Molina-París J, Trigueros J A, Gómez-Sáenz J T, Puente-Maestu L, Juliá B, Domínguez-Ortega J
Centro de Salud Francia, Fuenlabrada (Madrid), España.
Centro de Salud de Menasalbas, Toledo, España.
Semergen. 2021 Sep;47(6):376-384. doi: 10.1016/j.semerg.2021.04.005. Epub 2021 Jun 8.
To understand the perception of family doctors, pulmonologists and allergists about the current approach to chronic cough and its impact on patients' quality of life.
Cross-sectional and anonymous survey disseminated through the scientific societies SEAIC, SEMERGEN, semFYC, SEMG and SEPAR. The participants were 620 family doctors, 92 pulmonologists and 62 allergists. A descriptive analysis of the answers was conducted. Response percentages, medians and interquartile intervals were presented. The differences in the percentages between specialties were evaluated with the chi-square.
Only half of the respondents chose a duration greater than 8 weeks as a criterion for diagnosing chronic cough, and less than half considered refractory/unexplained chronic cough a disease in itself. Family doctors perceived that chronic cough had less impact on patients than did pulmonologists or allergists. After a diagnosis of refractory/unexplained chronic cough, all 3specialties considered the most common approach to be to initiate treatment and to do the follow-up of the patient themselves. Most stated that they had no protocols for managing chronic cough, and more than 90% considered these to be necessary.
The management of patients with chronic cough by family doctors, pulmonologists or allergists seems to be heterogeneous. There is a need for protocols that standardise diagnosis, referral and treatment criteria to optimise patients' management and reduce the impact of chronic cough.
了解家庭医生、肺科医生和过敏症专科医生对当前慢性咳嗽治疗方法及其对患者生活质量影响的看法。
通过科学协会SEAIC、SEMERGEN、semFYC、SEMG和SEPAR开展横断面匿名调查。参与者包括620名家庭医生、92名肺科医生和62名过敏症专科医生。对答案进行描述性分析。呈现了回答百分比、中位数和四分位间距。使用卡方检验评估各专业之间百分比的差异。
只有一半的受访者选择超过8周的病程作为诊断慢性咳嗽的标准，不到一半的人认为难治性/不明原因的慢性咳嗽本身就是一种疾病。家庭医生认为慢性咳嗽对患者的影响小于肺科医生或过敏症专科医生。在诊断为难治性/不明原因的慢性咳嗽后，所有这三个专业都认为最常见的方法是开始治疗并由他们自己对患者进行随访。大多数人表示他们没有管理慢性咳嗽的方案，超过90%的人认为这些方案是必要的。
家庭医生、肺科医生或过敏症专科医生对慢性咳嗽患者的管理似乎存在差异。需要制定标准化诊断、转诊和治疗标准的方案，以优化患者管理并减少慢性咳嗽的影响。
