Abstract | BACKGROUND: Worldwide, more than 400 million individuals have allergic rhinitis, which has a significant impact on the individual's general health. Most patients self-medicate with over-the-counter drugs, but severe cases need treatment with topical corticosteroids and/or immunotherapy (SCIT). Although the ARIA guidelines discourage the use of systemic corticosteroids, this treatment is often used by general practitioners. AIMS: METHODS: A retrospective study based on Danish National Registry databases 1995-2009. Steroid use was defined as a minimum of one steroid injection during April-July for at least three consecutive years. SCIT treatment against grass (Phleum pratense), birch (Betula verrucosa) or both was included. RESULTS: Overall, 39 173 individuals were treated with either SCIT or steroids; 93.1% received only steroids, and 6.9% received SCIT and/or steroids. The steroid-to-SCIT ratio was 14 : 1 (P < 0.0001). The mean annual steroid injections were 1.6 in the steroid-only group and 1.0 in the SCIT group (P < 0.0001). Of the SCIT-treated individuals, 84% did not need steroids after SCIT treatment (P < 0.0001). The hazard ratios of receiving steroids after SCIT against grass, birch or both were 0.65, 0.83 and 0.72, respectively (P < 0.0001), when compared with the steroids-only group. The maximum hazard reduction was obtained if patients responded well to SCIT treatment after one to 3 years. CONCLUSIONS:
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Authors | K Aasbjerg, C Torp-Pedersen, V Backer |
Journal | Allergy
(Allergy)
Vol. 67
Issue 11
Pg. 1423-9
(Nov 2012)
ISSN: 1398-9995 [Electronic] Denmark |
PMID | 22984787
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2012 John Wiley & Sons A/S. |
Chemical References |
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Topics |
- Adrenal Cortex Hormones
(therapeutic use)
- Desensitization, Immunologic
- Female
- Humans
- Male
- Retrospective Studies
- Rhinitis, Allergic
- Rhinitis, Allergic, Perennial
(therapy)
- Time Factors
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