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Comorbid allergy an...
Comorbid allergy and rhinitis and patient-related outcomes in asthma and COPD : a cross-sectional study
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- Al-Hadrawi, Zainab (author)
- Department of Respiratory Medicine, Örebro University Hospital, Örebro, Sweden
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- Giezeman, Maaike, 1969- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Centre for Clinical Research and Education, Region Värmland, Karlstad, Sweden
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- Hasselgren, Mikael, 1964- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Centre for Clinical Research and Education, Region Värmland, Karlstad, Sweden
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- Janson, Christer (author)
- Department of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden
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- Kisiel, Marta A. (author)
- Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, Uppsala, Sweden
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- Lisspers, Karin (author)
- Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden
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- Montgomery, Scott, 1961- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Clinical Epidemiology and Biostatistics, School of Medical Sciences, Faculty of Medicine and Health, Örebro Univeristy, Örebro, Sweden; Clinical Epidemiology Division, Department of Medicine, Solna, Sweden; Department of Epidemiology and Public Health, University College, London, UK
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- Nager, Anna (author)
- Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Stockholm, Sweden
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- Sandelowsky, Hanna (author)
- Clinical Epidemiology Division, Department of Medicine, Solna, Sweden; Academic Primary Health Care Centre, Stockholm, Sweden
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- Ställberg, Björn (author)
- Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden
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- Sundh, Josefin, 1972- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Respiratory Medicine
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(creator_code:org_t)
- Co-Action Publishing, 2024
- 2024
- English.
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In: European Clinical Respiratory Journal. - : Co-Action Publishing. - 2001-8525. ; 11:1
- Related links:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- INTRODUCTION: The study aimed to compare prevalence of comorbid allergic manifestations and rhinitis, allergy testing and associations with patient-related outcomes in patients with asthma and COPD.METHODS: Cross-sectional study of randomly selected Swedish patients with a doctor's diagnosis of asthma (n = 1291) or COPD (n = 1329). Self-completion questionnaires from 2014 provided data on demographics, rhinitis, allergic symptoms at exposure to pollen or furry pets, exacerbations, self-assessed severity of disease and scores from the Asthma Control Test (ACT) and the COPD Assessment Test (CAT), and records were reviewed for allergy tests.RESULTS: Allergic manifestations were more common in asthma (75%) compared with COPD (38%). Rhinitis was reported in 70% of asthma and 58% of COPD patients. Allergy tests had been performed during the previous decade in 28% of patients with asthma and in 8% of patients with COPD. In patients with asthma; comorbid allergy and rhinitis were both independently associated with increased risk for poor asthma symptom control (ACT < 20) (OR [95% CI] 1.41 [1.05 to 1.87] and 2.13 [1.60 to 2.83]), exacerbations (1.58 [1.15 to 2.17] and 1.38 [1.02 to 1.86]), and self-assessed moderate/severe disease (1.64 [1.22 to 2.18] and 1.75 [1.33 to 2.30]). In patients with COPD, comorbid allergy and rhinitis were both independently associated with increased risk for low health status (CAT ≥ 10) (OR [95% CI] 1.46 [1.20 to 1.95] and 2.59 [1.97 to 3.41]) respectively, with exacerbations during the previous six months (1.91 [1.49 to 2.45] and 1.57 [1.23 to 2.01]), and with self-assessed moderate/severe disease (1.70 [1.31 to 2.22] and 2.13 [1.66 to 2.74]).CONCLUSION: Allergic manifestations and rhinitis are more common in asthma than COPD but associated with worse outcomes in both diseases. This highlights the importance of examining and treating comorbid allergy and rhinitis, not only in asthma but also in COPD.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
Keyword
- Asthma
- allergy
- assessment test
- asthma control test
- chronic bstructive pulmonary disease
- exacerbations
- rhinitis
- self-assessed severity of disease
Publication and Content Type
- ref (subject category)
- art (subject category)
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Al-Hadrawi, Zain ...
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Giezeman, Maaike ...
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Hasselgren, Mika ...
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Janson, Christer
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Kisiel, Marta A.
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Lisspers, Karin
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Montgomery, Scot ...
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Nager, Anna
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Sandelowsky, Han ...
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Ställberg, Björn
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Sundh, Josefin, ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Respiratory Medi ...
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European Clinica ...
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Örebro University