Allergic rhinitis in Rochester, Minnesota residents with asthma: Frequency and impact on health care charges

Yawn, Barbara P.; Yunginger, John W.; Wollan, Peter C.; Reed, Charles E.; Silverstein, Marc D.; Harris, Alan G.

doi:10.1016/s0091-6749(99)70525-7

Cited by 148 publications

(105 citation statements)

References 20 publications

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“…In a study involving patients with asthma alone or with asthma and AR, it was shown that the mean annual expenses for medical care were 46% greater among those who had asthma and AR. (29) can impair visual acuity and therefore activities requiring good vision.…”

Section: Impact On Learning and Social Lifementioning

confidence: 99%

Rinite alérgica: indicadores de qualidade de vida

Camelo-Nunes

Solé

2010

J. bras. pneumol.

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The objective of this review was to present evidence of the relationship between allergic rhinitis and impairment of quality of life. The data sources were original articles, reviews and consensus statements entered into the Medline and LILACS databases between 1997 and 2008. The following search terms were used: "allergic rhinitis"; "quality of life"; and "sleep disorders". Quality of life is often impaired in patients with allergic rhinitis, due to the classic symptoms of the disease (sneezing, pruritus, rhinorrhea and nasal obstruction). In addition, the pathophysiology of allergic rhinitis often disrupts sleep, leading to fatigue, irritability, memory deficits, daytime sleepiness and depression. The total burden of this disease goes beyond impairment of physical and social functioning. It has also a financial impact, which becomes greater when we consider the evidence that allergic rhinitis is a possible causal factor of comorbidities, such as asthma and sinusitis. Nasal obstruction, the most prominent symptom, is associated with sleep disorders, which can have a profound effect on mental health, learning, behavior and attention. Finally, allergic rhinitis-a chronic condition that affects adults, adolescents and children-is often underdiagnosed or inadequately treated. The deleterious impact that allergic rhinitis-related sleep disorders have on patient capacity to perform activities of daily living is an important component of the morbidity of the disease. With an accurate diagnosis, there are various available treatments that can reduce the burden of allergic rhinitis.Keywords: Rhinitis, allergic, perennial; Rhinitis, allergic, seasonal; Quality of life; Sleep disorders. ResumoO objetivo desta revisão foi apresentar evidências da relação entre rinite alérgica e redução da qualidade de vida. As fontes de dados foram artigos originais, revisões e consensos indexados nos bancos de dados Medline e LILACS entre 1997 e 2008. As palavras de busca foram "rinite alérgica", "qualidade de vida" e "distúrbios do sono". Os pacientes com rinite alérgica frequentemente têm redução na qualidade de vida causada pelos sintomas clássicos da doença (espirros, prurido, coriza e obstrução). Além disso, a fisiopatologia da rinite alérgica, com frequência, interrompe o sono, ocasionando fadiga, irritabilidade, déficits de memória, sonolência diurna e depressão. A carga total da doença recai não apenas no funcionamento social e físico prejudicados, mas também no impacto financeiro, que se torna maior quando se consideram as evidências de que a rinite alérgica é um possível fator casual de comorbidades, tais como a asma e a sinusite. A obstrução nasal, o mais proeminente dos sintomas, está associada a eventos respiratórios relacionados aos distúrbios do sono, uma condição que tem profundo efeito sobre a saúde mental, o aprendizado, o comportamento e a atenção. Finalmente, a rinite alérgica -doença crônica que afeta crianças, adolescentes e adultos -frequentemente é subdiagnosticada ou inadequadamente tratada. O impacto dele...

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Section: Impact On Learning and Social Lifementioning

confidence: 99%

Rinite alérgica: indicadores de qualidade de vida

Camelo-Nunes

Solé

2010

J. bras. pneumol.

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“…Rhinitis increases the cost of asthma yearly medical charges for those with asthma and concomittant rhinitis were average 46% higher than for those with asthma alone. 38 …”

Section: Discussionmentioning

confidence: 99%

“…Association between allergies should be assessed from the socioeconomic aspect; risk of an asthma-related event for the treated group of rhinitis was about half that for untrcated group [30][31][32] and patients receiving intranasal corticosteroids had a reduced risk for emergency asthma department visit in comparison to those who did not receive the treatment 33 . Yearly medical charges for those with asthma and concomitant allergic rhinitis was average 46% higher than for those with asthma alone 38 . The age of onset of atopy may be an important confounding factor for the development of asthma and rhinitis or rhinitis alone---atopy acquired at an early age, before the age of 6 years, is an important predictive factor for asthma continuing into late childhood whereas atopy acquired later was only associated with seasonal allergic rhinitis 23,27,32,33 .…”

Section: Introductionmentioning

confidence: 91%

Association between allergic rhinitis and atopic bronchial asthma: a study of 125 cases

et al. 2015

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“…11 Numerous previous studies on asthma epidemiology research have used these criteria to define asthma. [12][13][14][15][16][17][18][19][20][21] Briefly, for criterion 1, we reviewed the entire medical record to identify a history of cough with wheezing and/or shortness of breath documented by physicians OR documented wheezing episodes on examination with cough and/or shortness of PRIMARY CARE RESPIRATORY JOURNAL www.thepcrj.org Definite asthma if a physician had made a diagnosis of asthma and the presence of two of the following 3 conditions or if each of the following 3 conditions were present. Probable asthma if only 2 of the following 3 conditions were present or a physician had made a diagnosis of asthma with either none or only one of the following three conditions: breath.…”

Section: Asthma Status By Medical Record Reviewmentioning

confidence: 99%

Characterisation of children's asthma status by ICD-9 code and criteria-based medical record review

Juhn

Kung

Voigt

et al. 2010

Primary Care Respiratory Journal

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Objective: To characterise the relationship between ICD code-based (i.e. physician diagnosis-based) and criteria-based asthma ascertainment. Methods:We compared identification of children with asthma between criteria-based medical record review for asthma ascertainment and an ICD-9 code-based approach. We determined the agreement rate and validity index of ICD code-based asthma ascertainment using asthma status by medical record review as a gold standard.Results: Of the 115 study subjects, the agreement between medical record review and ICD-9 coding was 81.6% with a kappa value of 0.28 (P<0.0001). Sensitivity, specificity, positive and negative predictive values for ICD-9 code were 24.0%, 97.8%, 75.0%, and 82.0%, respectively, using criteria for asthma by medical record review as gold standard.Conclusions: ICD code-based asthma ascertainment appears to under-identify children with asthma compared to criteria-based medical record review. ICD codes may be useful for etiologic research but may not be suitable for surveillance of asthma epidemiology.

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Allergic rhinitis in Rochester, Minnesota residents with asthma: Frequency and impact on health care charges

Cited by 148 publications

References 20 publications

Rinite alérgica: indicadores de qualidade de vida

Rinite alérgica: indicadores de qualidade de vida

Association between allergic rhinitis and atopic bronchial asthma: a study of 125 cases

Characterisation of children's asthma status by ICD-9 code and criteria-based medical record review

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