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J Delgado,1* I Dávila,2*
J Domínguez-Ortega,3 S Quirce,4 E
Martí-Guadaño,5 A Valero6 |
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1Allergy UGC, Hospital
Virgen Macarena, Sevilla, Spain
2Immunoallergy Department, IBSAL-Hospital
Universitario de Salamanca, Salamanca, Spain
3Allergy Unit, Hospital Universitario de
Getafe, Getafe, Spain
4Allergy Department, Hospital La Paz
Institute for Health Research (IdiPAZ), and CIBER de
Enfermedades Respiratorias, CIBERES, Madrid, Spain
5Allergy Department, Hospital Moisès Broggi,
Sant Joan Despí, Barcelona, Spain
6Pneumology and Allergy Department, Clinical
and Experimental Respiratory Immunoallergy, IDIBAPS,
CIBERES, Hospital Clínic, Barcelona, Spain
*Both authors contributed equally to this
work |
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Abstract |
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Objective: We
aimed to analyze
health-related
quality of life (HRQOL)
in adults with newly
diagnosed
respiratory allergy
according to the
sensitization
profile for relevant
aeroallergens in
their usual area of
residence.
Methods: We
performed a
cross-sectional,
epidemiological,
observational,
descriptive,
multicenter study in
allergy clinics in
Spain. The sample
comprised adults
diagnosed with
rhinitis, asthma, or
both caused by
significant
allergens in their
residential area
(olive and/or grass
pollen or house dust
mite). Allergic
rhinitis was
classified according
to the Allergic
Rhinitis and its
Impact on Asthma
guidelines; asthma
was classified
according to the
Guía Española para
el Manejo del Asma
(Spanish Guideline
on the Management of
Asthma). HRQOL was
studied according to
the ESPRINT-15
questionnaire and
Mini Asthma Quality
of Life
Questionnaire.
Control of asthma
was measured using
the Asthma Control
Questionnaire 5.
Results: We
studied 1437
patients. Rhinitis
was the most common
respiratory disease.
The HRQOL of
rhinitis patients
was lower in those
sensitized to olive
pollen only and in
those with combined
sensitization to
olive and grass
pollens. HRQOL
associated with
rhinitis was worse
in patients
diagnosed with both
rhinitis and asthma
than in patients
diagnosed with
rhinitis only.
Asthma patients
sensitized to olive
pollen or olive and
grass pollens had
worse HRQOL.
Conclusions:
In our study
population, the
HRQOL of patients
with respiratory
allergies varied
with the allergen
responsible for
symptoms. In
patients with
rhinitis, the
presence of asthma
significantly
worsened
rhinitis-associated
HRQOL.
Key words:
Cross-sectional.
Epidemiological.
Descriptive.
Respiratory
allergies.
Health-related
quality of life. |
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