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TOTALL: high cost of allergic rhinitis-a national Swedish population-based questionnaire study.

Cardell, Lars-Olaf; Olsson, Petter; Andersson, Morgan LU ; Welin, Karl-Olof; Svensson, Johanna; Ragnarson Tennvall, Gunnel LU and Hellgren, Johan (2016) In npj Primary Care Respiratory Medicine 26. p.15082-15082
Abstract
Allergic rhinitis is a global illness with a well-recognised impact on quality of life and work performance. Comparatively little is known about the extent of its economic impact on society. The TOTALL study estimates the total cost of allergic rhinitis using a sample representing the entire Swedish population of working age. A questionnaire focused on allergic rhinitis was mailed out to a random population of Swedish residents, aged 18-65 years. Health-care contacts, medications, absenteeism (absence from work) and presenteeism (reduced working capacity at work) were assessed, and the direct and indirect costs of allergic rhinitis were calculated. Medication use was evaluated in relation to the ARIA guidelines. In all, 3,501 of 8,001... (More)
Allergic rhinitis is a global illness with a well-recognised impact on quality of life and work performance. Comparatively little is known about the extent of its economic impact on society. The TOTALL study estimates the total cost of allergic rhinitis using a sample representing the entire Swedish population of working age. A questionnaire focused on allergic rhinitis was mailed out to a random population of Swedish residents, aged 18-65 years. Health-care contacts, medications, absenteeism (absence from work) and presenteeism (reduced working capacity at work) were assessed, and the direct and indirect costs of allergic rhinitis were calculated. Medication use was evaluated in relation to the ARIA guidelines. In all, 3,501 of 8,001 (44%) answered the questionnaire, and 855 (24%) of these reported allergic rhinitis. The mean annual direct and indirect costs because of allergic rhinitis were €210.3 and €750.8, respectively, resulting in a total cost of €961.1 per individual/year. Presenteeism represented 70% of the total cost. Antihistamines appear to be used in excess in relation to topical steroids, and the use of nasal decongestants was alarmingly high. The total cost of allergic rhinitis in Sweden, with a population of 9.5 million, was estimated at €1.3 billion annually. These unexpectedly high costs could be related to the high prevalence of disease, in combination with the previously often underestimated indirect costs. Improved adherence to guidelines might ease the economic burden on society. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
npj Primary Care Respiratory Medicine
volume
26
pages
15082 - 15082
publisher
Nature Publishing Group
external identifiers
  • PMID:26845513
  • Scopus:84957579765
  • WOS:000369423300001
ISSN
2055-1010
DOI
10.1038/npjpcrm.2015.82
language
English
LU publication?
yes
id
05a2a14f-f173-4ecb-a182-860cd35bb324 (old id 8829306)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26845513?dopt=Abstract
date added to LUP
2016-03-01 13:50:41
date last changed
2016-11-06 04:28:09
@misc{05a2a14f-f173-4ecb-a182-860cd35bb324,
  abstract     = {Allergic rhinitis is a global illness with a well-recognised impact on quality of life and work performance. Comparatively little is known about the extent of its economic impact on society. The TOTALL study estimates the total cost of allergic rhinitis using a sample representing the entire Swedish population of working age. A questionnaire focused on allergic rhinitis was mailed out to a random population of Swedish residents, aged 18-65 years. Health-care contacts, medications, absenteeism (absence from work) and presenteeism (reduced working capacity at work) were assessed, and the direct and indirect costs of allergic rhinitis were calculated. Medication use was evaluated in relation to the ARIA guidelines. In all, 3,501 of 8,001 (44%) answered the questionnaire, and 855 (24%) of these reported allergic rhinitis. The mean annual direct and indirect costs because of allergic rhinitis were €210.3 and €750.8, respectively, resulting in a total cost of €961.1 per individual/year. Presenteeism represented 70% of the total cost. Antihistamines appear to be used in excess in relation to topical steroids, and the use of nasal decongestants was alarmingly high. The total cost of allergic rhinitis in Sweden, with a population of 9.5 million, was estimated at €1.3 billion annually. These unexpectedly high costs could be related to the high prevalence of disease, in combination with the previously often underestimated indirect costs. Improved adherence to guidelines might ease the economic burden on society.},
  author       = {Cardell, Lars-Olaf and Olsson, Petter and Andersson, Morgan and Welin, Karl-Olof and Svensson, Johanna and Ragnarson Tennvall, Gunnel and Hellgren, Johan},
  issn         = {2055-1010},
  language     = {eng},
  pages        = {15082--15082},
  publisher    = {ARRAY(0x8f87cb0)},
  series       = {npj Primary Care Respiratory Medicine},
  title        = {TOTALL: high cost of allergic rhinitis-a national Swedish population-based questionnaire study.},
  url          = {http://dx.doi.org/10.1038/npjpcrm.2015.82},
  volume       = {26},
  year         = {2016},
}