%0 Journal Article
%T Rhinitis Control and Medication Use in a Real-World Sample of Patients With Persistent Rhinitis or Rhinosinusitis: A Community Pharmacy Study.
%A Scheire S
%A Germonpré S
%A Mehuys E
%A Van Tongelen I
%A De Sutter A
%A Steurbaut S
%A Van Hees T
%A Demarche S
%A Lahousse L
%A Gevaert P
%A Boussery K
%J J Allergy Clin Immunol Pract
%V 12
%N 7
%D 2024 Jul 25
%M 38677586
暂无%R 10.1016/j.jaip.2024.04.031
%X <B>BACKGROUND: </B>Little is known about rhinitis control in real-life, nor about the contribution of treatment-related and patient-related factors.<BR><B>OBJECTIVE: </B>This study aimed to examine the level of rhinitis control and rhinitis medication utilization in patients with persistent rhinitis and to identify predictors of rhinitis control.<BR><B>METHODS: </B>A cross-sectional observational study was conducted in patients with persistent rhinitis recruited in community pharmacies. Participants completed the Rhinitis Control Assessment Test, a questionnaire on patient/rhinitis characteristics, and rhinitis medication use. A visual analog scale for nasal symptoms was also completed. Pharmacy dispensing data were used to calculate adherence to intranasal glucocorticoids. Nasal spray technique was evaluated using a standardized checklist. Predictors of rhinitis control were explored using a linear regression model.<BR><B>RESULTS: </B>A total of 1,514 patients, recruited in 215 pharmacies, participated in the study (mean age 48.7 y, 62% female). Almost 60% exhibited suboptimal rhinitis control (Rhinitis Control Assessment Test ≤ 21 of 30). A 50-mm cut-off on the visual analog scale yielded 78.1% sensitivity to identify suboptimal rhinitis control. Participants most frequently used intranasal glucocorticoids (55.6%) and intranasal decongestants (47.4%). Only 10.3% of current nasal spray users demonstrated perfect technique. More than half (54.8%) of glucocorticoid users were identified as underadherent. Female sex, self-reported nasal hyperreactivity, active asthma, and use of oral/intranasal decongestants or nasal saline were identified as predictors of worse rhinitis control.<BR><B>CONCLUSIONS: </B>Suboptimal rhinitis control was common in this real-life sample of persistent rhinitis patients. Improving use of rhinitis medication may be key to increase disease control.