage
- Adult - administration & dosage
- Middle Aged - administration & dosage
- Adrenal Cortex Hormones - therapeutic use
- Practice Patterns, Physicians' - administration & dosage
- Disease Management - administration & dosage
- Guideline Adherence - administration & dosage
- Rhinosinusitis - administration & dosage
- Find related publications in this database (Keywords)
- CRSwNP
- Biologics
- Endoscopic sinus surgery
- Corticosteroids
- Survey