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Published in: BMC Dermatology 1/2012

Open Access 01-12-2012 | Study protocol

The hereditary angioedema burden of illness study in Europe (HAE-BOIS-Europe): background and methodology

Authors: Anette Bygum, Emel Aygören-Pürsün, Teresa Caballero, Kathleen Beusterien, Shadi Gholizadeh, Patience Musingarimi, Suzanne Wait, Henrik Boysen

Published in: BMC Dermatology | Issue 1/2012

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Abstract

Background

Hereditary angioedema (HAE) is a rare but serious disease marked by swelling attacks in the extremities, face, trunk, airway, or abdominal areas that can be spontaneous or the result of trauma and other triggers. It can be life-threatening due to the risk of asphyxiation. While there have been major advancements in our understanding of the immunogenetics of HAE, there are significant gaps in the literature regarding understanding of the humanistic and economic impact of the disease, particularly in Europe. The purpose of the HAE Burden of Illness Study-Europe (HAE-BOIS-Europe), the development and methodology of which is described here, is to better understand the management and impact of HAE from the patient perspective in Europe.

Methods/Design

This is a cross-sectional study in which retrospective data were also collected being conducted in Denmark, Germany and Spain. The study is open to patients ages 12 and older with a diagnosis of HAE-I or HAE-II. Data collection includes: (i) a survey on individuals’ health care resource use, direct and indirect medical costs, impact on work and school, treatment satisfaction, and emotional functioning (via the Hospital Anxiety and Depression Scale); and (ii) one-on-one interviews to collect detailed descriptive data and patient testimonials on the impact of HAE on patients’ health-related quality of life.

Discussion

The present manuscript describes the development and plans for implementing a multi-country European study with the aim of characterizing the humanistic and economic burden of HAE from the patient perspective. This study will help raise awareness of HAE as a rare but debilitating condition with wide-ranging impacts.
Appendix
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Literature
1.
go back to reference Frank MM, Gelfand JA, Atkinson JP: Hereditary angioedema: The clinical syndrome and its management. Ann Intern Med 1976, 84: 580–593.CrossRefPubMed Frank MM, Gelfand JA, Atkinson JP: Hereditary angioedema: The clinical syndrome and its management. Ann Intern Med 1976, 84: 580–593.CrossRefPubMed
2.
go back to reference Cicardi M, Bergamaschini L, Cugno M, Beretta A, Zingale LC, Colombo M, Agostoni A: Pathogenetic and clinical aspects of C1 inhibitor deficiency. Immunobiol 1998, 199: 366–376. 10.1016/S0171-2985(98)80041-7CrossRef Cicardi M, Bergamaschini L, Cugno M, Beretta A, Zingale LC, Colombo M, Agostoni A: Pathogenetic and clinical aspects of C1 inhibitor deficiency. Immunobiol 1998, 199: 366–376. 10.1016/S0171-2985(98)80041-7CrossRef
3.
go back to reference Bork K, Ressel N: Sudden upper airway obstruction in patients with hereditary angioedema. Transfus Apher Sci 2003, 29: 235–238. 10.1016/j.transci.2003.08.007CrossRefPubMed Bork K, Ressel N: Sudden upper airway obstruction in patients with hereditary angioedema. Transfus Apher Sci 2003, 29: 235–238. 10.1016/j.transci.2003.08.007CrossRefPubMed
4.
go back to reference Bork K, Meg G, Staubach P, Hardt J: Hereditary angioedema: New findings concerning symptoms, affected organs, and course. Am J Med 2006, 119: 267–274. 10.1016/j.amjmed.2005.09.064CrossRefPubMed Bork K, Meg G, Staubach P, Hardt J: Hereditary angioedema: New findings concerning symptoms, affected organs, and course. Am J Med 2006, 119: 267–274. 10.1016/j.amjmed.2005.09.064CrossRefPubMed
5.
6.
go back to reference Nzeako UC, Frigas E, Tremaine WJ: Hereditary angioedema: A broad review for clinicians. Arch Intern Med 2001, 161: 2417–2429. 10.1001/archinte.161.20.2417CrossRefPubMed Nzeako UC, Frigas E, Tremaine WJ: Hereditary angioedema: A broad review for clinicians. Arch Intern Med 2001, 161: 2417–2429. 10.1001/archinte.161.20.2417CrossRefPubMed
7.
go back to reference Bygum A: Hereditary angio-oedema in Denmark: a nationwide survey. Br J Dermatol 2009, 161: 1153–1158. 10.1111/j.1365-2133.2009.09366.xCrossRefPubMed Bygum A: Hereditary angio-oedema in Denmark: a nationwide survey. Br J Dermatol 2009, 161: 1153–1158. 10.1111/j.1365-2133.2009.09366.xCrossRefPubMed
8.
go back to reference Agostoni A, Aygören-Pürsün E, Binkley KE, Blanch A, Bork K, Bouillet L, Bucher C, Castaldo AJ, Cicardi M, Davis AE, De Carolis C, Drouet C, Duponchel C, Farkas H, Fáy K, Fekete B, Fischer B, Fontana L, Füst G, Giacomelli R, Gröner A, Hack CE, Harmat G, Jakenfelds J, Juers M, Kalmár L, Kaposi PN, Karádi I, Kitzinger A, Kollár T, Kreuz W, Lakatos P, Longhurst HJ, Lopez-Trascasa M, Martinez-Saguer I, Monnier N, Nagy I, Németh E, Nielsen EW, Nuijens JH, O’grady C, Pappalardo E, Penna V, Perricone C, Perricone R, Rauch U, Roche O, Rusicke E, Späth PJ, Szendei G, Takács E, Tordai A, Truedsson L, Varga L, Visy B, Williams K, Zanichelli A, Zingale L: Hereditary and acquired angioedema: problems and progress: proceedings of the third C1 esterase inhibitor deficiency workshop and beyond. J Allergy Clin Immunol 2004,114(3 Suppl):S51-S131.CrossRefPubMed Agostoni A, Aygören-Pürsün E, Binkley KE, Blanch A, Bork K, Bouillet L, Bucher C, Castaldo AJ, Cicardi M, Davis AE, De Carolis C, Drouet C, Duponchel C, Farkas H, Fáy K, Fekete B, Fischer B, Fontana L, Füst G, Giacomelli R, Gröner A, Hack CE, Harmat G, Jakenfelds J, Juers M, Kalmár L, Kaposi PN, Karádi I, Kitzinger A, Kollár T, Kreuz W, Lakatos P, Longhurst HJ, Lopez-Trascasa M, Martinez-Saguer I, Monnier N, Nagy I, Németh E, Nielsen EW, Nuijens JH, O’grady C, Pappalardo E, Penna V, Perricone C, Perricone R, Rauch U, Roche O, Rusicke E, Späth PJ, Szendei G, Takács E, Tordai A, Truedsson L, Varga L, Visy B, Williams K, Zanichelli A, Zingale L: Hereditary and acquired angioedema: problems and progress: proceedings of the third C1 esterase inhibitor deficiency workshop and beyond. J Allergy Clin Immunol 2004,114(3 Suppl):S51-S131.CrossRefPubMed
9.
go back to reference Roche O, Blanch A, Caballero T, Sastre N, Callejo D, López-Trascasa M: Hereditary angioedema due to C1 inhibitor deficiency: patient registry and approach to the prevalence in Spain. Ann Allergy Asthma Immunol 2005,94(4):498–503. 10.1016/S1081-1206(10)61121-0CrossRefPubMed Roche O, Blanch A, Caballero T, Sastre N, Callejo D, López-Trascasa M: Hereditary angioedema due to C1 inhibitor deficiency: patient registry and approach to the prevalence in Spain. Ann Allergy Asthma Immunol 2005,94(4):498–503. 10.1016/S1081-1206(10)61121-0CrossRefPubMed
10.
go back to reference Bowen T, Cicardi M, Farkas H, Bork K, Longhurst HJ, Zuraw B, Aygoeren-Pürsün E, Craig T, Binkley K, Hebert J, Ritchie B, Bouillet L, Betschel S, Cogar D, Dean J, Devaraj R, Hamed A, Kamra P, Keith PK, Lacuesta G, Leith E, Lyons H, Mace S, Mako B, Neurath D, Poon MC, Rivard GE, Schellenberg R, Rowan D, Rowe A, Stark D, Sur S, Tsai E, Warrington R, Waserman S, Ameratunga R, Bernstein J, Björkander J, Brosz K, Brosz J, Bygum A, Caballero T, Frank M, Füst G, Harmat G, Kanani A, Kreuz W, Levi M, Li H, Martinez-Saguer I, Moldovan D, Nagy I, Nielsen EW, Nordenfelt P, Rashef A, Rusicke E, Smith-Foltz S, Späth P, Varga L, Xiang ZY: 2010 International consensus algorithm for the diagnosis, therapy and management of hereditary angioedema. Allergy Asthma Clin Immunol 2010, 6: 24. 10.1186/1710-1492-6-24CrossRefPubMedPubMedCentral Bowen T, Cicardi M, Farkas H, Bork K, Longhurst HJ, Zuraw B, Aygoeren-Pürsün E, Craig T, Binkley K, Hebert J, Ritchie B, Bouillet L, Betschel S, Cogar D, Dean J, Devaraj R, Hamed A, Kamra P, Keith PK, Lacuesta G, Leith E, Lyons H, Mace S, Mako B, Neurath D, Poon MC, Rivard GE, Schellenberg R, Rowan D, Rowe A, Stark D, Sur S, Tsai E, Warrington R, Waserman S, Ameratunga R, Bernstein J, Björkander J, Brosz K, Brosz J, Bygum A, Caballero T, Frank M, Füst G, Harmat G, Kanani A, Kreuz W, Levi M, Li H, Martinez-Saguer I, Moldovan D, Nagy I, Nielsen EW, Nordenfelt P, Rashef A, Rusicke E, Smith-Foltz S, Späth P, Varga L, Xiang ZY: 2010 International consensus algorithm for the diagnosis, therapy and management of hereditary angioedema. Allergy Asthma Clin Immunol 2010, 6: 24. 10.1186/1710-1492-6-24CrossRefPubMedPubMedCentral
11.
go back to reference Gower RG, Busse PJ, Aygoren-Pursun E, Barakat A, Caballero T, Davis-Lorton M, Farkas H, Hurewitz D, Jacobs J, Johnston D, Lumry W, Maurer M: Hereditary angioedema caused by C1-esterase inhibitor deficiency: A literature-based analysis and clinical commentary on prophylaxis treatment strategies. WAO Journal 2011, 4: S9-S21.PubMedPubMedCentral Gower RG, Busse PJ, Aygoren-Pursun E, Barakat A, Caballero T, Davis-Lorton M, Farkas H, Hurewitz D, Jacobs J, Johnston D, Lumry W, Maurer M: Hereditary angioedema caused by C1-esterase inhibitor deficiency: A literature-based analysis and clinical commentary on prophylaxis treatment strategies. WAO Journal 2011, 4: S9-S21.PubMedPubMedCentral
12.
go back to reference Lumry WR, Castaldo AJ, Vernon MK, Blaustein MB, Wilson DA, Horn PT: The humanistic burden of hereditary angioedema: Impact on health-related quality of life, productivity, and depression. Allergy Asthma Proc 2010,31(5):407–414. 10.2500/aap.2010.31.3394CrossRefPubMed Lumry WR, Castaldo AJ, Vernon MK, Blaustein MB, Wilson DA, Horn PT: The humanistic burden of hereditary angioedema: Impact on health-related quality of life, productivity, and depression. Allergy Asthma Proc 2010,31(5):407–414. 10.2500/aap.2010.31.3394CrossRefPubMed
13.
go back to reference Caballero T, Caminoa M, Prior N, Gomez-Traseira C, Perez E, Forjaz MJ: Health-related quality of life in adult patients with hereditary angioedema due to C1 inhibitor deficiency (HAE-C1-INH) as measured by SF-36v2: preliminary results of an international study. Allergy 2011,66(Suppl. 94):685. (Abstr Caballero T, Caminoa M, Prior N, Gomez-Traseira C, Perez E, Forjaz MJ: Health-related quality of life in adult patients with hereditary angioedema due to C1 inhibitor deficiency (HAE-C1-INH) as measured by SF-36v2: preliminary results of an international study. Allergy 2011,66(Suppl. 94):685. (Abstr
14.
go back to reference Bewtra A, Levy R, Wasserman R, Jacobson K, Craig T: Patients receiving Cl-INH treatment for hereditary angioedema report few health-related limitations on quality of life survey. Ann Allergy Asthma Immunol 2009,103(5 Suppl. 3):A115. Abstr Bewtra A, Levy R, Wasserman R, Jacobson K, Craig T: Patients receiving Cl-INH treatment for hereditary angioedema report few health-related limitations on quality of life survey. Ann Allergy Asthma Immunol 2009,103(5 Suppl. 3):A115. Abstr
15.
go back to reference Kreuz W, Martinez-Saguer I, Rusicke E, Aygören-Pürsün E, Klingebiel T: Impact of the Frankfurt HAE therapy protocol on Health-Related Quality of Life (HRQoL) in 50 patients with Hereditary Angioedema (HAE). J Allergy Clin Immunol 2009, 123: S116. AbstrCrossRef Kreuz W, Martinez-Saguer I, Rusicke E, Aygören-Pürsün E, Klingebiel T: Impact of the Frankfurt HAE therapy protocol on Health-Related Quality of Life (HRQoL) in 50 patients with Hereditary Angioedema (HAE). J Allergy Clin Immunol 2009, 123: S116. AbstrCrossRef
16.
go back to reference Bygum A, Andersen KE, Mikkelsen CS: Self-administration of intravenous C1-inhibitor therapy for hereditary angioedema and associated quality of life benefits. Eur J Dermatol 2009,19(2):147–151.PubMed Bygum A, Andersen KE, Mikkelsen CS: Self-administration of intravenous C1-inhibitor therapy for hereditary angioedema and associated quality of life benefits. Eur J Dermatol 2009,19(2):147–151.PubMed
17.
go back to reference Prior N, Remor E, Gomez Traseira C, Pedrosa M, Lopez Serrano C, Caballero T: Development of a specific questionnaire for the assessment of health-related quality of life in adult patients with hereditary Angioedema due to C1 inhibitor deficiency (HAE) and cross-cultural validation proposal. J Allergy Clin Immunol 2008, 121: S106. AbstrCrossRef Prior N, Remor E, Gomez Traseira C, Pedrosa M, Lopez Serrano C, Caballero T: Development of a specific questionnaire for the assessment of health-related quality of life in adult patients with hereditary Angioedema due to C1 inhibitor deficiency (HAE) and cross-cultural validation proposal. J Allergy Clin Immunol 2008, 121: S106. AbstrCrossRef
18.
go back to reference Prior N, Caballero T, Gomez-Traseira C, Pérez E, Caminoa M, Remor E, DV-IHAE QoL Group: Development of an international specific questionnaire for the assessment of health-related quality of life in adult patients with hereditary angioedema due to C1 inhibitor deficiency (IHAE-QoL): pilot study preliminary results. Allergy 2011,66(Suppl. 94):685. Abstr Prior N, Caballero T, Gomez-Traseira C, Pérez E, Caminoa M, Remor E, DV-IHAE QoL Group: Development of an international specific questionnaire for the assessment of health-related quality of life in adult patients with hereditary angioedema due to C1 inhibitor deficiency (IHAE-QoL): pilot study preliminary results. Allergy 2011,66(Suppl. 94):685. Abstr
19.
go back to reference Mallbris L, Nordenfelt P, Björkander J, Lindfors A, Werner S, Wahlgren CF: The establishment and utility of Sweha-Reg: a Swedish population-based registry to understand hereditary angioedema. BMC Dermatol 2007, 7: 6. 10.1186/1471-5945-7-6CrossRefPubMedPubMedCentral Mallbris L, Nordenfelt P, Björkander J, Lindfors A, Werner S, Wahlgren CF: The establishment and utility of Sweha-Reg: a Swedish population-based registry to understand hereditary angioedema. BMC Dermatol 2007, 7: 6. 10.1186/1471-5945-7-6CrossRefPubMedPubMedCentral
20.
go back to reference Zingale LC, Bork K, Farkas H, Bygum A, Bouillet L, Caballero T, Longhurst H, Waage Nielsen E, Bilo B, Bucher C, Perricone R, Cicardi M: The European register of hereditary angioedema: experience and preliminary results. JACI 2007,119(1):S276. Zingale LC, Bork K, Farkas H, Bygum A, Bouillet L, Caballero T, Longhurst H, Waage Nielsen E, Bilo B, Bucher C, Perricone R, Cicardi M: The European register of hereditary angioedema: experience and preliminary results. JACI 2007,119(1):S276.
21.
go back to reference Weigl JA, Puppe W, Rockahr S, Schmitt HJ: Burden of disease in hospitalized RSV-positive children in Germany. Klin Padiatr 2002,214(6):334–342. 10.1055/s-2002-35365CrossRefPubMed Weigl JA, Puppe W, Rockahr S, Schmitt HJ: Burden of disease in hospitalized RSV-positive children in Germany. Klin Padiatr 2002,214(6):334–342. 10.1055/s-2002-35365CrossRefPubMed
22.
go back to reference Tabolli S, Sampogna F, Di Petro C, Paradisi A, Uras C, Zotti P, Castiglia D, Zambruno G, Abeni D: Quality of life in patients with epidermylosis bullosa. Br J Dermatol 2009,161(4):869–877. Epub 2009 May 11 10.1111/j.1365-2133.2009.09306.xCrossRefPubMed Tabolli S, Sampogna F, Di Petro C, Paradisi A, Uras C, Zotti P, Castiglia D, Zambruno G, Abeni D: Quality of life in patients with epidermylosis bullosa. Br J Dermatol 2009,161(4):869–877. Epub 2009 May 11 10.1111/j.1365-2133.2009.09306.xCrossRefPubMed
23.
go back to reference Guest G, Bunce A, Johnson L: How many interviews are enough? An experiment with data saturation and variability. Field Methods. 2006,18(1):59–82. 10.1177/1525822X05279903CrossRef Guest G, Bunce A, Johnson L: How many interviews are enough? An experiment with data saturation and variability. Field Methods. 2006,18(1):59–82. 10.1177/1525822X05279903CrossRef
24.
go back to reference McDowell I: Measuring health: A guide to rating scales and questionnaires. Third Edition edition. Oxford University Press, Oxford; 2006.CrossRef McDowell I: Measuring health: A guide to rating scales and questionnaires. Third Edition edition. Oxford University Press, Oxford; 2006.CrossRef
25.
go back to reference National Institute for Clinical Excellence: Guide to the Methods of Technology Appraisal (N0515). London; 2004. Briefing paper for methods review workshop on key issues in utility measurement; 2004 www.nice.org.uk/TAMethodsReview National Institute for Clinical Excellence: Guide to the Methods of Technology Appraisal (N0515). London; 2004. Briefing paper for methods review workshop on key issues in utility measurement; 2004 www.​nice.​org.​uk/​TAMethodsReview
26.
go back to reference Earp JA, Ennet ST: Conceptual models in health education research and practice. Health Ed Res 1991, 6: 163–171. 10.1093/her/6.2.163CrossRef Earp JA, Ennet ST: Conceptual models in health education research and practice. Health Ed Res 1991, 6: 163–171. 10.1093/her/6.2.163CrossRef
27.
go back to reference Wilson I, Cleary P: Linking clinical variables with health-related quality of life A conceptual model of patient outcomes. J Am Med Assoc 1995,273(1):59–65. 10.1001/jama.1995.03520250075037CrossRef Wilson I, Cleary P: Linking clinical variables with health-related quality of life A conceptual model of patient outcomes. J Am Med Assoc 1995,273(1):59–65. 10.1001/jama.1995.03520250075037CrossRef
28.
go back to reference Wilson DA, Bork K, Shea EP, Rentz AM, Blaustein MB, Pullman WE: Economic costs associated with acute attacks and long-term management of hereditary angioedema. Ann Allergy Asthma Immunol 2010,104(4):314–320. 10.1016/j.anai.2010.01.024CrossRefPubMed Wilson DA, Bork K, Shea EP, Rentz AM, Blaustein MB, Pullman WE: Economic costs associated with acute attacks and long-term management of hereditary angioedema. Ann Allergy Asthma Immunol 2010,104(4):314–320. 10.1016/j.anai.2010.01.024CrossRefPubMed
Metadata
Title
The hereditary angioedema burden of illness study in Europe (HAE-BOIS-Europe): background and methodology
Authors
Anette Bygum
Emel Aygören-Pürsün
Teresa Caballero
Kathleen Beusterien
Shadi Gholizadeh
Patience Musingarimi
Suzanne Wait
Henrik Boysen
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Dermatology / Issue 1/2012
Electronic ISSN: 1471-5945
DOI
https://doi.org/10.1186/1471-5945-12-4

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