Environmental factors associated with general practitioner consultations for allergic rhinitis in London, England: a retrospective time series analysis
Dan Todkill, Felipe de Jesus Colon Gonzalez, Roger Morbey, Andre Charlett, Shakoor Hajat, Sari Kovats, Nicholas J Osborne, Rachel McInnes, Sotiris Vardoulakis, Karen Exley, Obaghe Edeghere, Gillian Smith, Alex J Elliot
BMJ Open | BMJ PUBLISHING GROUP | Published : 2020
OBJECTIVES: To identify key predictors of general practitioner (GP) consultations for allergic rhinitis (AR) using meteorological and environmental data. DESIGN: A retrospective, time series analysis of GP consultations for AR. SETTING: A large GP surveillance network of GP practices in the London area. PARTICIPANTS: The study population was all persons who presented to general practices in London that report to the Public Health England GP in-hours syndromic surveillance system during the study period (3 April 2012 to 11 August 2014). PRIMARY MEASURE: Consultations for AR (numbers of consultations). RESULTS: During the study period there were 186 401 GP consultations for AR. High grass and ..View full abstract
The research was funded through PHE core activities, and supported in part by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Environmental Change and Health (SH, SK, NJO, RMc) at the London School of Hygiene and Tropical Medicine in partnership with PHE, and in collaboration with the University of Exeter, University College London, and the Met Office. FdJCG, RMo, OE, GS and AJE were supported by the NIHR HPRU in Emergency Preparedness and Response at King's College London in partnership with PHE. Funding for open access publication was through the NIHR HPRU in Environmental Change and Health. The views expressed are those of the authors not necessarily those of the NHS, the NIHR, the Department of Health and Social Care or Public Health England.