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Abstract：
Introduction Variations in clinical practice regarding the management of benign paroxysmal positional vertigo (BPPV) among clinicians have been noted in previous studies. Such variations might be related to the different adherence to clinical practice guidelines. Objective To evaluate clinicians\' adherence to BPPV guidelines and investigate the variations in the adherence between different specialties and qualifications. Methods This is a cross-sectional study with a vignettes-based survey conducted between June and August, 2020. We included clinicians engaged in managing BPPV that had at least one year of clinical experience. We excluded students, and clinicians who were not involved in the management of individuals with BPPV. Participants were asked to make their management choices based on four hypothetical patient vignettes. The sample ranged from 77 participants for the first vignette to 45 participants for the last vignette. Results We included 77 clinicians in the study, with the majority being Otolaryngologists (31.2%). The respondents\' mean adherence to the guideline was of 63.3%. Result showed that Otolaryngologists\' adherence was higher than that of clinicians from different specialties ( p = 0.006, d = 0.72). Furthermore, clinicians with a postgraduate degree were more likely to adhere than those with a bachelor\'s degree only ( p = 0.014, d = 0.58) and participants who were aware of the guideline were more likely to adhere to it ( p < 0.001, d = 1.05). Lastly, regression analysis exhibited that adherence was affected by postgraduate degree and guideline awareness. Conclusion Otolaryngologists were more likely to adhere to the guideline than other specialties. Among all specialties, higher adherence was associated with guideline awareness and postgraduate degrees.
摘要：
引言在以前的研究中已经注意到在临床医生中关于良性阵发性位置性眩晕(BPPV)的管理的临床实践中的差异。这种变化可能与对临床实践指南的不同依从性有关。目的评估临床医生对BPPV指南的依从性，并调查不同专业和资格之间依从性的差异。方法这是一项横断面研究，在6月至8月之间进行了基于小插图的调查，2020年。我们包括从事管理BPPV的临床医生，他们至少有一年的临床经验。我们排除了学生，和不参与BPPV患者管理的临床医生。要求参与者根据四个假设的患者小插曲做出管理选择。样本范围从第一个小插图的77名参与者到最后一个小插图的45名参与者。结果我们纳入了77名临床医生，大多数是耳鼻喉科医师（31.2%）。受访者平均遵守该指南的比例为63.3%。结果表明，耳鼻喉科医师的依从性高于不同专业的临床医师（p=0.006，d=0.72）。此外，具有研究生学位的临床医生比仅具有学士学位的临床医生更有可能坚持该指南(p=0.014,d=0.58),并且了解该指南的参与者更有可能坚持该指南(p<0.001,d=1.05).最后,回归分析显示，依从性受研究生学位和指南意识的影响。结论耳鼻喉科医师比其他专科医师更有可能遵守该指南。在所有专业中，较高的依从性与指南意识和研究生学位相关.
