Patients with asthma and comorbid allergic rhinitis: is optimal quality of life achievable in real life?

<h4>Objectives</h4>Asthma trials suggest that patients reaching total disease control have an optimal Health Related Quality of Life (HRQoL). Moreover, rhinitis is present in almost 80% of asthmatics and impacts asthma control and patient HRQoL. We explored whether optimal HRQoL was reac...

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Autores principales:	Fulvio Braido, Ilaria Baiardini, Stefania Menoni, Federica Gani, Gian Enrico Senna, Erminia Ridolo, Veruska Schoepf, Anthi Rogkakou, Giorgio Walter Canonica
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/07c7b9e65da44279b3fef4f066baae6a
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spelling	oai:doaj.org-article:07c7b9e65da44279b3fef4f066baae6a2021-11-18T07:27:39ZPatients with asthma and comorbid allergic rhinitis: is optimal quality of life achievable in real life?1932-620310.1371/journal.pone.0031178https://doaj.org/article/07c7b9e65da44279b3fef4f066baae6a2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22363573/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objectives</h4>Asthma trials suggest that patients reaching total disease control have an optimal Health Related Quality of Life (HRQoL). Moreover, rhinitis is present in almost 80% of asthmatics and impacts asthma control and patient HRQoL. We explored whether optimal HRQoL was reachable in a real-life setting, and evaluated the disease and patient related patterns associated to optimal HRQoL achievement.<h4>Methods and findings</h4>Asthma and rhinitis HRQoL, illness perception, mood profiles, rhinitis symptoms and asthma control were assessed by means of validated tools in patients classified according to GINA and ARIA guidelines. Optimal HRQoL, identified by a Rhinasthma Global Summary (GS) score ≤20 (score ranging from 0 to 100, where 100 represents the worst possible HRQoL), was reached by 78/209 (37.32%). With the exception of age, no associations were found between clinical and demographic characteristics and optimal HRQoL achievement. Patients reaching an optimal HRQoL differed in disease perception and mood compared to those not reaching an optimal HRQoL. Asthma control was significantly associated with optimal HRQoL (χ(2) = 49.599; p<0.001) and well-controlled and totally controlled patients significantly differed in achieving optimal HRQoL (χ(2) = 7.617; p<0.006).<h4>Conclusion</h4>Approximately one third of the patients in our survey were found to have an optimal HRQoL. While unsatisfactory disease control was the primary reason why the remainder failed to attain optimal HRQoL, it is clear that illness perception and mood also played parts. Therefore, therapeutic plans should be directed not only toward achieving the best possible clinical control of asthma and comorbid rhinitis, but also to incorporating individualized elements according to patient-related characteristics.Fulvio BraidoIlaria BaiardiniStefania MenoniFederica GaniGian Enrico SennaErminia RidoloVeruska SchoepfAnthi RogkakouGiorgio Walter CanonicaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 2, p e31178 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Fulvio Braido Ilaria Baiardini Stefania Menoni Federica Gani Gian Enrico Senna Erminia Ridolo Veruska Schoepf Anthi Rogkakou Giorgio Walter Canonica Patients with asthma and comorbid allergic rhinitis: is optimal quality of life achievable in real life?
description	<h4>Objectives</h4>Asthma trials suggest that patients reaching total disease control have an optimal Health Related Quality of Life (HRQoL). Moreover, rhinitis is present in almost 80% of asthmatics and impacts asthma control and patient HRQoL. We explored whether optimal HRQoL was reachable in a real-life setting, and evaluated the disease and patient related patterns associated to optimal HRQoL achievement.<h4>Methods and findings</h4>Asthma and rhinitis HRQoL, illness perception, mood profiles, rhinitis symptoms and asthma control were assessed by means of validated tools in patients classified according to GINA and ARIA guidelines. Optimal HRQoL, identified by a Rhinasthma Global Summary (GS) score ≤20 (score ranging from 0 to 100, where 100 represents the worst possible HRQoL), was reached by 78/209 (37.32%). With the exception of age, no associations were found between clinical and demographic characteristics and optimal HRQoL achievement. Patients reaching an optimal HRQoL differed in disease perception and mood compared to those not reaching an optimal HRQoL. Asthma control was significantly associated with optimal HRQoL (χ(2) = 49.599; p<0.001) and well-controlled and totally controlled patients significantly differed in achieving optimal HRQoL (χ(2) = 7.617; p<0.006).<h4>Conclusion</h4>Approximately one third of the patients in our survey were found to have an optimal HRQoL. While unsatisfactory disease control was the primary reason why the remainder failed to attain optimal HRQoL, it is clear that illness perception and mood also played parts. Therefore, therapeutic plans should be directed not only toward achieving the best possible clinical control of asthma and comorbid rhinitis, but also to incorporating individualized elements according to patient-related characteristics.
format	article
author	Fulvio Braido Ilaria Baiardini Stefania Menoni Federica Gani Gian Enrico Senna Erminia Ridolo Veruska Schoepf Anthi Rogkakou Giorgio Walter Canonica
author_facet	Fulvio Braido Ilaria Baiardini Stefania Menoni Federica Gani Gian Enrico Senna Erminia Ridolo Veruska Schoepf Anthi Rogkakou Giorgio Walter Canonica
author_sort	Fulvio Braido
title	Patients with asthma and comorbid allergic rhinitis: is optimal quality of life achievable in real life?
title_short	Patients with asthma and comorbid allergic rhinitis: is optimal quality of life achievable in real life?
title_full	Patients with asthma and comorbid allergic rhinitis: is optimal quality of life achievable in real life?
title_fullStr	Patients with asthma and comorbid allergic rhinitis: is optimal quality of life achievable in real life?
title_full_unstemmed	Patients with asthma and comorbid allergic rhinitis: is optimal quality of life achievable in real life?
title_sort	patients with asthma and comorbid allergic rhinitis: is optimal quality of life achievable in real life?
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/07c7b9e65da44279b3fef4f066baae6a
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Patients with asthma and comorbid allergic rhinitis: is optimal quality of life achievable in real life?

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