Evidence map›Paper›PMID 36825519›Full record

ArticleClinical and translational allergy2023

Symptom control and health-related quality of life in allergic rhinitis with and without comorbid asthma: A multicentre European study.

Subhabrata Moitra, Marzia Simoni, Sandra Baldacci, Sara Maio, Anna Angino, Patrizia Silvi, Giovanni Viegi, Stefania La Grutta, Franco Ruggiero, Gianni Bedini and 13 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational allergy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. New progress in pediatric allergic rhinitis.Frontiers in immunology · 2024
    Review
  6. Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023
    Review
  7. Review
  8. 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

23 authors at 8 institutions in 5 countries.

Subhabrata MoitraDivision of Pulmonary Medicine & Alberta Respiratory Centre, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.ORCID https://orcid.org/0000-0002-9388-425X
Marzia SimoniPulmonary Environmental Epidemiology Unit, CNR Institute of Clinical Physiology (IFC), Pisa, Italy.
Sandra BaldacciPulmonary Environmental Epidemiology Unit, CNR Institute of Clinical Physiology (IFC), Pisa, Italy.
Sara MaioPulmonary Environmental Epidemiology Unit, CNR Institute of Clinical Physiology (IFC), Pisa, Italy.ORCID https://orcid.org/0000-0001-6363-8544
Anna AnginoPulmonary Environmental Epidemiology Unit, CNR Institute of Clinical Physiology (IFC), Pisa, Italy.
Patrizia SilviPulmonary Environmental Epidemiology Unit, CNR Institute of Clinical Physiology (IFC), Pisa, Italy.
Giovanni ViegiPulmonary Environmental Epidemiology Unit, CNR Institute of Clinical Physiology (IFC), Pisa, Italy.
Stefania La GruttaCNR Institute of Translational Pharmacology (IFT), Palermo, Italy.ORCID https://orcid.org/0000-0001-8026-0715
Franco RuggieroDepartment of Biology, University of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0003-3843-8537
Gianni BediniDepartment of Biology, University of Pisa, Pisa, Italy.
Francesca NataliDepartment of Agrifood Production and Environmental Sciences, University of Florence, Florence, Italy.
Lorenzo CecchiCentre of Bioclimatology, University of Florence, Florence, Italy.
Uwe BergerResearch Unit Aerobiology and Pollen Information, Department of Oto-Rhino-Laryngology, Medical University of Vienna, Vienna, Austria.
Maria PrentovicResearch Unit Aerobiology and Pollen Information, Department of Oto-Rhino-Laryngology, Medical University of Vienna, Vienna, Austria.
Amir GamilInstitut Desbrest of Epidemiology and Santé Publique INSERM & Montpellier University, Montpellier, France.
Nour BaïzInstitut Desbrest of Epidemiology and Santé Publique INSERM & Montpellier University, Montpellier, France.
Michel ThibaudonReseau National de Surveillance Aerobiologique (RNSA), Brussieu, France.
Samuel MonnierReseau National de Surveillance Aerobiologique (RNSA), Brussieu, France.
Davide CaimmiInstitut Desbrest of Epidemiology and Santé Publique INSERM & Montpellier University, Montpellier, France.ORCID https://orcid.org/0000-0003-4481-6194
Luciana K TannoInstitut Desbrest of Epidemiology and Santé Publique INSERM & Montpellier University, Montpellier, France.
Pascal DemolyInstitut Desbrest of Epidemiology and Santé Publique INSERM & Montpellier University, Montpellier, France.
Simone OrlandiniDepartment of Agrifood Production and Environmental Sciences, University of Florence, Florence, Italy.
Isabella Annesi-MaesanoInstitut Desbrest of Epidemiology and Santé Publique INSERM & Montpellier University, Montpellier, France.ORCID https://orcid.org/0000-0002-6340-9300
Inserm · FRIstituto di Fisiologia Clinica · ITUniversity of Florence · ITMedical University of Vienna · ATRéseau National de Surveillance Aérobiologique · FRUniversity of Pisa · ITIstituto di Farmacologia Traslazionale · ITUniversity of Alberta · CA

Funding

European Commission ENV/IT/001 107
6 · The paper itself

Abstract

backgroundAllergic rhinitis (AR) is a major non-communicable disease that affects the health-related quality of life (HRQoL) of patients. However, data on HRQoL and symptom control in AR patients with comorbid asthma (AR + asthma) are lacking.

methodsIn this multicentre, cross-sectional study, patients with AR were screened and administered questionnaires of demographic characteristics and health conditions (symptoms/diagnosis of AR and asthma, disease severity level, and allergic conditions). HRQoL was assessed using a modified version of the RHINASTHMA questionnaire (30, 'not at all bothered' - 150 'very much bothered') and symptom control was evaluated by a modified version of the Control of Allergic Rhinitis/Asthma Test (CARAT) (0, 'no control' - 30, 'very high control').

resultsOut of 643 patients with AR, 500 (78%) had asthma as a comorbidity, and 54% had moderate-severe intermittent AR, followed by moderate-severe persistent AR (34%). Compared to the patients with AR alone, patients with AR + asthma had significantly higher RHINASTHMA (e.g., median RHINASTHMA-total score 48.5 vs. 84, respectively) and a significantly lower CARAT score (median CARAT-total score 23 vs. 16.5, respectively). Upon stratifying asthma based on severity, AR patients with severe persistent asthma had worse HRQoL and control than those with mild persistent asthma. The association was significantly higher among non-obese participants compared to obese ones, with RHINASTHMA-upper symptoms score but not with CARAT.

conclusionsOur observation of poorer HRQoL and symptoms control in AR patients with comorbid asthma supports the importance of a comprehensive approach for the management of AR in case of a comorbid allergic condition.

Indexed as

allergy treatmentCARATfood allergypollenRHINASTHMArhinitis

Identifiers

PMID36825519
PMCPMC9893887
OpenAlexW4318982236

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.