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Prevalence of asthma, aspirin sensitivity and allergy in chronic rhinosinusitis: data from the UK National Chronic Rhinosinusitis Epidemiology Study.

Philpott, Carl M and Erskine, Sally and Hopkins, Claire and Kumar, Nirmal and Anari, Shahram and Kara, Naveed and Sunkaraneni, Sankalp and Ray, Jaydip and Clark, Allan and Wilson, Andrew and Erskine, Sally and Philpott, Carl and Clark, Allan and Hopkins, Claire and Robertson, Alasdair and Ahmed, Shahzada and Kara, Naveed and Carrie, Sean and Sunkaraneni, Vishnu and Ray, Jaydip and Anari, Shahram and Jervis, Paul and Panesaar, Jaan and Farboud, Amir and Kumar, Nirmal and Cathcart, Russell and Almeyda, Robert and Khalil, Hisham and Prinsley, Peter and Mansell, Nicolas and Salam, Mahmoud and Hobson, Jonathan and Woods, Jane and Coombes, Emma (2018) Prevalence of asthma, aspirin sensitivity and allergy in chronic rhinosinusitis: data from the UK National Chronic Rhinosinusitis Epidemiology Study. Respiratory research, 19 (1). p. 129. ISSN 1465-993X.

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Abstract

BACKGROUND

Chronic rhinosinusitis (CRS) is a common disorder associated with other respiratory tract diseases such as asthma and inhalant allergy. However, the prevalence of these co-morbidities varies considerably in the existing medical literature and by phenotype of CRS studied. The study objective was to identify the prevalence of asthma, inhalant allergy and aspirin sensitivity in CRS patients referred to secondary care and establish any differences between CRS phenotypes.

METHODS

All participants were diagnosed in secondary care according to international guidelines and invited to complete a questionnaire including details of co-morbidities and allergies. Data were analysed for differences between controls and CRS participants and between phenotypes using chi-squared tests.

RESULTS

The final analysis included 1470 study participants: 221 controls, 553 CRS without nasal polyps (CRSsNPs), 651 CRS with nasal polyps (CRSwNPs) and 45 allergic fungal rhinosinusitis (AFRS). The prevalence of asthma was 9.95, 21.16, 46.9 and 73.3% respectively. The prevalence of self-reported confirmed inhalant allergy was 13.1, 20.3, 31.0 and 33.3% respectively; house dust mite allergy was significantly higher in CRSwNPs (16%) compared to CRSsNPs (9%, p < 0.001). The prevalence of self- reported aspirin sensitivity was 2.26, 3.25, 9.61 and 40% respectively. The odds ratio for aspirin sensitivity amongst those with AFRS was 28.8 (CIs 9.9, 83.8) p < 0.001.

CONCLUSIONS

The prevalence of asthma and allergy in CRS varies by phenoytype, with CRSwNPs and AFRS having a stronger association with both. Aspirin sensitivity has a highly significant association with AFRS. All of these comorbidities are significantly more prevalent than in non-CRS controls and strengthen the need for a more individualised approach to the combined airway.

Item Type: Article
Subjects: WF Respiratory system. Respiratory medicine
Divisions: Planned IP Care > Respiratory Medicine
Related URLs:
Depositing User: Mr Philip O'Reilly
Date Deposited: 06 Jul 2018 10:15
Last Modified: 06 Jul 2018 10:15
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1683

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