Evidence map›Paper›PMID 29949833›Full record

ArticleAllergy, asthma & immunology research2018

Economic Burden of the Inadequate Management of Allergic Rhinitis and Urticaria in Asian Countries Based on the GA²LEN Model.

Kanokvalai Kulthanan, Supinda Chusakul, Marysia Tiongco Recto, Ma Teresita Gabriel, Derrick Chen Wee Aw, Narayanan Prepageran, Alson Wong, Jern Lin Leong, Henry Foong, Vo Thanh Quang and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Allergy, asthma & immunology research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% of its field
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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Therapeutic effect of vitamin D supplementation on allergic rhinitis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2019
    Trial
  3. Clinical Efficacy of TM02Current issues in molecular biology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Progression of Rhinitis to Rhinosinusitis: A Cohort Study.ORL; journal for oto-rhino-laryngology and its related specialties · 2023
    Article
  16. Article
  17. Therapeutic effects of intranasal tocotrienol-rich fraction on rhinitis symptoms in platelet-activating factor induced allergic rhinitis.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2022
    Article
  18. Article
  19. Prevalence and Risk Factors for Allergic Rhinitis in China: A Systematic Review and Meta-Analysis.Evidence-based complementary and alternative medicine : eCAM · 2022
    Review
  20. 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 at 7 institutions in 5 countries.

Kanokvalai KulthananDepartment of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Supinda ChusakulDepartment of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Marysia Tiongco RectoSection of Allergy and Immunology, Department of Pediatrics, University of the Philippines-Philippine General Hospital, Manila, Philippines.
Ma Teresita GabrielDepartment of Dermatology, Research Institute for Tropical Medicine, Manila, Philippines.
Derrick Chen Wee AwDepartment of General Medicine, Sengkang Health, Singapore.
Narayanan PrepageranDepartment of Otorhinolaringology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Alson WongPrivate Clinic, Hong Kong.
Jern Lin LeongASCENT Ear Nose Throat Specialist Group, Singapore.
Henry FoongFoong Skin Specialist Clinic, Ipoh, Malaysia.
Vo Thanh QuangNational Hospital of Otorhinolaryngology, Hanoi, Vietnam.
Torsten ZuberbierCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology and Allergy, Allergy-Centre-Charité, Berlin, Germany. Torsten.Zuberbier@charite.de.
Chulalongkorn University · THInstitut Penyelidikan Veterinar · MYNational Hospital of Pediatrics · VNResearch Institute for Tropical Medicine · PHSengkang General Hospital · SGSiriraj Hospital · THUniversity of Malaya · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcross Hong Kong, Malaysia, the Philippines, Singapore, Thailand and Vietnam, (referred to as Asia) approximately 30-53 million individuals of the 151 million employed suffer from allergic rhinitis (AR) and urticaria. It is estimated that approximately 90% of patients with these allergic conditions are insufficiently treated, impacting the socioeconomic burden in terms of absence from work and decreased productivity. This study aims to estimate the socioeconomic burden of allergies in Asia and the cost savings that their adequate management can provide. Due to the limited availability of regional data, this study focused AR and urticaria in selected countries.

methodsPublished literature, information from statistical bureaus, clinician surveys and extrapolation of selected data from the European Union were used to determine the socioeconomic costs of AR and urticaria.

resultsMany patients in Asia suffer from perennial allergies and experience symptoms of AR and urticaria for up to 298 days per year. An estimate of the indirect costs of patients insufficiently treated for AR and urticaria amounts to USD 105.4 billion a year, which equates to USD 1,137-2,195 per patient due to absenteeism and presenteeism. Adherence to guideline-approved treatment can lead to estimated savings of up to USD 104 billion.

conclusionsThe current study suggests that within Asia, the socioeconomic impact of AR and urticaria is similar to that seen in the European Union in spite of the lower wages in Asia. This is due to the mainly perennial allergens prevailing in Asia, whereas the sensitization patterns observed in the European Union are dominated by seasonal exposure to pollen. These results underline the need for governmental initiatives to increase public awareness on the prevention and treatment of these and other allergic diseases as well as greater research funding and large-scale studies to reduce their growing socioeconomic burden in coming years.

Indexed as

Allergic rhinitissocioeconomic costsurticaria

Identifiers

PMID29949833
PMCPMC6021592
OpenAlexW2802076251

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.