The Measurement of Asthma and Allergic Rhinitis Control in Children and Adolescents
Asthma and allergic rhinitis (AR) are frequently associated. The objective of the treatment of asthma and AR should be the control of symptoms and disease progression. Therefore, the combined measurement of disease control is desirable. In this regard, a questionnaire able to together assess asthma...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2020-05-01
|
Series: | Children |
Subjects: | |
Online Access: | https://www.mdpi.com/2227-9067/7/5/43 |
_version_ | 1797568717865877504 |
---|---|
author | Maria Angela Tosca Paolo Del Barba Amelia Licari Giorgio Ciprandi Asthma and Rhinitis Control Study Group |
author_facet | Maria Angela Tosca Paolo Del Barba Amelia Licari Giorgio Ciprandi Asthma and Rhinitis Control Study Group |
author_sort | Maria Angela Tosca |
collection | DOAJ |
description | Asthma and allergic rhinitis (AR) are frequently associated. The objective of the treatment of asthma and AR should be the control of symptoms and disease progression. Therefore, the combined measurement of disease control is desirable. In this regard, a questionnaire able to together assess asthma and AR control has been validated: the CARAT (Control of Allergic Rhinitis and Asthma Test). A further pediatric version (CARATkids) has been generated. The current real-world study used different disease control measures in children and adolescents with asthma and rhinitis. A total of 138 children and adolescents were recruited at three allergy centers. CARAT, CARATkids, ACT (Asthma Control Test), cACT (children ACT), GINA (Global Initiative for Asthma) disease control classification, VAS (Visual Analog Scale) for asthma and nasal symptoms, and lung function were used in all subjects. There was a predominance of males (67.4%) and asthma was well-controlled (according to GINA classification) in about half the subjects. In children, the median CARAT and cACT values were 5 and 22 respectively. In adolescents, the median CARAT and ACT values were 23 for both tests. There were significant differences between CARAT and ACT (<i>p</i> = 0.035) as well as between CARATkids and cACT (<i>p</i> = 0.0001). However, the tests’ outcomes were different as assessed in different domains. CARAT and CARATkids are disease-control measurements that give additional information to other tests, therefore, these different questionnaires to measure disease control complement each other. |
first_indexed | 2024-03-10T19:59:56Z |
format | Article |
id | doaj.art-fa071573852b471eaa723f46f3b8cce6 |
institution | Directory Open Access Journal |
issn | 2227-9067 |
language | English |
last_indexed | 2024-03-10T19:59:56Z |
publishDate | 2020-05-01 |
publisher | MDPI AG |
record_format | Article |
series | Children |
spelling | doaj.art-fa071573852b471eaa723f46f3b8cce62023-11-19T23:40:36ZengMDPI AGChildren2227-90672020-05-01754310.3390/children7050043The Measurement of Asthma and Allergic Rhinitis Control in Children and AdolescentsMaria Angela Tosca0Paolo Del Barba1Amelia Licari2Giorgio Ciprandi3Asthma and Rhinitis Control Study GroupPediatric Allergy Center, Istituto Giannina Gaslini, Genoa, 5-16146 Genova GE, ItalyPediatric Unit, Università Vita-Salute San Raffaele, Milan, 58-20132 Milano MI, ItalyPediatric Clinic, Department of Pediatrics, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, 65-27100 Pavia PV, ItalyAllergy Clinic, Casa di Cura Villa Montallegro, Genoa, 27-16145 Genova GE, ItalyAsthma and allergic rhinitis (AR) are frequently associated. The objective of the treatment of asthma and AR should be the control of symptoms and disease progression. Therefore, the combined measurement of disease control is desirable. In this regard, a questionnaire able to together assess asthma and AR control has been validated: the CARAT (Control of Allergic Rhinitis and Asthma Test). A further pediatric version (CARATkids) has been generated. The current real-world study used different disease control measures in children and adolescents with asthma and rhinitis. A total of 138 children and adolescents were recruited at three allergy centers. CARAT, CARATkids, ACT (Asthma Control Test), cACT (children ACT), GINA (Global Initiative for Asthma) disease control classification, VAS (Visual Analog Scale) for asthma and nasal symptoms, and lung function were used in all subjects. There was a predominance of males (67.4%) and asthma was well-controlled (according to GINA classification) in about half the subjects. In children, the median CARAT and cACT values were 5 and 22 respectively. In adolescents, the median CARAT and ACT values were 23 for both tests. There were significant differences between CARAT and ACT (<i>p</i> = 0.035) as well as between CARATkids and cACT (<i>p</i> = 0.0001). However, the tests’ outcomes were different as assessed in different domains. CARAT and CARATkids are disease-control measurements that give additional information to other tests, therefore, these different questionnaires to measure disease control complement each other.https://www.mdpi.com/2227-9067/7/5/43asthmaallergic rhinitiscontrolchildrenadolescents |
spellingShingle | Maria Angela Tosca Paolo Del Barba Amelia Licari Giorgio Ciprandi Asthma and Rhinitis Control Study Group The Measurement of Asthma and Allergic Rhinitis Control in Children and Adolescents Children asthma allergic rhinitis control children adolescents |
title | The Measurement of Asthma and Allergic Rhinitis Control in Children and Adolescents |
title_full | The Measurement of Asthma and Allergic Rhinitis Control in Children and Adolescents |
title_fullStr | The Measurement of Asthma and Allergic Rhinitis Control in Children and Adolescents |
title_full_unstemmed | The Measurement of Asthma and Allergic Rhinitis Control in Children and Adolescents |
title_short | The Measurement of Asthma and Allergic Rhinitis Control in Children and Adolescents |
title_sort | measurement of asthma and allergic rhinitis control in children and adolescents |
topic | asthma allergic rhinitis control children adolescents |
url | https://www.mdpi.com/2227-9067/7/5/43 |
work_keys_str_mv | AT mariaangelatosca themeasurementofasthmaandallergicrhinitiscontrolinchildrenandadolescents AT paolodelbarba themeasurementofasthmaandallergicrhinitiscontrolinchildrenandadolescents AT amelialicari themeasurementofasthmaandallergicrhinitiscontrolinchildrenandadolescents AT giorgiociprandi themeasurementofasthmaandallergicrhinitiscontrolinchildrenandadolescents AT asthmaandrhinitiscontrolstudygroup themeasurementofasthmaandallergicrhinitiscontrolinchildrenandadolescents AT mariaangelatosca measurementofasthmaandallergicrhinitiscontrolinchildrenandadolescents AT paolodelbarba measurementofasthmaandallergicrhinitiscontrolinchildrenandadolescents AT amelialicari measurementofasthmaandallergicrhinitiscontrolinchildrenandadolescents AT giorgiociprandi measurementofasthmaandallergicrhinitiscontrolinchildrenandadolescents AT asthmaandrhinitiscontrolstudygroup measurementofasthmaandallergicrhinitiscontrolinchildrenandadolescents |