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Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE‐CSU

BACKGROUND: ASSURE‐CSU revealed differences in physician and patient reporting of angioedema. This post hoc analysis was conducted to evaluate the actual rate of angioedema in the study population and explore differences between patients with and without angioedema. METHODS: This international obser...

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Autores principales: Sussman, G., Abuzakouk, M., Bérard, F., Canonica, W., Oude Elberink, H., Giménez‐Arnau, A., Grattan, C., Hollis, K., Hunter, S., Knulst, A., Lacour, J.‐P., Lynde, C., Marsland, A., McBride, D., Maurer, M., Nakonechna, A., Ortiz de Frutos, J., Reynolds, M., Sweeney, C., Tian, H., Weller, K., Wolin, D., Balp, M.‐M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055840/
https://www.ncbi.nlm.nih.gov/pubmed/29460968
http://dx.doi.org/10.1111/all.13430
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author Sussman, G.
Abuzakouk, M.
Bérard, F.
Canonica, W.
Oude Elberink, H.
Giménez‐Arnau, A.
Grattan, C.
Hollis, K.
Hunter, S.
Knulst, A.
Lacour, J.‐P.
Lynde, C.
Marsland, A.
McBride, D.
Maurer, M.
Nakonechna, A.
Ortiz de Frutos, J.
Reynolds, M.
Sweeney, C.
Tian, H.
Weller, K.
Wolin, D.
Balp, M.‐M.
author_facet Sussman, G.
Abuzakouk, M.
Bérard, F.
Canonica, W.
Oude Elberink, H.
Giménez‐Arnau, A.
Grattan, C.
Hollis, K.
Hunter, S.
Knulst, A.
Lacour, J.‐P.
Lynde, C.
Marsland, A.
McBride, D.
Maurer, M.
Nakonechna, A.
Ortiz de Frutos, J.
Reynolds, M.
Sweeney, C.
Tian, H.
Weller, K.
Wolin, D.
Balp, M.‐M.
author_sort Sussman, G.
collection PubMed
description BACKGROUND: ASSURE‐CSU revealed differences in physician and patient reporting of angioedema. This post hoc analysis was conducted to evaluate the actual rate of angioedema in the study population and explore differences between patients with and without angioedema. METHODS: This international observational study assessed 673 patients with inadequately controlled chronic spontaneous urticaria (CSU). Physicians abstracted angioedema data from medical records, which were compared with patient‐reported data. Patients in the Yes‐angioedema category had angioedema reported in the medical record and a patient‐reported source. For those in the No‐angioedema category, angioedema was reported in neither the medical record nor a patient‐reported source. Those in the Misaligned category had angioedema reported in only one source. Statistical comparisons between Yes‐angioedema and No‐angioedema categories were conducted for measures of CSU activity, health‐related quality of life (HRQoL), productivity and healthcare resource utilization (HCRU). Regression analyses explored the relationship between Dermatology Life Quality Index (DLQI) score and angioedema, adjusting for important covariates. RESULTS: Among evaluable patients, 259 (40.3%), 173 (26.9%) and 211 (32.8%) were in the Yes‐angioedema, No‐angioedema and Misaligned category, respectively. CSU activity and impact on HRQoL, productivity, and HCRU was greater for Yes‐angioedema patients than No‐angioedema patients. After covariate adjustment, mean DLQI score was significantly higher (indicating worse HRQoL) for patients with angioedema versus no angioedema (9.88 vs 7.27, P < .001). The Misaligned category had similar results with Yes‐angioedema on all outcomes. CONCLUSIONS: Angioedema in CSU seems to be under‐reported but has significant negative impacts on HRQoL, daily activities, HCRU and work compared with no angioedema.
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spelling pubmed-60558402018-07-30 Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE‐CSU Sussman, G. Abuzakouk, M. Bérard, F. Canonica, W. Oude Elberink, H. Giménez‐Arnau, A. Grattan, C. Hollis, K. Hunter, S. Knulst, A. Lacour, J.‐P. Lynde, C. Marsland, A. McBride, D. Maurer, M. Nakonechna, A. Ortiz de Frutos, J. Reynolds, M. Sweeney, C. Tian, H. Weller, K. Wolin, D. Balp, M.‐M. Allergy ORIGINAL ARTICLES BACKGROUND: ASSURE‐CSU revealed differences in physician and patient reporting of angioedema. This post hoc analysis was conducted to evaluate the actual rate of angioedema in the study population and explore differences between patients with and without angioedema. METHODS: This international observational study assessed 673 patients with inadequately controlled chronic spontaneous urticaria (CSU). Physicians abstracted angioedema data from medical records, which were compared with patient‐reported data. Patients in the Yes‐angioedema category had angioedema reported in the medical record and a patient‐reported source. For those in the No‐angioedema category, angioedema was reported in neither the medical record nor a patient‐reported source. Those in the Misaligned category had angioedema reported in only one source. Statistical comparisons between Yes‐angioedema and No‐angioedema categories were conducted for measures of CSU activity, health‐related quality of life (HRQoL), productivity and healthcare resource utilization (HCRU). Regression analyses explored the relationship between Dermatology Life Quality Index (DLQI) score and angioedema, adjusting for important covariates. RESULTS: Among evaluable patients, 259 (40.3%), 173 (26.9%) and 211 (32.8%) were in the Yes‐angioedema, No‐angioedema and Misaligned category, respectively. CSU activity and impact on HRQoL, productivity, and HCRU was greater for Yes‐angioedema patients than No‐angioedema patients. After covariate adjustment, mean DLQI score was significantly higher (indicating worse HRQoL) for patients with angioedema versus no angioedema (9.88 vs 7.27, P < .001). The Misaligned category had similar results with Yes‐angioedema on all outcomes. CONCLUSIONS: Angioedema in CSU seems to be under‐reported but has significant negative impacts on HRQoL, daily activities, HCRU and work compared with no angioedema. John Wiley and Sons Inc. 2018-07-15 2018-08 /pmc/articles/PMC6055840/ /pubmed/29460968 http://dx.doi.org/10.1111/all.13430 Text en © 2018 The Authors. Allergy Published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle ORIGINAL ARTICLES
Sussman, G.
Abuzakouk, M.
Bérard, F.
Canonica, W.
Oude Elberink, H.
Giménez‐Arnau, A.
Grattan, C.
Hollis, K.
Hunter, S.
Knulst, A.
Lacour, J.‐P.
Lynde, C.
Marsland, A.
McBride, D.
Maurer, M.
Nakonechna, A.
Ortiz de Frutos, J.
Reynolds, M.
Sweeney, C.
Tian, H.
Weller, K.
Wolin, D.
Balp, M.‐M.
Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE‐CSU
title Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE‐CSU
title_full Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE‐CSU
title_fullStr Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE‐CSU
title_full_unstemmed Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE‐CSU
title_short Angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: Analyses from ASSURE‐CSU
title_sort angioedema in chronic spontaneous urticaria is underdiagnosed and has a substantial impact: analyses from assure‐csu
topic ORIGINAL ARTICLES
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055840/
https://www.ncbi.nlm.nih.gov/pubmed/29460968
http://dx.doi.org/10.1111/all.13430
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