Rapid transition to home omalizumab treatment for chronic spontaneous urticaria during the COVID-19 pandemic: A patient perspective

Efforts to reduce non-urgent hospital attendances during the COVID-19 pandemic have been the focus of much attention from healthcare professionals worldwide. In Ireland, due to funding constraints omalizumab is only available for hospital-based administration. Fifty-eight patients with chronic spont...

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Autores principales: Catherine King, Fionnuala Cox, Anne Sloan, Patricia McCrea, J.David Edgar, Niall Conlon
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Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/55bf881013204d3b9915fc5d9d0dba69
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spelling oai:doaj.org-article:55bf881013204d3b9915fc5d9d0dba692021-11-12T04:30:00ZRapid transition to home omalizumab treatment for chronic spontaneous urticaria during the COVID-19 pandemic: A patient perspective1939-455110.1016/j.waojou.2021.100587https://doaj.org/article/55bf881013204d3b9915fc5d9d0dba692021-10-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1939455121000818https://doaj.org/toc/1939-4551Efforts to reduce non-urgent hospital attendances during the COVID-19 pandemic have been the focus of much attention from healthcare professionals worldwide. In Ireland, due to funding constraints omalizumab is only available for hospital-based administration. Fifty-eight patients with chronic spontaneous urticaria and angioedema (CSU) receiving omalizumab in our centre were rapidly transitioned to home self-administration at the start of the pandemic. We conducted an anonymised patient survey after 3 months of home therapy with the aim of characterizing the patient experience throughout this period. 41 patients participated in our questionnaire (71% response rate). 93% of patients favored self-injection of omalizumab from home, with respondents citing cost savings, time savings, improved flexibility, fewer hospital visits, and less risk of exposure to COVID-19 infection as particular benefits. Concerns regarding home administration including injecting incorrectly, forgetting a dose, or having a reaction were reported very infrequently. Eighty-three percent (83%) of patients wished to continue with home therapy long-term. This survey highlights broadly positive experiences for patients rapidly transitioning to home omalizumab administration. This data will be useful to inform healthcare funders in decisions regarding patient-centred care in CSU. Facilitating home omalizumab therapy in suitable CSU patients should be strongly considered in the post-pandemic setting.Catherine KingFionnuala CoxAnne SloanPatricia McCreaJ.David EdgarNiall ConlonElsevierarticleChronic urticariaOmalizumabSelf-administrationPatient reported outcome measureCOVID-19Immunologic diseases. AllergyRC581-607ENWorld Allergy Organization Journal, Vol 14, Iss 10, Pp 100587- (2021)
institution DOAJ
collection DOAJ
language EN
topic Chronic urticaria
Omalizumab
Self-administration
Patient reported outcome measure
COVID-19
Immunologic diseases. Allergy
RC581-607
spellingShingle Chronic urticaria
Omalizumab
Self-administration
Patient reported outcome measure
COVID-19
Immunologic diseases. Allergy
RC581-607
Catherine King
Fionnuala Cox
Anne Sloan
Patricia McCrea
J.David Edgar
Niall Conlon
Rapid transition to home omalizumab treatment for chronic spontaneous urticaria during the COVID-19 pandemic: A patient perspective
description Efforts to reduce non-urgent hospital attendances during the COVID-19 pandemic have been the focus of much attention from healthcare professionals worldwide. In Ireland, due to funding constraints omalizumab is only available for hospital-based administration. Fifty-eight patients with chronic spontaneous urticaria and angioedema (CSU) receiving omalizumab in our centre were rapidly transitioned to home self-administration at the start of the pandemic. We conducted an anonymised patient survey after 3 months of home therapy with the aim of characterizing the patient experience throughout this period. 41 patients participated in our questionnaire (71% response rate). 93% of patients favored self-injection of omalizumab from home, with respondents citing cost savings, time savings, improved flexibility, fewer hospital visits, and less risk of exposure to COVID-19 infection as particular benefits. Concerns regarding home administration including injecting incorrectly, forgetting a dose, or having a reaction were reported very infrequently. Eighty-three percent (83%) of patients wished to continue with home therapy long-term. This survey highlights broadly positive experiences for patients rapidly transitioning to home omalizumab administration. This data will be useful to inform healthcare funders in decisions regarding patient-centred care in CSU. Facilitating home omalizumab therapy in suitable CSU patients should be strongly considered in the post-pandemic setting.
format article
author Catherine King
Fionnuala Cox
Anne Sloan
Patricia McCrea
J.David Edgar
Niall Conlon
author_facet Catherine King
Fionnuala Cox
Anne Sloan
Patricia McCrea
J.David Edgar
Niall Conlon
author_sort Catherine King
title Rapid transition to home omalizumab treatment for chronic spontaneous urticaria during the COVID-19 pandemic: A patient perspective
title_short Rapid transition to home omalizumab treatment for chronic spontaneous urticaria during the COVID-19 pandemic: A patient perspective
title_full Rapid transition to home omalizumab treatment for chronic spontaneous urticaria during the COVID-19 pandemic: A patient perspective
title_fullStr Rapid transition to home omalizumab treatment for chronic spontaneous urticaria during the COVID-19 pandemic: A patient perspective
title_full_unstemmed Rapid transition to home omalizumab treatment for chronic spontaneous urticaria during the COVID-19 pandemic: A patient perspective
title_sort rapid transition to home omalizumab treatment for chronic spontaneous urticaria during the covid-19 pandemic: a patient perspective
publisher Elsevier
publishDate 2021
url https://doaj.org/article/55bf881013204d3b9915fc5d9d0dba69
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