英国过敏性鼻炎的负担
Michael Jones1, Hilary Shepherd2, Diane Hatziioanou2
1Clinical Research Group, Thermo Fisher Scientific, Toronto, ON, Canada.
Frontiers in allergy
|November 24, 2025
概括
过敏性鼻炎 (AR) 在诊断后显著增加了英国医疗保健资源的使用,特别是对于需要专业护理的患者. 这凸显了被诊断不足的AR的重大经济影响.
科学领域:
- 卫生经济学 卫生经济学
- 呼吸系统医学 呼吸系统医学
- 临床流行病学 临床流行病学
背景情况:
- 过敏性鼻炎 (AR) 是一种常见的呼吸道疾病,对患者造成重大负担,但其对英国医疗保健系统的影响尚未完全理解.
- 常见的AR经常被诊断不足,可能导致医疗保健资源利用率 (HCRU) 增加.
研究的目的:
- 为了在初级保健中诊断出AR的患者中比较HCRU,与那些二级保健参与者相比.
- 在被诊断为AR患者的不同年龄组分析HCRU.
主要方法:
- 使用英国初级和中等保健数据库 (2009-2019) 进行的回顾性观察研究.
- 定义了AR呈现和AR诊断的队列.
- 仅通过初级保健对二级保健 (过敏科医生/ENT) 的参与对AR诊断患者进行分类.
- 评估HCRU包括专家转诊,全科医生访问,住院和处方.
主要成果:
- 超过330万患者呈现了AR症状;超过677,000人接受了AR诊断.
- 大多数被诊断的患者 (89.3%) 仅在初级保健中接受护理;11.7%的AR患者被转诊给专家.
- 在诊断后,AR患者的GP访问,住院和药物使用增加.
- 参与二级护理的患者通常报告HCRU高于仅在初级护理中诊断的患者.
结论:
- 被诊断为AR的患者对英国医疗保健系统造成了更大的负担.
- 需要对AR进行二次护理后续检查的患者体验到更高的医疗资源利用率.
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