Evaluation of visual analog scales for the assessment of symptom severity in allergic rhinoconjunctivitis

Senti, Gabriela; Vavricka, Bettina M. Prinz; Graf, Nicole; Johansen, Pål; Wüthrich, B; Kündig, Thomas M.

doi:10.1016/s1081-1206(10)60685-0

Cited by 9 publications

(8 citation statements)

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“…This classification can be used in treated or untreated patients [5]. The visual analogue scale (VAS) has been used in many studies [6,7,8,9] and was found to be clinically relevant for stratifying patients and assessing treatment efficacy [3,5,10,11]. Patients who fail to respond to pharmacologic treatment are classified as SCUAD (severe chronic upper airway disease) [12,13].…”

Section: Introductionmentioning

confidence: 99%

Clinical Relevance of Cluster Analysis in Phenotyping Allergic Rhinitis in a Real-Life Study

Bousquet

Devillier

Tadmouri

et al. 2015

Int Arch Allergy Immunol

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Background: Disease stratification, using phenotypic characterization performed either by hypothesis- or data-driven methods, was developed to improve clinical decisions. However, cluster analysis has not been used for allergic rhinitis. Objective: To define clusters in allergic rhinitis and to compare them with ARIA (Allergic Rhinitis and Its Impact on Asthma), a hypothesis-driven approach. Methods: A French observational prospective multicenter study (EVEIL: Echelle visuelle analogique dans la rhinite allergique) was carried out on 990 patients consulting general practitioners for allergic rhinitis and treated as per clinical practice. In this study, changes in symptom scores, visual analogue scales and quality of life were measured at baseline and after 14 days of treatment. A post hoc analysis was performed to identify clusters of patients with allergic rhinitis - using Ward's hierarchical method - and to define their clinical relevance at baseline and after 14 days of treatment. The cluster approach was compared to the ARIA approach. Results: Patients were clustered into 4 phenotypes which partly followed the ARIA classes. These phenotypes differed in their disease severity including symptoms and quality of life. Physicians in real-life practice prescribed medication regardless of the phenotype and severity, with the exception of patients with ocular symptoms. Prescribed treatments were comparable in hypothesis- and data-driven analyses. The prevalence of uncontrolled patients during treatment was similar in the 4 clusters, but was significantly different according to the ARIA classes. Conclusion: Cluster analysis using demographic and clinical parameters only does not appear to add relevant information for disease stratification in allergic rhinitis.

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Section: Introductionmentioning

confidence: 99%

Clinical Relevance of Cluster Analysis in Phenotyping Allergic Rhinitis in a Real-Life Study

Bousquet

Devillier

Tadmouri

et al. 2015

Int Arch Allergy Immunol

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“…A second approach using visual analog scaling (VAS) was added to validate and compare findings obtained from the conjoint analysis. Visual analog scales have been used extensively in clinical assessment to quantify patient perceptions of disease severity and the impact of symptoms on health [ 10 , 11 ]. Further evaluation was performed to determine if family physicians perceive that testing, as part of the care process was valuable to patient care.…”

Section: Introductionmentioning

confidence: 99%

Testing for allergic disease: Parameters considered and test value

et al. 2008

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“…[3][4][5][6] The VAS was proposed by the Joint Task Force on Practice Parameters for the symptom severity assessment of allergic rhinitis. 7 This Task Force proposed to use several VASs to account for the different symptoms of allergic rhinitis given that some, such as nasal congestion, might be more relevant to rhinitis severity.…”

mentioning

confidence: 99%

Change in visual analog scale score in a pragmatic randomized cluster trial of allergic rhinitis

Bousquet

Combescure

Klossek

et al. 2009

Journal of Allergy and Clinical Immunology

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Evaluation of visual analog scales for the assessment of symptom severity in allergic rhinoconjunctivitis

Cited by 9 publications

References 20 publications

Clinical Relevance of Cluster Analysis in Phenotyping Allergic Rhinitis in a Real-Life Study

Clinical Relevance of Cluster Analysis in Phenotyping Allergic Rhinitis in a Real-Life Study

Testing for allergic disease: Parameters considered and test value

Change in visual analog scale score in a pragmatic randomized cluster trial of allergic rhinitis

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