Chronic Urticaria in the Real-Life Clinical Practice Setting in Portugal: Baseline Results from the Non-Interventional Multicentre AWARE Study

Introduction: There is a paucity of information regarding chronic urticaria patients’ care in a real-world setting. The objective of this study was to report and evaluate the baseline characteristics of Portuguese chronic urticaria patients refractory to H1-antihistamines included in the AWARE stud...

Full description

Bibliographic Details
Main Authors: Ana Célia Costa, Isabel Rosmaninho, Arminda Guilherme, José Ferreira, Joana Antunes, Ana Pina, Sara Prates, João Gaspar Marques, Filomena Azevedo, Ana Paula Cunha, Celeste Brito, António Massa, João Teles de Sousa, Glória Cunha Velho, Inês Raposo, Gabriela Marques Pinto, Virgínia Sousa, Ana Rodrigues Martins
Format: Article
Language:English
Published: Ordem dos Médicos 2019-02-01
Series:Acta Médica Portuguesa
Subjects:
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9496
_version_ 1828106533353816064
author Ana Célia Costa
Isabel Rosmaninho
Arminda Guilherme
José Ferreira
Joana Antunes
Ana Pina
Sara Prates
João Gaspar Marques
Filomena Azevedo
Ana Paula Cunha
Celeste Brito
António Massa
João Teles de Sousa
Glória Cunha Velho
Inês Raposo
Gabriela Marques Pinto
Virgínia Sousa
Ana Rodrigues Martins
author_facet Ana Célia Costa
Isabel Rosmaninho
Arminda Guilherme
José Ferreira
Joana Antunes
Ana Pina
Sara Prates
João Gaspar Marques
Filomena Azevedo
Ana Paula Cunha
Celeste Brito
António Massa
João Teles de Sousa
Glória Cunha Velho
Inês Raposo
Gabriela Marques Pinto
Virgínia Sousa
Ana Rodrigues Martins
author_sort Ana Célia Costa
collection DOAJ
description Introduction: There is a paucity of information regarding chronic urticaria patients’ care in a real-world setting. The objective of this study was to report and evaluate the baseline characteristics of Portuguese chronic urticaria patients refractory to H1-antihistamines included in the AWARE study. Material and Methods: This is a non-interventional cohort study. Adult patients with a diagnosis of chronic urticaria with symptoms for at least two months, refractory to H1-antihistamines, consulting one of the 10 participating urticaria centers throughout Portugal have been included in the study. Baseline sociodemographic data, medical history, clinical parameters, medication, weekly urticaria activity score, and dermatology quality of life index have been collected. Results: Seventy six patients were included, of which 76.3% were women. The majority of patients had a diagnosis of chronic spontaneous urticaria (88.2%) and 39.5% had angioedema. Around 91.0% of patients were medicated with non-sedative H1-antihistamines and 35.4% with a third line therapy. Median dermatology quality of life index was 5.0 and median weekly urticaria activity score was 13.0. Discussion: The baseline results suggest that patients with chronic urticaria refractory to H1-antihistamines are being under-treated in the real-world setting. Conclusion: The AWARE study demonstrates the real impact of chronic urticaria on Portuguese patients refractory to H1-antihistamines treatment, and 30% report a very large or extremely large deleterious effect on their quality of life. The follow-up of these patients will allow evaluating strategies aimed at optimizing disease control.
first_indexed 2024-04-11T10:19:17Z
format Article
id doaj.art-3cdb02d2cf674e3a9e2ee22f7541aeb5
institution Directory Open Access Journal
issn 0870-399X
1646-0758
language English
last_indexed 2024-04-11T10:19:17Z
publishDate 2019-02-01
publisher Ordem dos Médicos
record_format Article
series Acta Médica Portuguesa
spelling doaj.art-3cdb02d2cf674e3a9e2ee22f7541aeb52022-12-22T04:29:49ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582019-02-0132210.20344/amp.94964812Chronic Urticaria in the Real-Life Clinical Practice Setting in Portugal: Baseline Results from the Non-Interventional Multicentre AWARE StudyAna Célia Costa0Isabel Rosmaninho1Arminda Guilherme2José Ferreira3Joana Antunes4Ana Pina5Sara Prates6João Gaspar Marques7Filomena Azevedo8Ana Paula Cunha9Celeste Brito10António Massa11João Teles de Sousa12Glória Cunha Velho13Inês Raposo14Gabriela Marques Pinto15Virgínia Sousa16Ana Rodrigues Martins17Serviço de Imunoalergologia. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa.Serviço de Imunoalergologia. Centro Hospitalar de Vila Nova de Gaia/Espinho. Vila Nova de Gaia.Serviço de Imunoalergologia. Centro Hospitalar de Vila Nova de Gaia/Espinho. Vila Nova de Gaia.Serviço de Imunoalergologia. Centro Hospitalar de Vila Nova de Gaia/Espinho. Vila Nova de Gaia.Serviço de Dermatologia. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa.Serviço de Dermatologia. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa.Serviço de Imunoalergologia. Hospital Dona Estefânia. Centro Hospitalar Lisboa Central. Lisboa.Serviço de Imunoalergologia. Hospital Dona Estefânia. Centro Hospitalar Lisboa Central. Lisboa.Serviço de Dermatologia. Centro Hospitalar de São João. Porto.Serviço de Dermatologia. Centro Hospitalar de São João. Porto.Serviço de Dermatologia. Hospital de Braga. Braga.Serviço de Dermatologia. Centro Hospitalar de Vila Nova de Gaia. Vila Nova de Gaia.Serviço de Dermatologia. Hospital Egas Moniz. Centro Hospitalar Lisboa Ocidental. Lisboa.Serviço de Dermatologia. Centro Hospitalar do Porto. Porto.Serviço de Dermatologia. Centro Hospitalar do Porto. Porto.Serviço de Dermatologia. Hospital dos Capuchos. Centro Hospitalar Lisboa Central. Lisboa.Serviço de Dermatologia. Hospital dos Capuchos. Centro Hospitalar Lisboa Central. Lisboa.Novartis Farma – Produtos Farmacêuticos, S.A. Porto Salvo. Introduction: There is a paucity of information regarding chronic urticaria patients’ care in a real-world setting. The objective of this study was to report and evaluate the baseline characteristics of Portuguese chronic urticaria patients refractory to H1-antihistamines included in the AWARE study. Material and Methods: This is a non-interventional cohort study. Adult patients with a diagnosis of chronic urticaria with symptoms for at least two months, refractory to H1-antihistamines, consulting one of the 10 participating urticaria centers throughout Portugal have been included in the study. Baseline sociodemographic data, medical history, clinical parameters, medication, weekly urticaria activity score, and dermatology quality of life index have been collected. Results: Seventy six patients were included, of which 76.3% were women. The majority of patients had a diagnosis of chronic spontaneous urticaria (88.2%) and 39.5% had angioedema. Around 91.0% of patients were medicated with non-sedative H1-antihistamines and 35.4% with a third line therapy. Median dermatology quality of life index was 5.0 and median weekly urticaria activity score was 13.0. Discussion: The baseline results suggest that patients with chronic urticaria refractory to H1-antihistamines are being under-treated in the real-world setting. Conclusion: The AWARE study demonstrates the real impact of chronic urticaria on Portuguese patients refractory to H1-antihistamines treatment, and 30% report a very large or extremely large deleterious effect on their quality of life. The follow-up of these patients will allow evaluating strategies aimed at optimizing disease control. https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9496Chronic DiseaseCost of IllnessHealth ResourcesPortugalQuality of LifeUrticaria
spellingShingle Ana Célia Costa
Isabel Rosmaninho
Arminda Guilherme
José Ferreira
Joana Antunes
Ana Pina
Sara Prates
João Gaspar Marques
Filomena Azevedo
Ana Paula Cunha
Celeste Brito
António Massa
João Teles de Sousa
Glória Cunha Velho
Inês Raposo
Gabriela Marques Pinto
Virgínia Sousa
Ana Rodrigues Martins
Chronic Urticaria in the Real-Life Clinical Practice Setting in Portugal: Baseline Results from the Non-Interventional Multicentre AWARE Study
Acta Médica Portuguesa
Chronic Disease
Cost of Illness
Health Resources
Portugal
Quality of Life
Urticaria
title Chronic Urticaria in the Real-Life Clinical Practice Setting in Portugal: Baseline Results from the Non-Interventional Multicentre AWARE Study
title_full Chronic Urticaria in the Real-Life Clinical Practice Setting in Portugal: Baseline Results from the Non-Interventional Multicentre AWARE Study
title_fullStr Chronic Urticaria in the Real-Life Clinical Practice Setting in Portugal: Baseline Results from the Non-Interventional Multicentre AWARE Study
title_full_unstemmed Chronic Urticaria in the Real-Life Clinical Practice Setting in Portugal: Baseline Results from the Non-Interventional Multicentre AWARE Study
title_short Chronic Urticaria in the Real-Life Clinical Practice Setting in Portugal: Baseline Results from the Non-Interventional Multicentre AWARE Study
title_sort chronic urticaria in the real life clinical practice setting in portugal baseline results from the non interventional multicentre aware study
topic Chronic Disease
Cost of Illness
Health Resources
Portugal
Quality of Life
Urticaria
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9496
work_keys_str_mv AT anaceliacosta chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT isabelrosmaninho chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT armindaguilherme chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT joseferreira chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT joanaantunes chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT anapina chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT saraprates chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT joaogasparmarques chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT filomenaazevedo chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT anapaulacunha chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT celestebrito chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT antoniomassa chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT joaotelesdesousa chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT gloriacunhavelho chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT inesraposo chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT gabrielamarquespinto chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT virginiasousa chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy
AT anarodriguesmartins chronicurticariainthereallifeclinicalpracticesettinginportugalbaselineresultsfromthenoninterventionalmulticentreawarestudy