The hidden burden of adult allergic rhinitis: UK healthcare resource utilisation survey.
作者： David Price , Glenis Scadding , Dermot Ryan , Claus Bachert , G. Walter Canonica
DOI: 10.1186/S13601-015-0083-6
关键词:
摘要: The affliction of allergic rhinitis (AR) has been trivialised in the past. Recent initiatives by European Academy Allergy & Clinical Immunology and EU parliament seek to rectify that situation. aim this study was provide a comprehensive picture burden unmet need AR patients. This cross-sectional, online, questionnaire-based (June–July 2011) including symptomatic seasonal (SAR) patients (≥18 years) from panel. SAR episode pattern, severity, medication/co-medication usage, residual symptoms on treatment, number healthcare visits, absenteeism presenteeism were collected. One thousand recruited (mild: n = 254; moderate/severe: n = 746). Patients with moderate/severe disease had significantly more episodes/year (8.0 vs 6.0/year; p = 0.025) longer episode-duration (12.5 9.8 days; p = 0.0041) commonly used ≥2 therapies (70.5 56.1 %; OR 1.87; p = 0.0001), looking for better faster nasal ocular symptom relief. reported high irrespective (p < 0.0001) higher group. likely visit their GP (1.61 1.19 times/year; OR: 1.49; p = 0.0061); due dissatisfaction therapy 35.4 % cases. SAR-related work 4.1 days/year (total cost UK: £1.25 billion/year) noted mean 37.7 days/year (vs 21.0 days/year; 1.71; p = 0.0048). Asthma co-morbid increase reliever- (1 2 patients) controller-medication 5 if they did not take medication. differentiated between mild AR, demonstrating poorly controlled co-medication use. deficiency obtaining control what are currently considered firstline treatments suggests novel therapeutic approach.
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