Evidence map›Paper›PMID 37248521›Full record

ArticleAllergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology2023

A multicenter chart review of patient characteristics, treatment, and outcomes in hereditary angioedema: unmet need for more effective long-term prophylaxis.

Joan Mendivil, Maral DerSarkissian, Aleena Banerji, Lavanya Diwakar, Constance H Katelaris, Paul K Keith, Harold Kim, Gina Lacuesta, Markus Magerl, Charlotte Slade and 5 more

Open access · goldAbstract read
In one paragraph

Article in Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.9field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

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  8. The International/Canadian hereditary angioedema guideline.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2026
    Review
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  11. Comorbidities in Canadian patients with hereditary angioedema: a quantitative survey study.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
    Article
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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

15 authors at 12 institutions in 6 countries.

Joan MendivilTakeda Pharmaceuticals International AG, Zurich, Switzerland.
Maral DerSarkissianAnalysis Group, Inc., Boston, MA, USA.
Aleena BanerjiDivision of Rheumatology, Allergy and Immunology, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Lavanya DiwakarDepartment of Immunology, University Hospitals of North Midlands, Stoke-on-Trent, UK.
Constance H KatelarisCampbelltown Hospital, Western Sydney University, Campbelltown, NSW, Australia.
Paul K KeithMcMaster University, Hamilton, ON, Canada.
Harold KimMcMaster University, Hamilton, ON, Canada.
Gina LacuestaHalifax Allergy and Asthma Associates, Halifax, NS, Canada.
Markus MagerlInstitute of Allergology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität Zu Berlin, Berlin, Germany.
Charlotte SladeDepartment of Clinical Immunology and Allergy, Royal Melbourne Hospital, Melbourne, VIC, Australia.
William B SmithDepartment of Clinical Immunology and Allergy, Royal Adelaide Hospital, Adelaide, SA, Australia.
Zia ChoudhryTakeda Development Center Americas, Lexington, MA, USA.
Angela SimonTakeda Development Center Americas, Lexington, MA, USA. angela.simon@takeda.com.
Sujata P SardaTakeda Development Center Americas, Lexington, MA, USA.
Paula J BusseDivision of Allergy and Clinical Immunology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Takeda (United States) · USAnalysis Group (United States) · USCharité - Universitätsmedizin Berlin · DEIcahn School of Medicine at Mount Sinai · USMassachusetts General Hospital · USMcMaster University · CARoyal Adelaide Hospital · AUTakeda (Switzerland) · CHThe Royal Melbourne Hospital · AUUniversity Hospitals of North Midlands NHS Trust · GBWestern Sydney University · AUWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHereditary angioedema (HAE) is a rare disease characterized by unpredictable, recurring subcutaneous or submucosal swelling. Without effective therapy, HAE can negatively impact patients' quality of life. Management of HAE includes on-demand treatment of attacks and short- and long-term prophylaxis (LTP) to prevent attacks. Newer therapies may be more tolerable and effective in managing HAE; however, therapies such as androgens are still widely used in some countries owing to their relative ease of access and adequate disease control for some patients. This study evaluated the characteristics, treatment patterns, clinical outcomes, and healthcare resource utilization of a multinational cohort of patients with HAE, with a focus on understanding reasons for recommending or discontinuing available therapies.

methodsA retrospective chart review was conducted at 12 centers in six countries and included data from patients with HAE type 1 or 2 who were ≥ 12 years of age at their first clinical visit. The relationship between LTP use and attack rates was evaluated using a multivariable Poisson regression model. Data were collected between March 2018 and July 2019.

resultsData from 225 patients were collected (62.7% female, 86.2% White, 90.2% type 1); 64.4% of patients had their first HAE-related visit to the center prior to or during 2014. Treatment patterns varied between countries. Overall, 85.8% of patients were prescribed on-demand treatment and 53.8% were prescribed LTP, most commonly the androgen danazol (53.7% of patients who used LTP). Plasma-derived C1 inhibitor (Cinryze

conclusionsOverall, findings from this study support the use of LTP in the prevention of HAE attacks; a lower rate of attacks was observed with LTP compared with no LTP. However, the type of LTP used varied between countries, with tolerability and accessibility to specific treatments playing important roles in management decision-making.

Indexed as

AndrogensC1 inhibitor deficiencyHealthcare resource utilizationHereditary angioedemaLong-term prophylaxisOn-demand treatmentRetrospective chart review

Identifiers

PMID37248521
PMCPMC10227962
OpenAlexW4378650693

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.