A2 Refereed review article in a scientific journal
Daily allergic multimorbidity in rhinitis using mobile technology: A novel concept of the MASK study
Authors: J. Bousquet, P. Devillier, J. M. Anto, M. Bewick, T. Haahtela, S. Arnavielhe, A. Bedbrook, R. Murray, M. van Eerd, J. A. Fonseca, M. Morais Almeida, A. Todo Bom, E. Menditto, G. Passalacqua, C. Stellato, M. Triggiani, M. T. Ventura, G. Vezzani, I. Annesi‐Maesano, R. Bourret, I. Bosse, D. Caimmi, C. Cartier, P. Demoly, J. Just, F. Portejoie, V. Siroux, F. Viart, K. C. Bergmann, T. Keil, L. Klimek, R. Mösges, O. Pfaar, S. Shamai, T. Zuberbier, J. Mullol, A. Valero, O. Spranger, P. V. Tomazic, M. L. Kowalski, P. Kuna, M. Kupczyk, F. Raciborski, B. Samolinski, S. K. Toppila‐Salmi, E. Valovirta, A. A. Cruz, F. Sarquis‐Serpa, J. da Silva, R. Stelmach, D. Larenas‐Linnemann, M. Rodriguez Gonzalez, M. T. Burguete Cabañas, V. Kvedariene, A. Valiulis, N. H. Chavannes, W. J. Fokkens, D. Ryan, A. Sheikh, C. Bachert, P. W. Hellings, O. VandenPlas, N. Ballardini, I. Kull, E. Melén, M. Westman, M. Wickman, C. Bindslev‐Jensen, E. Eller, S. Bosnic‐Anticevich, R. E. O'Hehir, I. Agache, T. Bieber, T. Casale, B. Gemicioğlu, J. C. Ivancevich, G. De Vries, M. Sorensen, A. Yorgancioglu, D. Laune
Publisher: WILEY
Publication year: 2018
Journal: Allergy
Journal name in source: ALLERGY
Journal acronym: ALLERGY
Volume: 73
Issue: 8
First page : 1622
Last page: 1631
Number of pages: 10
ISSN: 0105-4538
eISSN: 1398-9995
DOI: https://doi.org/10.1111/all.13448
Background: Multimorbidity in allergic airway diseases is well known, but no data exist about the daily dynamics of symptoms and their impact on work. To better understand this, we aimed to assess the presence and control of daily allergic multimorbidity (asthma, conjunctivitis, rhinitis) and its impact on work productivity using a mobile technology, the Allergy Diary.
Methods: We undertook a 1-year prospective observational study in which 4 210 users and 32585days were monitored in 19 countries. Five visual analogue scales (VAS) assessed the daily burden of the disease (i.e., global evaluation, nose, eyes, asthma and work). Visual analogue scale levels <20/100 were categorized as "Low" burden and VAS levels 50/100 as "High" burden.
Results: Visual analogue scales global measured levels assessing the global control of the allergic disease were significantly associated with allergic multimorbidity. Eight hypothesis-driven patterns were defined based on "Low" and "High" VAS levels. There were <0.2% days of Rhinitis Low and Asthma High or Conjunctivitis High patterns. There were 5.9% days with a Rhinitis HighAsthma Low pattern. There were 1.7% days with a Rhinitis HighAsthma HighConjunctivitis Lowpattern. A novel Rhinitis HighAsthma HighConjunctivitis High pattern was identified in 2.9% days and had the greatest impact on uncontrolled VAS global measured and impaired work productivity. Work productivity was significantly correlated with VAS global measured levels.
Conclusions: In a novel approach examining daily symptoms with mobile technology, we found considerable intra-individual variability of allergic multimorbidity including a previously unrecognized extreme pattern of uncontrolled multimorbidity.
