000 03112cam a2200361 4500500
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041 _afre
042 _adc
100 1 0 _aGiordano-Labadie, Françoise
_eauthor
700 1 0 _a Bécherel, Pierre-André
_eauthor
700 1 0 _a Pralong, Pauline
_eauthor
700 1 0 _a Outtas, Omar
_eauthor
700 1 0 _a Ruer-Mulard, Mireille
_eauthor
700 1 0 _a Berard, Frédéric
_eauthor
700 1 0 _a Greco, Matthieu
_eauthor
700 1 0 _a Lacour, Jean-Philippe
_eauthor
700 1 0 _a Debons-Peyroutet, Michèle
_eauthor
700 1 0 _a Pelvet, Berengère
_eauthor
700 1 0 _a Lamirand, Audrey
_eauthor
700 1 0 _a Guillet, Gérard
_eauthor
245 0 0 _aImprovement of patient outcomes following therapeutic optimization of chronic urticaria: two-year data from France as part of the international real-life AWARE study
260 _c2021.
500 _a95
520 _aBackground: It is important to assess the burden of chronic urticaria (CU) with real-life studies. The AWARE study was performed in 36 countries over two years in CU patients resistant to H1-antihistamines. Objectives. To correlate patient-reported outcomes and available therapeutic options in CU patients. Materials & Methods: The AWARE study was a prospective, non-interventional, international study that included adult patients who have had H1-antihistamine-resistant CU for at least two months. The primary endpoints were the evolution of disease activity (UAS7), urticaria control (UCT), dermatological quality of life (DLQI) and treatment satisfaction (visual analogic scale) during a two-year follow-up. The data from French centres are reported. Results: Ninety-two patients were included (mean age: 47.8 years; women: 70.7%; mean disease duration: 6.5 years; angioedema: 34.1%). The percentage of patients with CU treatment increased from 56.5% at inclusion to 86.0% after two years (for patients with non-sedative H1-antihistamines from 52.2% to 74.4%, and omalizumab from 2.2% to 25.6%). During the follow-up, the percentage of patients with UAS7 score <6 increased from 12.5% to 60.9%, and patients with well-controlled CU (UCT score >12) increased from 11.1% to 62.2%. The negative impact on quality of life (DLQI >10) decreased from 34.1% to 10.5%. The mean score of patient satisfaction for treatment increased from 4.6 to 7.6. Conclusion: The management of CU patients resistant to H1-antihistamines was not optimal at inclusion with uncontrolled disease, impaired quality of life and insufficient treatment. After a two-year follow-up, disease symptoms and quality of life improved, but the therapeutic management could be further optimized.
690 _aangioedema
690 _aH1-antihistamines
690 _aquality of life
690 _achronic inducible urticaria
690 _achronic spontaneous urticaria
690 _aomalizumab
786 0 _nEuropean Journal of Dermatology | 31 | 2 | 2021-03-01 | p. 217-224 | 1167-1122
856 4 1 _uhttps://shs.cairn.info/revue-european-journal-of-dermatology-2021-2-page-217?lang=en&redirect-ssocas=7080
999 _c603243
_d603243