Canadian hereditary angioedema guideline
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  • 作者:Stephen Betschel (1)
    Jacquie Badiou (2)
    Karen Binkley (1)
    Jacques H茅bert (3)
    Amin Kanani (4)
    Paul Keith (5)
    Gina Lacuesta (6)
    Bill Yang (7)
    Emel Ayg枚ren-P眉rs眉n (8)
    Jonathan Bernstein (9)
    Konrad Bork (10)
    Teresa Caballero (11)
    Marco Cicardi (12)
    Timothy Craig (13)
    Henriette Farkas (14)
    Hilary Longhurst (15)
    Bruce Zuraw (16)
    Henrik Boysen (17)
    Rozita Borici-Mazi (18)
    Tom Bowen (19)
    Karen Dallas (20)
    John Dean (21)
    Kelly Lang-Robertson (1)
    Beno卯t Laram茅e (22)
    Eric Leith (23)
    Sean Mace (1)
    Christine McCusker (24)
    Bill Moote (25)
    Man-Chiu Poon (26)
    Bruce Ritchie (27)
    Donald Stark (4)
    Gordon Sussman (1)
    Susan Waserman (5)

    1. University of Toronto
    ; Toronto ; Ontario ; Canada
    2. HAE Canada
    ; Notre Dame des Lourdes ; Manitoba ; Canada
    3. Department of Medicine
    ; Laval University ; Quebec City ; Quebec ; Canada
    4. Department of Medicine
    ; University of British Columbia ; Vancouver ; British Columbia ; Canada
    5. Department of Medicine
    ; McMaster University ; Hamilton ; Ontario ; Canada
    6. Department of Medicine
    ; Dalhousie University ; Halifax ; Nova Scotia ; Canada
    7. University of Ottawa Medical School
    ; Ottawa ; Ontario ; Canada
    8. Goethe-Universit盲t Frankfurt am Main
    ; Frankfurt am Main ; Germany
    9. Department of Internal Medicine
    ; University of Cincinnati ; Cincinnati ; Ohio ; USA
    10. Department of Dermatology
    ; University Hospital of the Johannes Gutenberg-University of Mainz ; Mainz ; Germany
    11. Hospital La Paz Health Research Institute
    ; Madrid ; Spain
    12. Department of Internal Medicine
    ; UniversitadegliStudi di Milano ; Ospedale L. Sacco ; Milan ; Italy
    13. Departments of Medicine and Pediatrics
    ; Penn State University ; Hershey ; Pennsylvania ; USA
    14. 3rd Department of Internal Medicine
    ; Faculty of Medicine ; Semmelweis University ; Budapest ; Hungary
    15. Department of Immunology
    ; Barts and the London NHS Trust ; London ; England ; UK
    16. University of California
    ; San Diego ; San Diego ; California ; USA
    17. HAE International
    ; Skanderborg ; Denmark
    18. Department of Medicine
    ; Queen鈥檚 University ; Kingston ; Ontario ; Canada
    19. Departments of Medicine and Paediatrics
    ; University of Calgary ; Calgary ; Alberta ; Canada
    20. Saskatoon Health Region
    ; Saskatoon ; Saskatchewan ; Canada
    21. BC Children鈥檚 Hospital
    ; Vancouver ; British Columbia ; Canada
    22. Centre hospitalier de l鈥檜niversit茅 de Montr茅al
    ; Montr茅al ; Quebec ; Canada
    23. Department of Medicine
    ; University of Toronto ; Oakville ; Ontario ; Canada
    24. Department of Immunology
    ; McGill University Health Centre ; Montreal ; Quebec ; Canada
    25. Department of Medicine
    ; Western University ; London ; Ontario ; Canada
    26. Southern Alberta Rare Blood and Bleeding Disorders Comprehensive Care Program
    ; Calgary ; Alberta ; Canada
    27. Departments of Medicine and Medical Oncology
    ; University of Alberta ; Edmonton ; Alberta ; Canada
  • 关键词:Hereditary angioedema ; Guideline ; Recommendations ; Acute attacks ; Short ; term prophylaxis ; Long ; term prophylaxis ; Self ; administration ; Individualized therapy ; Quality of life ; Comprehensive care ; GRADE
  • 刊名:Allergy, Asthma & Clinical Immunology
  • 出版年:2014
  • 出版时间:December 2014
  • 年:2014
  • 卷:10
  • 期:1
  • 全文大小:472 KB
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  • 刊物主题:Allergology; Immunology; Pneumology/Respiratory System;
  • 出版者:BioMed Central
  • ISSN:1710-1492
文摘
Hereditary angioedema (HAE) is a disease which is associated with random and often unpredictable attacks of painful swelling typically affecting the extremities, bowel mucosa, genitals, face and upper airway. Attacks are associated with significant functional impairment, decreased Health Related Quality of Life, and mortality in the case of laryngeal attacks. Caring for patients with HAE can be challenging due to the complexity of this disease. The care of patients with HAE in Canada is neither optimal nor uniform across the country. It lags behind other countries where there are more organized models for HAE management, and where additional therapeutic options are licensed and available for use. The objective of this guideline is to provide graded recommendations for the management of patients in Canada with HAE. This includes the treatment of attacks, short-term prophylaxis, long-term prophylaxis, and recommendations for self-administration, individualized therapy, quality of life, and comprehensive care. It is anticipated that by providing this guideline to caregivers, policy makers, patients and their advocates, that there will be an improved understanding of the current recommendations regarding management of HAE and the factors that need to be considered when choosing therapies and treatment plans for individual patients. The primary target users of this guideline are healthcare providers who are managing patients with HAE. Other healthcare providers who may use this guideline are emergency physicians, gastroenterologists, dentists and otolaryngologists, who will encounter patients with HAE and need to be aware of this condition. Hospital administrators, insurers and policy makers may also find this guideline helpful.

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