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Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE-CSU.
- Source :
-
Allergy [Allergy] 2018 Aug; Vol. 73 (8), pp. 1724-1734. - Publication Year :
- 2018
-
Abstract
- 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.<br />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.<br />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 < .001). The Misaligned category had similar results with Yes-angioedema on all outcomes.<br />Conclusions: Angioedema in CSU seems to be under-reported but has significant negative impacts on HRQoL, daily activities, HCRU and work compared with no angioedema.<br /> (© 2018 The Authors. Allergy Published by John Wiley & Sons Ltd.)
- Subjects :
- Activities of Daily Living
Adult
Aged
Aged, 80 and over
Angioedema economics
Chronic Disease
Female
Health Surveys
Humans
Internationality
Male
Middle Aged
Patient Acceptance of Health Care
Physician-Patient Relations
Quality of Life
Regression Analysis
Retrospective Studies
Severity of Illness Index
Young Adult
Angioedema complications
Angioedema diagnosis
Urticaria complications
Urticaria diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1398-9995
- Volume :
- 73
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Allergy
- Publication Type :
- Academic Journal
- Accession number :
- 29460968
- Full Text :
- https://doi.org/10.1111/all.13430