Abstract

Objective

The aim of this study was to investigate the time use and both direct and indirect costs associated with subcutaneous immunotherapy (SCIT) for adults with allergic rhinitis (AR) and caregivers of children with AR in the US.

Methods

We conducted a survey to assess the retrospective time use and direct costs of SCIT. The populations surveyed included adults and caregivers of children (aged 5–17) with symptomatic AR of moderate or higher severity who are currently receiving or have previously started allergy immunotherapy (AIT). The retrospectively collected, self-reported time consumption and direct costs per clinic visit when receiving SCIT were assessed as well as the productivity loss associated with SCIT. Data were analyzed using univariate descriptive statistics.

Results

The study included 106 adults with AR and 191 caregivers of children with AR. We found that the median time spent per visit to the clinic was 50 min for both groups, including travel time and time at the clinic. The direct costs related to each visit included parking fees, road tolls and other costs. Adults spent $10 on parking, $9 on tolls and $10 on other costs. Finally, a median of 4 h of work was missed for both the adult patients and the adults accompanying a child.

Conclusions

We found that SCIT is associated with substantial direct patient costs and productivity loss for both adults with AR and caregivers of children with AR.

中文翻译：

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皮下免疫治疗比在诊所花费的时间更长

摘要

客观的

本研究的目的是调查与美国过敏性鼻炎 (AR) 成人和 AR 儿童的照顾者皮下免疫治疗 (SCIT) 相关的时间使用以及直接和间接费用。

方法

我们进行了一项调查，以评估 SCIT 的追溯时间使用和直接成本。接受调查的人群包括成人和儿童（5-17 岁）的照顾者，他们目前正在接受或之前已经开始过敏免疫疗法 (AIT) 的中度或更高严重程度的症状性 AR。对接受 SCIT 时回溯收集、自我报告的时间消耗和每次诊所访问的直接成本以及与 SCIT 相关的生产力损失进行了评估。使用单变量描述性统计分析数据。

结果

该研究包括 106 名 AR 成人和 191 名 AR 儿童的照顾者。我们发现两组患者每次就诊的平均时间为 50 分钟，包括旅行时间和在诊所的时间。与每次访问相关的直接费用包括停车费、道路通行费和其他费用。成人在停车上花费 10 美元，在通行费上花费 9 美元，在其他费用上花费 10 美元。最后，成年患者和陪伴儿童的成年人平均错过了 4 小时的工作。

结论

我们发现 SCIT 与 AR 成人和 AR 儿童看护者的大量直接患者成本和生产力损失相关。