Complexity of case mix in a regional allergy service.

BMC Research Notes
Edward R KaminskiRay B Jones

Abstract

Currently in the United Kingdom (UK), there is a mismatch between limited financial resources and the large proportion of patients with suspected allergies actually being referred to specialist allergy clinics. To better understand the case mix of patients being referred, we audited referrals to a regional allergy service over an 8 year period.The main source of data was consultant letters to General Practitioners (GP) summarising the diagnosis of patients, archived from January 2002 to September 2009. Letters were reviewed, extracting the clinic date, doctor seen, gender, date of birth, postcode, GP, and diagnoses. Diagnoses were classified into seven groups and illustrative cases for each group noted. Data from 2,028 new referrals with suspected allergy were analysed. The largest group of patients (43%) were diagnosed with a type I hypersensitivity. The other diagnostic groups were chronic idiopathic (spontaneous) urticaria (35%), suspected type I hypersensitivity but no allergen identified (8%), idiopathic (spontaneous) angioedema (8%), physical urticaria (2.5%), non-allergic symptoms (1.6%), type IV hypersensitivity (0.8%) and ACE inhibitor sensitivity (0.5%). Two thirds of patients seen were female with a higher percentage...Continue Reading

References

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Nov 17, 2008·Psychology & Health·Man Cheung ChungEdward R Kaminski
Dec 31, 2010·BMC Public Health·Ray B JonesEdward R Kaminski

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Citations

Apr 1, 2014·The World Allergy Organization Journal·Giorgio Walter CanonicaOsman Yusuf
Jun 7, 2018·Clinical and Translational Allergy·Bertine M J Flokstra-de BlokAnthony E J Dubois

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