Quality of life and patients' satisfaction in chronic urticaria and respiratory allergy

Baiardini, Ilaria; Giardini, Anna; Pasquali, M.; Dignetti, Paola; Guerra, Laura; Specchia, Claudia; Braido, Fulvio; Majani, Giuseppina; Canonica, Giorgio Walter

doi:10.1034/j.1398-9995.2003.00091.x

Cited by 170 publications

(143 citation statements)

References 13 publications

(10 reference statements)

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“…Taken altogether, HR test may have a complementary role to ASST/APST, helping clinician in the diagnosis if the in vivo skin tests provide doubtful results or if they cannot be assessed. Interestingly, we did not find any significant associations between quality of life and HR test outcome, probably because the individual perception of CSU interference varies considerably among different patients (15). Several authors suggested that patients with CSU who scored positive for APST only may be less responsive to conventional therapy (8).…”

Section: Figure 2 -Disease Severity Variations After 12 Months Of Symmentioning

confidence: 46%

Histamine release positive test associates with disease remission in chronic spontaneous urticaria: a proof-of-concept study

Berti

Yacoub

Skov

et al. 2017

Eur Ann Allergy Clin Immunol

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Section: Figure 2 -Disease Severity Variations After 12 Months Of Symmentioning

confidence: 46%

Histamine release positive test associates with disease remission in chronic spontaneous urticaria: a proof-of-concept study

Berti

Yacoub

Skov

et al. 2017

Eur Ann Allergy Clin Immunol

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“…However, we have included patients with episodic urticaria/angioedema lasting for hours or days and recurring over months or years. Although rarely life-threatening, chronic urticaria/angioedema leads to both misery and embarrassment and has a significant impact on an individual's quality of life [3][4][5]. Regrettably, this troublesome condition is often trivialized.…”

Section: Definitionmentioning

confidence: 99%

BSACI guideline for the management of chronic urticaria and angioedema

Powell

Leech

Till

et al. 2015

Clin Experimental Allergy

241

221

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SummaryThis guidance for the management of patients with chronic urticaria and angioedema has been prepared by the Standards of Care Committee of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is aimed at both adult physicians and paediatricians practising in allergy. The recommendations are evidence graded. During the development of these guidelines, all BSACI members were included in the consultation process using a Web-based system. Their comments and suggestions were carefully considered by the Standards of Care Committee. Where evidence was lacking, a consensus was reached by the experts on the committee. Included in this management guideline are clinical classification, aetiology, diagnosis, investigations, treatment guidance with special sections on children with urticaria and the use of antihistamines in women who are pregnant or breastfeeding. Finally, we have made recommendations for potential areas of future research.

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“…Other studies based on the same instruments have shown similar results. 15,[24][25][26][27] The patients selected for this study were recruited at a dermatology outpatient clinic specializing in urticaria. The clinic is linked to a university that is a reference in tertiary healthcare.…”

Section: Discussionmentioning

confidence: 99%

“…15,28,30 In the present study, the SF-36 domains indicative of greater impairment of quality of life were: rolephysical and vitality. The role-physical domain reflects 24,26 In the comparison of the scores of the questionnaires between the clinical types of chronic urticaria (COU, PU and MU), no statistically significant differences were found between the various types and it was impossible to conclude whether one may affect quality of life to a greater extent than another. In the literature, O'Donnel et al (1997) and Poon et al (1999) described poorer quality of life in patients with delayed pressure urticaria and cholinergic urticaria.…”

Section: 28-30mentioning

confidence: 99%

Estudo da qualidade de vida nos pacientes com urticária crônica

Souza

Rotta

et al. 2011

An. Bras. Dermatol.

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BACKGROUND: Chronic urticaria affects patients by interfering with their daily activities, damaging their self-esteem and negatively affecting their interpersonal relationships. Healthcare professionals may underestimate the impact of the condition on patients' quality of life. OBJECTIVES: To evaluate quality of life using one generic and one disease-specific health-related quality of life instrument; to compare quality of life between the different clinical types of chronic urticaria and to evaluate whether angioedema further impairs quality of life. METHODS: Sixty-two patients with chronic urticaria, who had had signs or symptoms of the disease within the preceding week, were divided into groups according to whether they had ordinary chronic urticaria, physical chronic urticaria or mixed chronic urticaria. RESULTS: There was a predominance of women in this study (72.6%). The mean age of patients was 39.8 years and angioedema was associated with chronic urticaria in 75.8% of cases. Associated angioedema was more commonly found in patients with ordinary chronic urticaria (p=0.011) and in women (p=0.024). With respect to the different clinical types, 32.3% of the patients had ordinary chronic urticaria, 27.4% had physical chronic urticaria and 40.3% had mixed chronic urticaria. Mean overall score for the disease-specific questionnaire was 10.4. In this questionnaire, the most affected domains were "symptoms and feelings" and "daily activities", while the most affected domains in the SF-36 were "physical role" and "vitality". Quality of life was found to be impaired in women, in patients of up to 30 years of age, in those attending a first consultation, in those with higher education levels, in patients who had had the disease for up to one year and in those with angioedema. CONCLUSIONS: Chronic urticaria affects quality of life, as measured using a disease-specific questionnaire and a generic questionnaire. There was no statistically significant difference between the clinical types. The presence of angioedema impaired patients' quality of life even further. There was a statistically significant correlation between the scores obtained using the disease-specific questionnaire and those obtained using the generic questionnaire. Keywords: Angioedema; Quality of life; Questionnaires; Sickness impact profile; Urticaria Resumo: FUNDAMENTOS: A urticária crônica compromete o doente por interferir nas atividades diárias, prejudicar a autoestima e as relações interpessoais. Os profissionais de saúde subestimam seu impacto na qualidade de vida dos doentes. OBJETIVOS: Avaliar a qualidade de vida com questionário específico e genérico. Compará-la entre os tipos clínicos de urticária crônica e avaliar se o angioedema piora a qualidade de vida. MÉTODOS: Participaram 62 doentes com urticária crônica, com sinais e sintomas da doença até 7 dias da consulta, que foram divididos em urticária crônica comum, urticária crônica física e urticária crônica mista. RESULTADOS: Observou-se predominância de mulheres (72,6%), idade m...

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Quality of life and patients' satisfaction in chronic urticaria and respiratory allergy

Abstract: These results show a significant impact on health status and on subjective satisfaction in patients with CU: the symptoms affect everyday life, limiting and impairing physical and emotional functioning, and acts as an indirect burden on life satisfaction.

Cited by 170 publications

References 13 publications

Histamine release positive test associates with disease remission in chronic spontaneous urticaria: a proof-of-concept study

Histamine release positive test associates with disease remission in chronic spontaneous urticaria: a proof-of-concept study

BSACI guideline for the management of chronic urticaria and angioedema

Estudo da qualidade de vida nos pacientes com urticária crônica

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