the burden of allergic rhinitis (ar) in canada perspectives of physicians and patients过敏性鼻炎的负担(ar)在加拿大的医生和病人.pdfVIP
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the burden of allergic rhinitis (ar) in canada perspectives of physicians and patients过敏性鼻炎的负担(ar)在加拿大的医生和病人
Keith et al. Allergy, Asthma Clinical Immunology 2012, 8:7
/content/8/1/7 ALLERGY, ASTHMA CLINICAL
IMMUNOLOGY
RESEARCH Open Access
The burden of allergic rhinitis (AR) in Canada:
perspectives of physicians and patients
1* 2 3 4 1
Paul K Keith , Martin Desrosiers , Tina Laister , R Robert Schellenberg and Susan Waserman
Abstract
Background: Allergic rhinitis (AR) is a common problem and we sought to examine the burden of disease and its
management in Canada from the perspectives of patients and physicians.
Methods: Two parallel, Canadawide structured telephone interviews surveyed 1,001 AR patients and 160 physicians
in July 2006.
Results: 44% of patients had experienced nasal symptoms unrelated to a cold and 20% had a physician diagnosis
of AR. At screening 27% reported asthma, 15% chronic or recurrent sinusitis and 5% nasal polyps. With attacks nasal
congestion and runny nose were the most bothersome symptoms. Other problems experienced were fatigue
(46%), poor concentration (32%), and reduced productivity (23%). Most (77%) had not seen a physician in the past
year. Physicians estimated they prescribed intranasal cortico steroids (INCS) to most AR patients (77%) consistent
with guidelines but only 19% of patients had used one in the last month. Only 48% of patients were very satisfied
with their current INCS. 41% of AR patients reported discontinuing their INCS with the most common reason being
a perceived lack of long-lasting symptom relief (44%). 52% of patients felt that their current INCS lost effectiveness
over 24 h
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