Paediatric allergic rhinitis: Healthcare utilisation and hidden costs
Author(s)
Bosnic-Anticevich, Sinthia
Smith, Peter
Price, David
Abramson, Michael J
Hespe, Charlotte
Stosic, Rodney
Griffith University Author(s)
Year published
2019
Metadata
Show full item recordAbstract
To better understand the healthcare costs associated with paediatric allergic rhinitis (AR), this non‐interventional, national on‐line study surveyed 1541 adults using a custom‐designed questionnaire. Participants were divided into two groups, those caring for children with AR (cases, n = 1040) or children with no AR (controls, n = 501), based on a screening questionnaire. Logistic regression modelling was used to explore relationships, multi‐level associations and interactions. Parental AR was associated with significantly increased odds of AR in their offspring (odds ratio 5.48; 95%CI 4.20, 7.14) and there were significant ...
View more >To better understand the healthcare costs associated with paediatric allergic rhinitis (AR), this non‐interventional, national on‐line study surveyed 1541 adults using a custom‐designed questionnaire. Participants were divided into two groups, those caring for children with AR (cases, n = 1040) or children with no AR (controls, n = 501), based on a screening questionnaire. Logistic regression modelling was used to explore relationships, multi‐level associations and interactions. Parental AR was associated with significantly increased odds of AR in their offspring (odds ratio 5.48; 95%CI 4.20, 7.14) and there were significant relationships between AR and asthma, sinusitis, cough and urticaria. The prevalence of ear, nose and throat procedures was higher in AR children than in controls (45.9% vs 15.2%, p < 0.05). Visits to the doctor were more frequent in AR children than controls (mean 3.4 vs 1.6/year, p < 0.001). The frequency of doctor visits was highest in children with poorly controlled AR (mean 3.9 visits/year) and in children with moderate–severe AR (mean 3.8 visits/year). In children with AR, cough was the most frequently stated reason for doctor visits (Table). Parents whose children had poor symptom control took the most time off work due to their child having sick days (median (interquartile range, IQR) 3.0 (3.0) days/year), followed by those whose children had moderate–severe symptoms (median 3.0 (IQR 4.0) days/year), and those who were currently being treated (median 2.0 (IQR 5.0) days/year). Parents whose children were not treating their AR (median 1.0 (IQR 3.0) days/year) or whose children did not have AR (median 0 (IQR 2.0) days/year) took the least amount of time off work. Increased healthcare utilisation is an important, yet hidden burden of paediatric AR. These findings highlight the considerable time expended by families of children with AR, drawing attention to the need for early recognition and establishment of appropriate management protocols
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View more >To better understand the healthcare costs associated with paediatric allergic rhinitis (AR), this non‐interventional, national on‐line study surveyed 1541 adults using a custom‐designed questionnaire. Participants were divided into two groups, those caring for children with AR (cases, n = 1040) or children with no AR (controls, n = 501), based on a screening questionnaire. Logistic regression modelling was used to explore relationships, multi‐level associations and interactions. Parental AR was associated with significantly increased odds of AR in their offspring (odds ratio 5.48; 95%CI 4.20, 7.14) and there were significant relationships between AR and asthma, sinusitis, cough and urticaria. The prevalence of ear, nose and throat procedures was higher in AR children than in controls (45.9% vs 15.2%, p < 0.05). Visits to the doctor were more frequent in AR children than controls (mean 3.4 vs 1.6/year, p < 0.001). The frequency of doctor visits was highest in children with poorly controlled AR (mean 3.9 visits/year) and in children with moderate–severe AR (mean 3.8 visits/year). In children with AR, cough was the most frequently stated reason for doctor visits (Table). Parents whose children had poor symptom control took the most time off work due to their child having sick days (median (interquartile range, IQR) 3.0 (3.0) days/year), followed by those whose children had moderate–severe symptoms (median 3.0 (IQR 4.0) days/year), and those who were currently being treated (median 2.0 (IQR 5.0) days/year). Parents whose children were not treating their AR (median 1.0 (IQR 3.0) days/year) or whose children did not have AR (median 0 (IQR 2.0) days/year) took the least amount of time off work. Increased healthcare utilisation is an important, yet hidden burden of paediatric AR. These findings highlight the considerable time expended by families of children with AR, drawing attention to the need for early recognition and establishment of appropriate management protocols
View less >
Conference Title
Internal Medicine Journal
Volume
49
Issue
S4
Subject
Cardiovascular medicine and haematology
Clinical sciences
Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine