Evidence map›Paper›PMID 26583068›Full record

ArticleClinical and translational allergy2015

The hidden burden of adult allergic rhinitis: UK healthcare resource utilisation survey.

David Price, Glenis Scadding, Dermot Ryan, Claus Bachert, G Walter Canonica, Joaquim Mullol, Ludger Klimek, Richard Pitman, Sarah Acaster, Ruth Murray and 1 more

Abstract read
In one paragraph

Article in Clinical and translational allergy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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  7. Review
  8. Quality of life and healthcare costs of patients with allergic respiratory diseases: a cross-sectional study.The European journal of health economics : HEPAC : health economics in prevention and care · 2024
    Article
  9. Allergic rhinitis facts from an Irish pediatric population.World journal of otorhinolaryngology - head and neck surgery · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. A fifteen-year review of skin allergy testing in Irish patients with symptomatic rhinitis.World journal of otorhinolaryngology - head and neck surgery · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Review
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  19. Review
  20. Grand Challenges in Rhinology.Frontiers in allergy · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

David PriceUniversity of Aberdeen, Aberdeen, UK.
Glenis ScaddingThe Royal National Throat, Nose and Ear Hospital, London, UK.
Dermot RyanWoodbrook Medical Centre, Loughborough, UK ; University of Edinburgh, Edinburgh, UK.
Claus BachertUpper Airways Research Laboratory, Ghent University Hospital, Ghent, Belgium.
G Walter CanonicaAllergy and Respiratory Clinic, IRCCS AOU S. Martino, Genoa, Italy.
Joaquim MullolHospital Clínic, IDIBAPS, CIBERES, Barcelona, Catalonia Spain.
Ludger KlimekCenter for Rhinology and Allergology, Wiesbaden, Germany.
Richard PitmanICON, Oxford, UK.
Sarah AcasterAcaster Consulting, London, UK.
Ruth MurrayMedscript Ltd, Dundalk, Ireland.
Jean BousquetUniversity Hospital, Montpellier, France ; MACVIA-LR, Contre les Maladies Chronique spour un Vieillissement Actif en Languedoc Roussilon, European Innovation Partnership on Active and Healthy Ageing Reference Site, Montpellier, France ; INSERM, VIMA : Ageing and Chronic Diseases, Epidemiological and Public Health Approaches, U1168, Paris, France ; UVSQ, UMR-S 1168, Université Versailles St-Quentin-en-Yvelines, Versailles, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe affliction of allergic rhinitis (AR) has been trivialised in the past. Recent initiatives by the European Academy of Allergy & Clinical Immunology and by the EU parliament seek to rectify that situation. The aim of this study was to provide a comprehensive picture of the burden and unmet need of AR patients.

methodsThis was a cross-sectional, online, questionnaire-based study (June-July 2011) including symptomatic seasonal AR (SAR) patients (≥18 years) from a panel. SAR episode pattern, severity, medication/co-medication usage, residual symptoms on treatment, number of healthcare visits, absenteeism and presenteeism were collected.

resultsOne thousand patients were recruited (mild: n = 254; moderate/severe: n = 746). Patients with moderate/severe disease had significantly more symptomatic episodes/year (8.0 vs 6.0/year; p = 0.025) with longer episode-duration (12.5 vs 9.8 days; p = 0.0041) and more commonly used ≥2 AR therapies (70.5 vs 56.1 %; OR 1.87; p = 0.0001), looking for better and faster nasal and ocular symptom relief. The reported symptom burden was high irrespective of treatment, and significantly (p < 0.0001) higher in the moderate/severe group. Patients with moderate/severe AR were more likely to visit their GP (1.61 vs 1.19 times/year; OR: 1.49; p = 0.0061); due to dissatisfaction with therapy in 35.4 % of cases. Patients reported SAR-related absenteeism from work on 4.1 days/year (total cost to UK: £1.25 billion/year) and noted presenteeism for a mean of 37.7 days/year (vs 21.0 days/year; OR 1.71; p = 0.0048). Asthma co-morbid patients reported the need to increase their reliever- (1 in 2 patients) and controller-medication (1 in 5 patients) if they did not take their rhinitis medication.

conclusionsThis study differentiated between patients with mild and moderate/severe AR, demonstrating a burden of poorly controlled symptoms and high co-medication use. The deficiency in obtaining symptom control with what are currently considered firstline treatments suggests the need for a novel therapeutic approach.

Indexed as

AbsenteeismAllergic rhinitisCo-medicationPresenteeismSymptom episodeUK

Identifiers

PMID26583068
PMCPMC4650835

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.