Impact of Nasal Congestion on Quality of Life and Work Productivity in Allergic Rhinitis

Shedden, Arthur

doi:10.2165/00151829-200504060-00007

Cited by 129 publications

(124 citation statements)

References 19 publications

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“…Pollen and mold exposure impairs the work performance of employees with allergic rhinitis (1116). Nasal congestion was found to impair work productivity (1117). Work impairment is correlated with the severity of allergic rhinitis (84).…”

Section: Work Impairmentmentioning

confidence: 99%

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Bousquet¹,

Khaltaev²,

Cruz³

et al. 2008

Allergy

3,867

1,761

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Section: Work Impairmentmentioning

confidence: 99%

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Bousquet¹,

Khaltaev²,

Cruz³

et al. 2008

Allergy

3,867

1,761

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“…Similarly, in other studies, use of intranasal steroid in both children and adults was also low, ranging from 11 to 26%. 25,[30][31][32][33] One largescale U.S. survey found that 24% of children took no AR medication at all. 32 While patient adherence may play a role in our sample, the impact was likely minimal given that only 33% received appropriate AR treatment.…”

Section: Ar Treatment Deserves Emphasis In Urban Areasmentioning

confidence: 99%

Underdiagnosed and Undertreated Allergic Rhinitis in Urban School-Aged Children with Asthma

Esteban

Klein

Kopel

et al. 2014

Pediatric Allergy, Immunology, and Pulmonology

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Allergic rhinitis (AR) is a risk factor for the development of asthma, and if poorly controlled, it may exacerbate asthma. We sought to describe AR symptoms and treatment in a larger study about asthma, sleep, and school performance. We examined the proportion (1) who met criteria for AR in an urban sample of school children with persistent asthma symptoms, (2) whose caregivers stated that they were not told of their child's allergies, (3) who had AR but were not treated or were undertreated for the disease, as well as (4) caregivers and healthcare providers' perceptions of the child's allergy status compared with study assessment, and (5) associations between self-report of asthma and AR control over a 4-week monitoring period. One hundred sixty-six children with persistent asthma participated in a clinical evaluation of asthma and rhinitis, including allergy testing. Self-report of asthma control and rhinitis control using the Childhood Asthma Control Test (C-ACT) and Rhinitis Control Assessment Test (RCAT) were measured 1 month after the study clinic session. Persistent rhinitis symptoms were reported by 72% of participants; 54% of rhinitis symptoms were moderate in severity, though only 33% of the sample received adequate treatment. AR was newly diagnosed for 53% during the clinic evaluation. Only 15% reported using intranasal steroids. Participants with poorly controlled AR had poorer asthma control compared with those with well-controlled AR. This sample of urban school-aged children with persistent asthma had underdiagnosed and undertreated AR. Healthcare providers and caregivers in urban settings need additional education about the role of allergies in asthma, recognition of AR symptoms, and AR's essential function in the comanagement of asthma. Barriers to linkages with allergy specialists need to be identified.

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“…It shows that AR is associated with lost productivity, work absenteeism and 'presenteeism' (being present at work, but not fully functioning), similar to AR sufferers in the general population. [5][6][7][8][9] Over one-quarter of PCPs with AR reported losing an average of six hours of work a week during a typical week of AR symptoms. Yet those who did not miss work also reported detrimental effects on their professional effectiveness during their contact with patients.…”

Section: Effects Of Ar On Pcps' Working Livesmentioning

confidence: 99%

The current burden of allergic rhinitis amongst primary care practitioners and its impact on patient management

Cauwenberge

Hoecke

Kardos

et al. 2008

Primary Care Respiratory Journal

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Aims: To investigate the burden of allergic rhinitis (AR) amongst primary care practitioners (PCPs), the impact of AR on PCPs' professional lives, and the effect on their management of AR patients of PCPs' personal experience of AR.Methods: An online questionnaire was completed by 1201 PCPs (50% AR sufferers) from eight countries.Results: 21% of PCPs reported very well controlled symptoms and 66% quite good control. Six hours work per week, on average, was missed by PCPs whose AR symptoms resulted in absence. AR symptoms affected concentration, stress level, mood, time spent with patients, physical contact with patients, and patient throughput. PCPs with AR reported a significantly higher proportion of AR patients in their practice and gave a significantly higher ranking to specific treatment requests and emotional well-being, and gave a significantly lower ranking to preventing comorbidity development and providing a treatment most likely to result in high patient compliance.Discussion: This is the first study demonstrating the impact of AR on PCPs showing association with lost productivity, absenteeism and reduction in professional performance. Personal experience of AR significantly influences PCPs' management of AR and may improve their AR diagnostic ability.

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Impact of Nasal Congestion on Quality of Life and Work Productivity in Allergic Rhinitis

Cited by 129 publications

References 19 publications

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Allergic Rhinitis and its Impact on Asthma (ARIA) 2008*

Underdiagnosed and Undertreated Allergic Rhinitis in Urban School-Aged Children with Asthma

The current burden of allergic rhinitis amongst primary care practitioners and its impact on patient management

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