Factors associated with aeroallergen testing among adults with asthma in a large health system.
Asthma
aeroallergen testing
asthma exacerbations
electronic health record
epidemiology
Journal
The journal of allergy and clinical immunology. Global
ISSN: 2772-8293
Titre abrégé: J Allergy Clin Immunol Glob
Pays: United States
ID NLM: 9918453488706676
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
28
04
2023
revised:
22
06
2023
accepted:
01
07
2023
medline:
16
10
2023
pubmed:
16
10
2023
entrez:
16
10
2023
Statut:
epublish
Résumé
Aeroallergen testing informs precision care for adults with asthma, yet the epidemiology of testing in this population remains poorly understood. We sought to identify factors associated with receiving aeroallergen testing, the results of these tests, and subsequent reductions in exacerbation measures among adults with asthma. We used electronic health record data to conduct a retrospective, observational cohort study of 30,775 adults with asthma who had an office visit with a primary care provider or an asthma specialist from January 1, 2017, to August 26, 2022. We used regression models to identify (1) factors associated with receiving any aeroallergen test and tests to 9 allergen categories after the index visit, (2) factors associated with positive test results, and (3) reductions in asthma exacerbation measures in the year after testing compared with before testing. Testing was received by 2201 patients (7.2%). According to multivariable models, receiving testing was associated with having any office visit with an allergy/immunology specialist during the study period (odds ratio [OR] = 91.3 vs primary care only [ Aeroallergen testing was performed infrequently among adults with asthma and was associated with reductions in asthma exacerbation measures.
Sections du résumé
Background
UNASSIGNED
Aeroallergen testing informs precision care for adults with asthma, yet the epidemiology of testing in this population remains poorly understood.
Objective
UNASSIGNED
We sought to identify factors associated with receiving aeroallergen testing, the results of these tests, and subsequent reductions in exacerbation measures among adults with asthma.
Methods
UNASSIGNED
We used electronic health record data to conduct a retrospective, observational cohort study of 30,775 adults with asthma who had an office visit with a primary care provider or an asthma specialist from January 1, 2017, to August 26, 2022. We used regression models to identify (1) factors associated with receiving any aeroallergen test and tests to 9 allergen categories after the index visit, (2) factors associated with positive test results, and (3) reductions in asthma exacerbation measures in the year after testing compared with before testing.
Results
UNASSIGNED
Testing was received by 2201 patients (7.2%). According to multivariable models, receiving testing was associated with having any office visit with an allergy/immunology specialist during the study period (odds ratio [OR] = 91.3 vs primary care only [
Conclusion
UNASSIGNED
Aeroallergen testing was performed infrequently among adults with asthma and was associated with reductions in asthma exacerbation measures.
Identifiants
pubmed: 37841071
doi: 10.1016/j.jacig.2023.100167
pii: S2772-8293(23)00092-9
pmc: PMC10570953
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100167Subventions
Organisme : NIEHS NIH HHS
ID : P30 ES013508
Pays : United States
Organisme : NIEHS NIH HHS
ID : T32 ES019851
Pays : United States
Informations de copyright
© 2023 The Authors.
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