Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE-CSU

Mostra el registre complet Registre parcial de l'ítem

• dc.contributor.author Sussman, Gordonca
• dc.contributor.author Giménez Arnau, Anna Mariaca
• dc.contributor.author Balp, Maria Magdalenaca
• dc.date.accessioned 2018-10-03T07:32:35Z
• dc.date.available 2018-10-03T07:32:35Z
• dc.date.issued 2018
• dc.description.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. 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 < .001). The Misaligned category had similar results with Yes-angioedema on all outcomes. 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.
• dc.format.mimetype application/pdf
• dc.identifier.citation Sussman G, Abuzakouk M, Bérard F, Canonica W, Oude Elberink H, Giménez-Arnau A. et al. Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE-CSU. Allergy. 2018 Aug;73(8):1724-1734. DOI: 10.1111/all.13430
• dc.identifier.doi http://dx.doi.org/10.1111/all.13430
• dc.identifier.issn 0105-4538
• dc.identifier.uri http://hdl.handle.net/10230/35553
• dc.language.iso eng
• dc.publisher Wileyca
• dc.relation.ispartof Allergy. 2018 Aug;73(8):1724-34
• dc.rights Copyright © 2018 The Authors. Allergy Published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
• dc.subject.keyword Angioedema
• dc.subject.keyword Economic burden
• dc.subject.keyword Observational study
• dc.subject.keyword Quality of life
• dc.subject.keyword Urticaria
• dc.subject.other Urticaria
• dc.subject.other Qualitat de vida
• dc.title Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE-CSUca
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion