The control of allergic rhinitis in real life: a multicenter cross-sectional Italian study
Abstract Background Allergic Rhinitis (AR) is a high-prevalence disease. In Europe about 25% of the general population is affected, and in Italy the prevalence is estimated to be 19.8%. The Allergic Rhinitis and its Impact on Asthma (ARIA) international document underlined that the prevalence of sev...
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doaj-ef6023155aae4cf1aded8444afd6ba982020-11-25T00:26:37ZengBMCClinical and Molecular Allergy1476-79612018-02-011611610.1186/s12948-018-0082-yThe control of allergic rhinitis in real life: a multicenter cross-sectional Italian studyFederica Gani0Carlo Lombardi1Laura Barrocu2Massimo Landi3Erminia Ridolo4Massimo Bugiani5Giovanni Rolla6Gianenrico Senna7Giovanni Passalacqua8Allergy Service, Azienda Ospedaliera “San Luigi Orbassano”Departmental Unit of Allergology & Respiratory Diseases, Fondazione PoliambulanzaAllergy Service, Azienda Ospedaliera “San Luigi Orbassano”Primary Care Pediatrician, National Healthcare SystemExperimental and Clinical Medicine, University of ParmaConsultant Physician of Professional Diseases Observatory, Procura della RepubblicaAllergology and Immunology, University of Turin, AO MaurizianoAsthma Center and Allergy Unit, Verona University and General HospitalAllergy and Respiratory Diseases, IRCCS San Martino-IST University of GenoaAbstract Background Allergic Rhinitis (AR) is a high-prevalence disease. In Europe about 25% of the general population is affected, and in Italy the prevalence is estimated to be 19.8%. The Allergic Rhinitis and its Impact on Asthma (ARIA) international document underlined that the prevalence of severe or refractory or overlapping rhinitis is increasing and represents a non-negligible socio-economic burden. In general, despite the social healthcare costs, allergic rhinitis remains underestimated, not sufficiently controlled and often undertreated. Aim of the study In this multi-center Italian observational and prospective study we assessed the control of AR in patients (> 16 years) without previous asthma diagnosis, referred to Allergy Centers. Methods Patients of both sexes and older than 16 with rhinitis symptoms and without asthma were studied. A Visual Analogue Scale (VAS) and the CARAT (Control of Allergic Rhinitis and Asthma Test) were used as patient reported outcome. The possible causes of poor control of AR, as per protocol, were assessed accordingly. Results We observed 250 patients in a real-life setting: more than 60% of them had an uncontrolled AR, only about 50% used multiple medications, and only a minority were receiving allergen immunotherapy. Conclusion This survey, conducted in a real-life setting, confirmed that AR is overall poorly controlled. The VAS assessment well correlates with the structured CARAT questionnaire and with the relevant symptoms of AR.http://link.springer.com/article/10.1186/s12948-018-0082-yAllergic rhinitisControlReal-life |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Federica Gani Carlo Lombardi Laura Barrocu Massimo Landi Erminia Ridolo Massimo Bugiani Giovanni Rolla Gianenrico Senna Giovanni Passalacqua |
spellingShingle |
Federica Gani Carlo Lombardi Laura Barrocu Massimo Landi Erminia Ridolo Massimo Bugiani Giovanni Rolla Gianenrico Senna Giovanni Passalacqua The control of allergic rhinitis in real life: a multicenter cross-sectional Italian study Clinical and Molecular Allergy Allergic rhinitis Control Real-life |
author_facet |
Federica Gani Carlo Lombardi Laura Barrocu Massimo Landi Erminia Ridolo Massimo Bugiani Giovanni Rolla Gianenrico Senna Giovanni Passalacqua |
author_sort |
Federica Gani |
title |
The control of allergic rhinitis in real life: a multicenter cross-sectional Italian study |
title_short |
The control of allergic rhinitis in real life: a multicenter cross-sectional Italian study |
title_full |
The control of allergic rhinitis in real life: a multicenter cross-sectional Italian study |
title_fullStr |
The control of allergic rhinitis in real life: a multicenter cross-sectional Italian study |
title_full_unstemmed |
The control of allergic rhinitis in real life: a multicenter cross-sectional Italian study |
title_sort |
control of allergic rhinitis in real life: a multicenter cross-sectional italian study |
publisher |
BMC |
series |
Clinical and Molecular Allergy |
issn |
1476-7961 |
publishDate |
2018-02-01 |
description |
Abstract Background Allergic Rhinitis (AR) is a high-prevalence disease. In Europe about 25% of the general population is affected, and in Italy the prevalence is estimated to be 19.8%. The Allergic Rhinitis and its Impact on Asthma (ARIA) international document underlined that the prevalence of severe or refractory or overlapping rhinitis is increasing and represents a non-negligible socio-economic burden. In general, despite the social healthcare costs, allergic rhinitis remains underestimated, not sufficiently controlled and often undertreated. Aim of the study In this multi-center Italian observational and prospective study we assessed the control of AR in patients (> 16 years) without previous asthma diagnosis, referred to Allergy Centers. Methods Patients of both sexes and older than 16 with rhinitis symptoms and without asthma were studied. A Visual Analogue Scale (VAS) and the CARAT (Control of Allergic Rhinitis and Asthma Test) were used as patient reported outcome. The possible causes of poor control of AR, as per protocol, were assessed accordingly. Results We observed 250 patients in a real-life setting: more than 60% of them had an uncontrolled AR, only about 50% used multiple medications, and only a minority were receiving allergen immunotherapy. Conclusion This survey, conducted in a real-life setting, confirmed that AR is overall poorly controlled. The VAS assessment well correlates with the structured CARAT questionnaire and with the relevant symptoms of AR. |
topic |
Allergic rhinitis Control Real-life |
url |
http://link.springer.com/article/10.1186/s12948-018-0082-y |
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