Prioritising patient-centred care in the management of chronic urticaria in Asia-Pacific countries
Issued Date
2024-11-01
Resource Type
eISSN
19394551
Scopus ID
2-s2.0-85207968549
Journal Title
World Allergy Organization Journal
Volume
17
Issue
11
Rights Holder(s)
SCOPUS
Bibliographic Citation
World Allergy Organization Journal Vol.17 No.11 (2024)
Suggested Citation
Tiongco-Recto M., Woo K., Chung W.H., Chua G.T., Godse K., Gabriel M.T., Headley A., Chew Kek I.L., Kulthanan K., Lao-Araya M., Ma L., My L.H., Wananukul S., Nagrale D. Prioritising patient-centred care in the management of chronic urticaria in Asia-Pacific countries. World Allergy Organization Journal Vol.17 No.11 (2024). doi:10.1016/j.waojou.2024.100984 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/101939
Title
Prioritising patient-centred care in the management of chronic urticaria in Asia-Pacific countries
Author's Affiliation
Siriraj Hospital
University of the Philippines Manila
Nanjing University
Faculty of Medicine, Chiang Mai University
Concord Repatriation General Hospital
King Chulalongkorn Memorial Hospital
The University of Hong Kong
Dr. D.Y. Patil Medical College, Navi Mumbai
Laboratory of Human Diseases
Clinical Research Center
Menarini Asia Pacific Holdings Pte Ltd
Research Institute for Tropical Medicine
Sunway Medical Centre Velocity
Gleneagles Hospital
Union Hospital
University of the Philippines Manila
Nanjing University
Faculty of Medicine, Chiang Mai University
Concord Repatriation General Hospital
King Chulalongkorn Memorial Hospital
The University of Hong Kong
Dr. D.Y. Patil Medical College, Navi Mumbai
Laboratory of Human Diseases
Clinical Research Center
Menarini Asia Pacific Holdings Pte Ltd
Research Institute for Tropical Medicine
Sunway Medical Centre Velocity
Gleneagles Hospital
Union Hospital
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: Chronic urticaria (CU), in both inducible and spontaneous forms, is associated with a substantial burden in the Asia-Pacific region (APAC). Patient-centred care recognises patients desire to be involved in decisions regarding their health. Although patient-centred approaches have previously not been studied in the context of CU management, they have demonstrated benefits in the management of other chronic conditions. Methods: Information and opinions regarding the barriers and solutions to the implementation of patient-centred approaches to the management of CU were gathered from a group of 13 expert dermatologists and allergist/immunologists from APAC through surveys and a face-to-face meeting. Results: Barriers identified there included a lack of awareness of CU amongst patients, delays in consulting healthcare providers, financial constraints, and low adherence. Particular issues raised included a lack of suitable online information for patients (83% of experts), and patients accessing oral corticosteroids without a prescription. Compliance issues were also identified as key reasons for inadequate responses to treatments (67% of experts). Solutions proposed by the authors were improving patients' knowledge about their condition (92% strongly agree, 8% agree), physicians’ consideration of patient characteristics when choosing treatments (92% strongly agree, 8% agree), implementing shared decision-making (85% strongly agree, 15% agree), and using patient-reported outcome measures (70% strongly agree, 23% agree). Conclusion: Expert opinion within APAC supports the use of patient-centred approaches to improve the management of CU. We provide several recommendations focusing on patient education and involvement in disease management as well as disease monitoring methods that can be implemented by physicians in APAC.