Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact : analyses from ASSURE-CSU
Autor: | Sussman, Gordon, Abuzakouk, Mohamed, Bérard, F., Canonica, W., Oude Elberink, H., Giménez Arnau, Ana M., Grattan, C., Hollis, K., Hunter, S., Knulst, A., Lacour, J.-P., Lynde, C., Marsland, A., McBride, D., Maurer, Marcus., Nakonechna, A., Ortiz de Frutos, J., Reynolds, M., Sweeney, C., Tian, H., Weller, Karsten., Wolin, D., Balp, Maria Magdalena., Universitat Autònoma de Barcelona |
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Přispěvatelé: | Groningen Research Institute for Asthma and COPD (GRIAC) |
Rok vydání: | 2018 |
Předmět: |
Male
Internationality Urticaria Omalizumab Economic burden DISEASE-ACTIVITY Severity of Illness Index Skin and Eye Diseases 030207 dermatology & venereal diseases urticaria 0302 clinical medicine Quality of life QUALITY-OF-LIFE immune system diseases Observational study Activities of Daily Living Immunology and Allergy skin and connective tissue diseases Aged 80 and over Medical record food and beverages Dermatology Life Quality Index Middle Aged DAILY DIARY Qualitat de vida economic burden Regression Analysis Population study Original Article Female medicine.symptom BURDEN Urticària medicine.drug Adult medicine.medical_specialty Immunology QUESTIONNAIRE VALIDATION Young Adult 03 medical and health sciences OMALIZUMAB Internal medicine Post-hoc analysis medicine Humans cardiovascular diseases Angioedema Aged Retrospective Studies Physician-Patient Relations business.industry angioedema Patient Acceptance of Health Care Health Surveys 030228 respiratory system quality of life Chronic Disease observational study ORIGINAL ARTICLES business CHRONIC IDIOPATHIC URTICARIA REAL-WORLD |
Zdroj: | Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona Sussman, G, Abuzakouk, M, Bérard, F, Canonica, W, Oude Elberink, H, Giménez-arnau, A, Grattan, C, Hollis, K, Hunter, S, Knulst, A, Lacour, J, Lynde, C, Marsland, A, Mcbride, D, Maurer, M, Nakonechna, A, Ortiz De Frutos, J, Reynolds, M, Sweeney, C, Tian, H, Weller, K, Wolin, D & Balp, M 2018, ' Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE-CSU ', Allergy, vol. 73, no. 8, pp. 1724-1734 . https://doi.org/10.1111/all.2018.73.issue-8 Allergy, 73(8), 1724-1734. Wiley-Blackwell Allergy, 73(8), 1724. Wiley-Blackwell Allergy Recercat: Dipósit de la Recerca de Catalunya Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) Recercat. Dipósit de la Recerca de Catalunya instname |
ISSN: | 0105-4538 |
DOI: | 10.1111/all.2018.73.issue-8 |
Popis: | Background ASSURE‐CSU revealed differences in physician and patient reporting of angioedema. This post hoc analysis was conducted to evaluate the actual rate of angioedema in the study population and explore differences between patients with and without angioedema. Methods This international observational study assessed 673 patients with inadequately controlled chronic spontaneous urticaria (CSU). Physicians abstracted angioedema data from medical records, which were compared with patient‐reported data. Patients in the Yes‐angioedema category had angioedema reported in the medical record and a patient‐reported source. For those in the No‐angioedema category, angioedema was reported in neither the medical record nor a patient‐reported source. Those in the Misaligned category had angioedema reported in only one source. Statistical comparisons between Yes‐angioedema and No‐angioedema categories were conducted for measures of CSU activity, health‐related quality of life (HRQoL), productivity and healthcare resource utilization (HCRU). Regression analyses explored the relationship between Dermatology Life Quality Index (DLQI) score and angioedema, adjusting for important covariates. Results Among evaluable patients, 259 (40.3%), 173 (26.9%) and 211 (32.8%) were in the Yes‐angioedema, No‐angioedema and Misaligned category, respectively. CSU activity and impact on HRQoL, productivity, and HCRU was greater for Yes‐angioedema patients than No‐angioedema patients. After covariate adjustment, mean DLQI score was significantly higher (indicating worse HRQoL) for patients with angioedema versus no angioedema (9.88 vs 7.27, P |
Databáze: | OpenAIRE |
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