Subcutaneous immunotherapy takes more than the time in the clinic

Tankersley, Mike; Winders, Tonya; Aagren, Mark; Brandi, Henrik; Pedersen, Mikkel H; Loftager, Anne Sofie Ledgaard; Bøgelund, Mette

doi:10.1080/03007995.2021.1976126

“…The time-use and direct cost of SCIT were investigated using an electronic survey prepared in Spanish. The survey has previous been used in the US [22]. Respondents were asked to recall their last SCIT visit; hence, all results are self-reported.…”

Section: Methodsmentioning

confidence: 99%

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2022

Int J Aller Medications

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Background: Literature has shown that subcutaneous immunotherapy (SCIT) is time-consuming and costly for patients in Canadian and US settings. However, there is no evidence of the patient time-use and direct patient costs related to SCIT in a Spanish setting. The objective of this study was to investigate self-reported direct costs and timeuse related to SCIT among both caregivers of children with allergic rhinitis (AR) and adults with AR in a Spanish setting. Methods:In this cross-sectional study, 286 adults and 513 caregivers of children with symptomatic AR of at least moderate severity who are currently or have previously received allergy immunotherapy (AIT) entered the questionnaire. We excluded respondents who partly completed the survey, who are receiving or have received AIT using a sublingual or an unknown route, or who stopped AIT more than five years earlier. 87 adults and 289 caregivers of children (aged 5-17) were included. An electronic survey was conducted to collect self-reported time-use and direct costs related to transportation associated with the participants' most recent SCIT visit. Univariate descriptive statistics were used to analyze data. Results:Results showed that adults on SCIT spend a total of 60 minutes per clinic visit, whereas caregivers and children spend a total of 50 minutes per visit, including transportation time and time spent at the clinic. Most adults and accompanying adults did not uphold any direct costs related to either parking, road tolls or other transportrelated costs when receiving SCIT. The majority of adults, caregivers and children missed work or school due to SCIT. We found that a median of 3 hours of work or school was missed per visit. Conclusion:Our findings indicate that SCIT entails substantial time-use and productivity loss for adults with AR as well as caregivers of children with AR in Spain. Furthermore, we found that treatment with SCIT has a negative impact on the educational attendance among children with AR.

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“…The time-use and direct cost of SCIT were investigated using an electronic survey prepared in Spanish. The survey has previous been used in the US [22]. Respondents were asked to recall their last SCIT visit; hence, all results are self-reported.…”

Section: Methodsmentioning

confidence: 99%

Direct Costs and Time-Use Related to Subcutaneous Immunotherapy in Spanish Patients with Allergic Rhinitis: Across-Sectional Survey

Mette¹,

Ana²,

AusÍn³

et al. 2022

Int J Aller Medications

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Background: Literature has shown that subcutaneous immunotherapy (SCIT) is time-consuming and costly for patients in Canadian and US settings. However, there is no evidence of the patient time-use and direct patient costs related to SCIT in a Spanish setting. The objective of this study was to investigate self-reported direct costs and timeuse related to SCIT among both caregivers of children with allergic rhinitis (AR) and adults with AR in a Spanish setting. Methods:In this cross-sectional study, 286 adults and 513 caregivers of children with symptomatic AR of at least moderate severity who are currently or have previously received allergy immunotherapy (AIT) entered the questionnaire. We excluded respondents who partly completed the survey, who are receiving or have received AIT using a sublingual or an unknown route, or who stopped AIT more than five years earlier. 87 adults and 289 caregivers of children (aged 5-17) were included. An electronic survey was conducted to collect self-reported time-use and direct costs related to transportation associated with the participants' most recent SCIT visit. Univariate descriptive statistics were used to analyze data. Results:Results showed that adults on SCIT spend a total of 60 minutes per clinic visit, whereas caregivers and children spend a total of 50 minutes per visit, including transportation time and time spent at the clinic. Most adults and accompanying adults did not uphold any direct costs related to either parking, road tolls or other transportrelated costs when receiving SCIT. The majority of adults, caregivers and children missed work or school due to SCIT. We found that a median of 3 hours of work or school was missed per visit. Conclusion:Our findings indicate that SCIT entails substantial time-use and productivity loss for adults with AR as well as caregivers of children with AR in Spain. Furthermore, we found that treatment with SCIT has a negative impact on the educational attendance among children with AR.

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Methods used to account for caregivers’ sex and gender within studies examining the financial burden of caregivers of children and adolescents : Results from a scoping review

Guertin,

Gilbert-Ouimet,

Dugas

et al. 2024

CEOR

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Background Interest in the financial burden of informal caregivers has been growing. Unfortunately, it remains unclear which method(s) should be used when quantifying this burden. Purpose We conducted a scoping review aimed at identifying which methods have been used to conduct such work and quantified their performance. We were also interested in examining how sex and gender considerations were considered within selected studies. Data Sources Using a standardized approach, we identified studies published between 2012 and 2022 that aimed to document the financial burden of caregivers to child and adolescent patients. Our search strategy was applied to the MEDLINE, Embase, CINHAL, and Academic Search Premier databases. Study Selection Manuscript selection was performed by pairs of reviewers. Data Extraction Data extraction was performed by one reviewer with a second reviewer performing quality control. Results were reported using a narrative approach. Data Synthesis We identified 9801 unique citations, of which 200 were included in our review. Selected studies covered various disease area (eg, infection/parasitic diseases [n = 31, 16%]) and included quantitative (n = 180, 90%), qualitative (n = 4, 2%) and mixed study designs (n = 16, 8%). Most studies (n = 182, 91%) used questionnaires/surveys, either alone or in combination with other methods, to assess caregivers’ financial burden. Less than half (n = 93, 47%) of studies reported on caregivers’ sex and none reported on their gender. Conclusion We conducted an unrestricted review of published studies examining caregiver’s financial burden which allowed us to identify general methodological trends observed in this literature. We believe this work may help improve future studies focusing on this important issue.

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Subcutaneous immunotherapy takes more than the time in the clinic

Cited by 4 publications

References 24 publications

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Direct Costs and Time-Use Related to Subcutaneous Immunotherapy in Spanish Patients with Allergic Rhinitis: Across-Sectional Survey

Methods used to account for caregivers’ sex and gender within studies examining the financial burden of caregivers of children and adolescents : Results from a scoping review

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