Transcript Slide 1

Pediatric Allergies in America:
A Landmark Survey of Nasal Allergy Sufferers
EXECUTIVE SUMMARY
Prepared for
Nycomed
Conducted by
Schulman, Ronca and Bucuvalas, Inc.
May 8, 2007
Supported by:
Study Design
Population
Sampling Frame
Population Aged 4-17
 with allergies
 without allergies
National RDD
Interview
Length
Completed
Sample
18 minutes
36 minutes
500
504
Cross-section: 3/7/07 – 4/25/07
Health Professional
Survey
-- Pediatrics
-- Family Practice
-- Allergy
-- Otolaryngology
-- Nurse practitioner
-- Physician assistant
AMA/AOA Master List
State Licensing Board
American Academy of
Physician Assistants
20 minutes
100
100
101
100
50
50
Physician Survey: 3/8/07 – 4/17/07
1
Seasonal or Perennial Allergies
Throughout the year,
37%
Not sure, 1%
Seasonal, 63%
Q12. Would you describe your (AGE)’s nasal allergies as seasonal or do they occur throughout the year?
N=500
2
Season Allergies Are the Worse
100%
80%
76%
60%
40%
34%
20%
16%
13%
2%
0%
Spring
Q13b.
Summer
Fall
During what times of the year are your (AGE)’s nasal allergies the worse?
Base: Worse at certain times N=434
Winter
Not Sure
3
Symptoms During Worst Month
Dry Cough
9%
Post-nasal drip
10%
15%
Runny Nose
15%
18%
16%
Facial Pain 2% 5%
Ear Pain 2%
Every day
2%
Most days
Headache 3% 7%
Itching
Awakened / Unable to Sleep
12%
5%
15%
10%
Stuffed up nose
25%
Red, itching eyes
12%
Watering Eyes
17%
15%
Repeated Sneezing
27%
19%
25%
0%
21%
20%
40%
60%
80%
Q14. During the worst one month period in the past year, did your (AGE) have (symptom) every day, most
days a week, a few days a week, a few days a month, less than that, or never? N=500
100%
4
How Bothersome are Symptoms
Dry Cough
16%
Post-nasal drip
37%
23%
Runny Nose
47%
25%
Facial Pain
18%
Ear Pain
17%
40%
36%
Extremely
39%
Moderately
Headache
18%
Itching
41%
22%
Stuffed up nose
35%
32%
Red, itching eyes
43%
22%
Watering Eyes
34%
16%
Repeated Sneezing
34%
13%
0%
37%
20%
40%
60%
80%
Q15. When your (AGE) had nasal allergy attacks, how bothersome are the following symptoms usually --- extremely
bothersome, moderately bothersome, slightly bothersome, or not bothersome ? N=500
100%
5
Most Bothersome Symptom of Nasal Allergies
Not Sure
2%
Dry Cough
9%
Itching
4%
Ear Pain
Most bothersome
3%
Watering Eyes
5%
Facial Pain
2%
Repeated Sneezing
7%
Runny Nose
12%
Red, itching eyes
8%
Post-nasal drip
7%
Headache
13%
Stuffed up nose
27%
0%
5%
10%
Q16. Which of these symptoms was the most bothersome to your (AGE)?
Base: Had bothersome symptoms N=438
15%
20%
25%
30%
6
Degree of Discomfort from Nasal Allergies
Can't Tolerate
33%
Not sure
1%
Can Ignore
8%
Can Tolerate
57%
Q17. In general, when your (AGE) has a nasal allergy attack would you say that (his/her) discomfort is
usually something (he/she) can ignore, (he/she) can’t ignore it, but (he/she) can tolerate it, or
(he/she) can’t tolerate it without relief? N=500
7
At Least Somewhat Troubled by Symptoms
Allergy N=500
Not Allergy N=504
12%
Lack of a good night's
sleep
29%
8%
Waking up during the night
26%
12%
Difficulty in getting to sleep
32%
0%
10%
20%
30%
40%
QR3a-c. How troubled has your (AGE) been by each of these symptoms during the last week as a result of
his/her nasal symptoms --- not troubled, hardly troubled, somewhat troubled, moderately troubled,
quite a bit troubled, very troubled or extremely troubled?
50%
8
General Health Rating
70%
60%
Percent of respondents
Allergy N=500
59%
Not allergy N=504
50%
43%
40%
33%
30%
26%
18%
20%
11%
10%
5%
4%
1%
1%
0%
Excellent
Very good
Good
Only fair
Poor/Very Poor
Q1. In general, would you say that your (AGE)’s health is excellent, very good, good, only fair, poor or very poor?
9
Activity Limitation in Past 4 Weeks
50%
Percent of respondents
Allergy N=500
Not allergy N=504
40%
30%
23%
23%
22%
21%
20%
11%
10%
10%
10%
10%
0%
Been limited in
kind of work
Difficulty in
performing
Cut down on
amount
Accomplished less
N2a. During the past four weeks has your (AGE)… been limited in the kind of work or other activities he/she could
do as a result of his health?
N2b. … had difficulty in performing work or other activities …?
N2c. … had to cut down on the amount of time spent on his/her regular daily activities…?
N2d… accomplished less than he/she would like to….?
10
Positive Feelings: All of the Time
70%
Allergy N=500
Not allergy N=504
Percent of respondents
60%
51%
50%
50%
40%
37%
32%
32%
29%
30%
28%
18%
20%
10%
0%
Full of Life
Calm and Peaceful
Lots of Energy
Been Happy
N3a-g.During the past 4 weeks how often has your (AGE) ……… --- all of the time, most of the time, a good bit of
the time, some of the time, little of the time, or none of the time?
11
Negative Feelings: Little or None of the Time
100%
Allergy N=500
Not allergy N=504
90%
90%
84%
77%
Percent of respondents
80%
80%
73%
70%
63%
61%
60%
50%
49%
40%
30%
20%
10%
0%
Felt Tired
Felt Worn Out
Downhearted or Blue
Been Nervous
N3a-g.During the past 4 weeks how often has your (AGE) ……… --- all of the time, most of the time, a good bit of
the time, some of the time, little of the time, or none of the time?
12
Extremely or Very Important to Child
Allergy N=500
Not Allergy N=504
66%
65%
Indoor activities
73%
72%
Outdoor activities
52%
Having pets
62%
Going out/playing with
friends
78%
82%
88%
85%
Doing things with family
43%
42%
School activities*
82%
81%
Doing well in school*
Playing organized sports
or exercising*
66%
64%
0%
20%
40%
60%
80%
100%
N7. In your opinion, how important are each of the following to your (AGE)? Would you say it is extremely important,
very important, somewhat important or not too important?
* Excludes 4 and 5 year olds
13
Allergies/Health Interferes a Lot or Some
Allergy N=493
8%
Sleeping
5%
Indoor activities
40%
12%
7%
Outdoor activities
31%
4%
Having pets
27%
7%
Going out/playing with friends
29%
5%
Doing things with family
23%
5%
School activities*
17%
9%
Doing well in school*
26%
10%
Organized sports or exercising*
0%
N9.
Not Allergy N=432
10%
32%
20%
30%
40%
How much do you feel your (AGE)’s allergies/health limit what he/she can do in the following areas -- a lot, some, only a little or not at all?
* Excludes 4 and 5 year olds
50%
14
Allergies/Health Interfered with School or
Daycare in the Past 12 Months
Allergy N=472
Not Allergy N=453
100%
89%
Percent of respondents
90%
80%
70%
58%
60%
50%
40%
40%
30%
20%
11%
10%
2%
0%
Yes
No
0%
Not sure
Q23a. Aside from actually missing (school/daycare), has his/her allergies/health interfered with his/her performance at
school? Base: In school or daycare
15
Productivity and Allergies
100%
97%
Mean Productivity
80%
68%
60%
40%
20%
0%
No Symptoms N=486
Symptoms at worst =487
Q24. Thinking about your (AGE)’s ability to do things (he/she) wants to on a scale of 0 to 100, where 100 means
100% able, where would you rank (his/her) ability on days when (he/she) don’t have nasal allergy symptoms?
Q25. Where would you rank your (AGE)’s ability on the same scale of 0 to 100 … when (his/her) nasal allergies are
at their worst?
16
Current Medication Use for Nasal Allergies
100%
80%
60%
76%
54%
48%
40%
34%
26%
24%
20%
0%
OTC
Q63a.
Rx Nasal
Spray
Other Rx
Any Rx
Any
Medication
No
Medication
In the past 4 weeks, has your (AGE) used any over-the-counter, non-prescription medicine to give (him/her)
relief from nasal allergy symptoms? Q64a. In the past 4 weeks, has your (AGE) used any prescription nasal
spray for (his/her) nasal allergies? Q72a. Has your (AGE) taken any other prescription medications for (his/her)
nasal allergies in the past 4 weeks? N=500
17
Symptom Relief from Current Intranasal Corticosteroid
Some, 29%
None, 4%
Most, 47%
Not sure, 3%
All, 17%
Q65.
Does your (AGE)’s current prescription nasal spray give (him/her) relief from all of (his/her) symptoms,
most symptoms, some symptoms, or no symptoms? Base: Uses intranasal corticosteroid N=129
18
Onset of Relief from Current Intranasal
Corticosteroid
50%
40%
31%
30%
20%
19%
19%
14%
11%
10%
4%
2%
0%
1%
1%
5-6
hours
7-10
hours
11-23
hours
0%
Within 1 1 hour 2 hours
hour
3-4
hours
1-6
days
One
week or
more
Not
Sure
Q68. How long does it take for your (AGE)’ current prescription nasal spray to begin giving (him/her) symptom relief?
Uses intranasal corticosteroid N=130
19
Does Current Intranasal Corticosteroid
Provide 24 Hour Relief
Does not, 36%
Not sure, 14%
Loses effectiveness,
51%
Q69a. Does your (AGE)’s current prescription nasal spray lose effectiveness over the course of the day or night, or
does it remain as effective as when (he/she) first took it? Base: Uses intranasal corticosteroid N=130
20
Change Prescription Medicines
for Nasal Allergies
Not sure, 3%
Never, 40%
Several times a year,
8%
Once a year, 8%
Only rarely, 31%
Q81a.
Every few years, 10%
How often does your (AGE) change nasal allergy medicines ---several times each year, once a
year, every few years, only rarely or never? N=500
21
Why Changed Medicine for Nasal Allergies
12%
Other
4%
Not sure
1%
Not fast enough
3%
Hard to take
4%
Not long lasting enough
1%
Safety concerns
4%
Not covered
6%
Didn't treat symptoms
3%
Cost/co-pay
Bothersome side effects
5%
6%
Patient wanted to try other
22%
Doctor wanted to try other
39%
Not effective enough
0%
Q81b.
10%
20%
30%
40%
Why has your (AGE) changed nasal allergy medicines? Anything else? Base: Has changed nasal
allergy medicines. N=284
50%
22
Why Dissatisfied with
Nasal Allergy Medicine
Not sure
1%
Other
Dosing Schedule
8%
1%
Hard to administer
Cost/co-pay
2%
1%
Didn't provide 24 hour relief
9%
Effectiveness wore off
9%
Bothersome side effects
16%
Wasn't effective
61%
0%
Q82c.
20%
40%
60%
80%
Why were you (or he/she) dissatisfied with that medicine? Base: Have asked doctor to change nasal
allergy medicines. N=128
100%
23
Effectiveness Wears Off Over Time
Not sure, 25%
No, 46%
Yes, more than one,
13%
Yes, one, 15%
Yes, not sure how
many, 1%
Q88a. Have you ever found that a prescription spray’s effectiveness in treating your (AGE)’s nasal allergy
symptoms wears off over time even when (he/she) is taking the medicine as prescribed?
Q88b. Has this happened to your (AGE) with more than one prescription nasal allergy spray? N=500
24
Commonly Reported Side Effects of
Prescription Nasal Sprays
50%
Some
40%
Most
13%
All
9%
30%
8%
10%
20%
10%
7%
10%
21%
19%
5%
3%
6%
5%
0%
Bad taste
Q90.
Burning
Dripping down
throat
Drying feeling
5%
9%
2%
1%
3%
3%
Headaches
Drowsiness
How many of the prescription sprays that your (AGE) has taken for nasal allergies had the following
types of side effects --- all, most, some, few or none? N=500
25
Severity of Commonly Reported Side
Effects of Prescription Nasal Sprays
50%
Moderately
Extremely
40%
30%
20%
19%
16%
8%
10%
9%
12%
8%
7%
10%
7%
5%
5%
4%
Drying feeling
Headaches
Drowsiness
0%
Bad taste
Q91.
Burning
Dripping down
throat
How bothersome are the following side effects of prescription sprays for nasal allergy --- extremely,
moderately, slightly or not bothersome? N=500
26
Reason Stopped Taking
Nasal Allergy Prescription
None of these
53%
Concern about safety
5%
Hard to administer
6%
Dosing schedule was difficult
2%
Co-pay was too high
4%
Not covered
5%
Bothersome side effects
13%
Didn't provide 24 hour relief
13%
Effectiveness began wearing off
14%
Didn't find it effective
14%
0%
Q94.
10%
20%
30%
40%
50%
Has your (AGE) ever stopped taking a nasal allergy spray prescribed by (his/her) doctor because….
N=500
60%
27
Failed to Follow Physician Instructions
Concern about safety
14%
Poor toleration
17%
Concern about long term use
17%
Cost of drugs
12%
Worry about side effects
19%
Troublesome side effects
20%
Lack of symptoms
39%
Loss of effectiveness over time
24%
Lack of symptom relief
26%
0%
Q108.
10%
20%
30%
40%
People with nasal allergies sometimes fail to follow their physician’s instructions about their medicines
for their nasal allergies. Has your (AGE) ever failed to take an allergy medicine as prescribed
because of ……N=500
50%
28
Discomfort During Allergy Attack: Patients and Practitioners
Patients
33%
Nurse Prac./Physician
Asst.
28%
Family Practice
27%
57%
64%
70%
38%
Pediatrician
Allergist
56%
55%
ENT
41%
26%
0%
71%
20%
40%
Can't tolerate
P8.
Q17.
60%
80%
100%
Can't ignore
In general, would you say that patients’ 4 to 17’s discomfort during a nasal allergy attack is usually something
they can ignore, they can’t ignore it, but they can tolerate it, or they can’t tolerate it without relief? N=501
In general, when your child has a nasal allergy attack would you say that (his/her) discomfort is usually
something s/he can ignore, s/he can’t ignore it, but s/he can tolerate it, or s/he can’t tolerate it without
relief? N=500
29
Productivity when Nasal Allergies are at Their
Worst: Patients and Practitioners
100%
Mean
80%
68%
66%
61%
60%
55%
54%
ENT
Allergist
59%
40%
20%
0%
P10.
Q25.
Pediatrician
Family
Practice
NP/PA
Patients
Thinking about productivity at school on a scale from 0 to 100, where 100 means 100% productivity, where would
you rank the productivity of patients 4 to 17 with allergic rhinitis, when their nasal allergies are at their worst? N=501
Where would you rank your child’s ability to do the things (he/she) wants to on the same scale of 0 to 100, where
100 means 100% able, when (his/her) nasal allergies are at their worst? Base: 487
30
Percent Very Satisfied With Disease
Management: Patients and Practitioners
100%
80%
60%
40%
73%
77%
75%
68%
68%
58%
20%
0%
3%
4%
4%
2%
1%
ENT
Allergist
Pediatrician
Family Practice
NP/PA
All (91% to 100%)
P20.
Q51.
Patients
Most (51% to 90%)
Approximately, what proportion of your patients aged 4 to 17 with nasal allergies would you say are VERY
satisfied with the management of their disease? Would you say… N=501
Overall, how satisfied are you with (his/her) health practitioner’s management and treatment of your (AGE)’s
nasal allergies? N=500
31
Satisfaction with Intra-nasal Corticosteroids:
Patients and Practitioners
Patients
33%
NP/PA
43%
18%
Family Practice
70%
31%
61%
37%
Pediatrician
Allergist
57%
26%
ENT
69%
22%
0%
72%
20%
40%
Very satisfied
P36.
Q70b.
60%
80%
100%
Somewhat satisfied
In general, how satisfied are your patients aged 4 to 17 with allergic rhinitis with their intra-nasal
corticosteroids? Would you say that they are very satisfied, somewhat satisfied, somewhat dissatisfied, or
very dissatisfied? N=501
In general, how satisfied have you been with the prescription nasal spray your (AGE) has used for (his/her)
nasal allergies in the past? Base: Ever used Rx nasal spray for nasal allergies. N=335
32
Money’s Worth from Prescription Allergy
Medicines: Patients and Practitioners
100%
88%
84%
82%
80%
80%
74%
63%
60%
40%
20%
0%
ENT
P30.
Q97.
Allergist
Pediatrician
Family
Practice
NP/PA
Patients
Overall, do your patients aged 4 to 17 feel they get their money’s worth out of prescription medicines for
nasal allergies? N=501
Overall, do you feel that patients get their money’s worth out of prescription medicines for nasal allergies?
N=500
33
Attitudes about Nasal Allergies: Agree
Allergy N=500
Not allergy N=504
44%
Rx nasal sprays are not safe for
children
28%
76%
Nasal allegies can cause sinus
infections
81%
75%
75%
Nasal allergies can make
asthma worse
62%
59%
Frequent nasal allergy
symptoms can be prevented
25%
There are no truly effective
treatments for nasal allergies
35%
67%
69%
Nasal allergies usually cause
some lifestyle limitations
75%
Nasal allergies are serious
health problem in US
0%
88%
20%
40%
60%
Q110. Now I am going to read you a series of statements. As I read each statement , please tell me
whether you agree strongly, agree somewhat, disagree somewhat or disagree strongly with
the statement.
80%
100%
34
Need for Patient Education: Patients and
Practitioners
Patients
50%
NP/PA
41%
60%
Family Practice
38%
51%
Pediatrician
45%
55%
Allergist
40%
56%
ENT
42%
54%
0%
20%
45%
40%
Strong need
P45.
Q113.
60%
80%
100%
Moderate need
How much need do you think there is for better education of PARENTS OF CHILDREN WITH NASAL
ALLERGIES about their condition and its treatment? Do you think there is a… N=501
How much need do you think there is for better education of PARENTS OF CHILDREN with nasal allergies
about their condition and its treatment? N=500
35