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Article detail · 2024

Monitoring recurrent angioedema: Findings from the Turkish angioedema control test validation study

Clinical and Translational Allergy

YÖKSİS OpenAlex Open access · gold SJR Q1 JCR Q2 Citations 6 Percentile 82.5% FWCI 1.61
Year
2024
ISSN
2045-7022
Type
article

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Abstract

English (OpenAlex)

BACKGROUND: Determination of control level in recurrent angioedema (RAE) is necessary to guide management. Here, we validated a Turkish version of the angioedema control test (AECT) for 4-week (AECT-4wk) and for 3-month (AECT-3mth) and assessed their utility in monitoring RAE. METHOD: The recommended structured translation process for patient-reported outcome measures was completed. The final versions were administered to 51 patients with mast cell-mediated angioedema (MMAE) and 38 patients with hereditary angioedema, and the minimal clinically important difference (MCID) was determined. Additionally, anchor surveys comprising angioedema activity score for 28 days (AAS-28 day), visual analog score for angioedema control, Likert scale for the control level from the patient's perspective (LS-AEC), angioedema quality of life, short form-12 (SF-12) and patients' assessment of treatment sufficiency were applied. RESULTS: The Turkish AECT versions showed good convergent validity with a substantial correlation with anchor tools and known-group validity. Excellent internal consistency and reproducibility were observed. Equal or more than 10 of 16 points scored with the AECT-4wk and AECT-3mth identified patients with well-controlled disease. The disease activity, control and burden parameters were consistent with the disease control level defined depending on the cut-off point 10 of AECT. Three-point changes in AECT-4wk and -3 mt could detect MCID in disease control in all patients. CONCLUSIONS: Turkish AECT versions are valid and reliable tools for assessing and monitoring disease control in patients with RAE. The use of the Turkish versions of the AECT in routine patient care, clinical trials and angioedema research is recommended.

Topics

  • Coagulation, Bradykinin, Polyphosphates, and Angioedema
  • Mast cells and histamine
  • Urticaria and Related Conditions

Primary topic Coagulation, Bradykinin, Polyphosphates, and Angioedema

Authors

  1. SEMRA DEMİR
  2. DENİZ EYİCE KARABACAK
  3. ÖZGÜR EMEK KOCATÜRK GÖNCÜ
  4. DERYA ÜNAL
  5. İLKİM DENİZ TOPRAK
  6. PELİN KORKMAZ
  7. AYŞE FEYZA ASLAN
  8. IŞIL GÖĞEM İMREN AKŞİT
  9. Bahar Dikicier
  10. NEVZAT KAHVECİ
  11. NİDA ÖZTOP UZ
  12. RABİA ÖZTAŞ KARA SAKARYA ÜNİVERSİTESİ
  13. HALİM İŞSEVER
  14. MARCUS MAURER
  15. KARSTEN WELLER
  16. ASLI AKKOR İSTANBUL ÜNİVERSİTESİ