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...

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Main Authors: Maria Angela Tosca, Paolo Del Barba, Amelia Licari, Giorgio Ciprandi, Asthma and Rhinitis Control Study Group
Format: Article
Language:English
Published: MDPI AG 2020-05-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/7/5/43
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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.
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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
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