Patients' values and preferences for health states in allergic rhinitis-An artificial intelligence supported systematic review

Autores da FMUP

• Bernardo Manuel De Sousa Pinto

  Autor

• Rafael José Monteiro Da Silva Vieira

  Autor

Participantes de fora da FMUP

• Brozek, J
• Borowiack, E
• Sadowska, E
• Nowak, A
• Bognanni, A
• Nu?ez, JJY
• Zhang, Y
• Zuberbier, T
• Bousquet, J
• Schuenemann, HJ

Unidades de investigação

• Laboratório Associado RISE- Rede de Investigação em Saúde

  

  Investigador

  Fernando Carlos De Landér Schmitt

• Medicina da Comunidade, Informação e Decisão em Saúde

• RISE-Health

  

  Investigador

  Fernando Carlos De Landér Schmitt

Abstract

BackgroundAllergic rhinitis (AR) impacts patients physical and emotional well-being. Assessing patients values and preferences (VP) related to AR is an essential part of patient-centered care and of the guideline development process. We aimed to systematically summarize the information about patients VP on AR and its symptoms and impact on daily life.MethodsWe conducted systematic review in a MEDLINE, Embase, PsychInfo, and CINAHL databases. We included studies which quantitatively assessed patients VP for specific outcomes in AR by assessing utilities, applying discrete choice approaches, or rating and ranking outcomes. We grouped outcomes as AR symptoms, functional status, and care-related patient experience. Study selection and data extraction were supported by the Laser AI tool. We rated the certainty of evidence (CoE) using the GRADE approach.ResultsThirty-six studies (41 records) were included: nine utility studies, seven direct-choice studies and 21 studies of rating or ranking outcomes. Utilities were lower with increased AR severity and with the concomitant presence of asthma, but not with whether AR was seasonal or perennial (CoE = low-high). Patients rated AR symptom-related outcomes as more important than those related to care-related patient experience and functional status (CoE = very low-moderate). Nasal symptoms (mainly nasal congestion) followed by breathing disorders, general and ocular symptoms were rated as the symptoms with the highest impact.ConclusionsThis systematic review provides a comprehensive overview of VP of patients with AR. Patients generally considered nasal symptoms as the most important. Future studies with standardized methods are needed to provide more information on VP in AR.

Keywords

• allergic rhinitis; health states; systematic review; utility; values and preferences