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Table 3 Reasons why physicians don’t follow or deviate from the guidelines

From: Management of chronic spontaneous urticaria: a worldwide perspective

Reasons Geographical regions Total n = 339a
% (n)
NA n = 236a
% (n)
LA n = 98a
% (n)
EU n = 167a
% (n)
AME n = 38a
% (n)
AP n = 104a
% (n)
The guidelines do not undergo revision frequently enough 4.2 (10) 4.1 (4) 3.0 (5) 5.3 (2) 6.7 (7) 8.2 (28)
I rely more on my own clinical experience 27.1 (64) 10.2 (10) 20.4 (34) 34.2 (13) 26.9 (28) 43.9 (149)
I do not agree with the guidelines’ recommendations and/or conclusions 7.2 (17) 3.1 (3) 4.2 (7) 2.6 (1) 3.8 (4) 9.4 (32)
Some of the recommendations are unclear to me and require further details 3.4 (8) 1.0 (1) 8.4 (14) 2.6 (1) 11.5 (12) 10.6 (36)
Some of the guidelines’ recommendations cannot be implemented in my country of residence 0.8 (2) 14.3 (14) 12.0 (20) 26.3 (10) 22.1 (23) 20.3 (69)
I had a negative experience with following the guidelines in my clinical practice 1.7 (4) 0 (0) 3.6 (6) 2.6 (1) 0 (0) 3.2 (11)
Overly simplified approach to CSU management recommended by the guidelines that does not reflect the complexity of the disease 22.9 (54) 7.1 (7) 15.6 (26) 10.5 (4) 9.6 (10) 29.8 (101)
The discrepancy and/or disagreement between the guidelines 3.0 (7) 2.0 (2) 1.8 (3) 2.6 (1) 0 (0) 3.8 (13)
  1. AME Africa/Middle-East, AP Asia-Pacific, EU Europe, LA Latin America, NA North America. athe total number of respondents was 339. However, there was overlapping in the data analysis because respondents could choose more than one option