ANALYSIS OF BACKGROUNDS AND LEVEL OF UNDERSTANDING OF TREATMENT OF POOR ADHERENCE AND DROPOUT CASES ON SUBLINGUAL IMMUNOTHERAPY FOR JAPANESE CEDAR POLLINOSIS IN THE FIRST FOLLOW-UP YEAR

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  • Kikkawa Sayaka
    Department of Otorhinolaryngology, Saitama Medical University Allergy Center, Saitama Medical University Department of Otolaryngology, Chigasaki Central Hospital
  • Kamijo Atsushi
    Department of Otorhinolaryngology, Saitama Medical University Allergy Center, Saitama Medical University Department of Otorhinolaryngology, Yamanashi University Hospital
  • Nakagome Kazuyuki
    Allergy Center, Saitama Medical University Department of Respiratory Medicine, Saitama Medical University
  • Soma Tomoyuki
    Allergy Center, Saitama Medical University Department of Respiratory Medicine, Saitama Medical University
  • Kobayashi Takehito
    Allergy Center, Saitama Medical University Department of General Internal Medicine, Saitama Medical University
  • Uchida Yoshitaka
    Allergy Center, Saitama Medical University Department of Respiratory Medicine, Saitama Medical University
  • Morita Eiji
    Allergy Center, Saitama Medical University Department of Pediatrics, Saitama Medical University
  • Nagata Makoto
    Allergy Center, Saitama Medical University Department of Respiratory Medicine, Saitama Medical University
  • Inoue Tomoe
    Department of Otorhinolaryngology, Saitama Medical University Allergy Center, Saitama Medical University
  • Kase Yasuhiro
    Department of Otorhinolaryngology, Saitama Medical University Allergy Center, Saitama Medical University

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Other Title
  • スギ花粉舌下免疫療法におけるアドヒアランス不良例と脱落例の背景と治療に対する理解度の検討
  • スギ花粉舌下免疫療法におけるアドヒアランス不良例と脱落例の背景と治療に対する理解度の検討 : 1年目調査
  • スギ カフン ゼッカ メンエキ リョウホウ ニ オケル アドヒアランス フリョウレイ ト ダツラクレイ ノ ハイケイ ト チリョウ ニ タイスル リカイド ノ ケントウ : 1ネンメ チョウサ
  • —1年目調査—

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<p>Background: We considered the factors of poor adherence to and dropout from sublingual immunotherapy (SLIT) by verifying patient backgrounds 1 year after start of treatment.</p><p>Methods: We recruited 38 patients who began SLIT between November 2014 and September 2015. We analyzed their attributes and level of understanding of the treatment, and conducted a self-reported survey on factors behind dropout cases and poor adherence cases.</p><p>Results: Four patients dropped out 1 year after start of treatment. Three left for reasons related to anxiety about side effects. There were five cases of poor adherence. There was no significant difference between good adherence, poor adherence, and dropout regarding level of understanding of the treatment (p=0.59). In the comparison between good and poor adherence groups, except four dropout patients, the adherence tended to be poor in patients with short duration of disease, smoking patients, and young patients. Continuous rate of SLIT achieved about 90%, suggesting relatively high level of adherence.</p><p>Conclusion: It appears possible that anxiety related to side effects could be a factor affecting dropout from SLIT. There was no significant difference regarding level of understanding of the treatment. The adherence tended to be poor in patients with short duration of disease, smoking patients, and young patients.</p>

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