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To ensure that AE-QoL items address frequent and important areas of QoL impairment in recurrent angioedema patients, we first performed item generation steps according to current recommendations for patient reported outcome development [7]. This was followed by item reduction using impact analysis [8]. The Urticaria Quality of Life Questionnaire (CU-Q2oL) [9, 10] served as an intellectual and structural model during the development of AE-QoL. To identify and generate items appropriate for an angioedema-specific QoL instrument, we used three complementary strategies: We (1) performed exploratory semi-structured interviews with 10 recurrent angioedema patients (HAE1&2: n?=?4, csU: n?=?3, other: n?=?3); (2) conducted a systematic review of the literature and (3) obtained opinions from clinical angioedema experts of both participating centers Pazopanib cost on the areas most troublesome Regorafenib for angioedema patients. All item responses were formatted as 5-point Likert scales with the following answer options: never, rarely, sometimes, often, and very often. The time frame covered by the items was chosen to be the last 4?weeks. All generated items were administered to recurrent angioedema patients (n?=?110, for details on population characteristics, see Results section) who were asked, first, which of the problems indicated in the items they had experienced during the last year (response options: yes or no), and, second, to rate the importance of the items (response options: 1 �C not important to 5 �C extremely important). The results were expressed as ��frequency�� of patients (proportion who had experienced the problem indicated in the respective item during the last year) and as ��importance�� (mean importance of each item). The ��impact�� of the items was then calculated as the product of ��frequency�� and ��importance�� (impact analysis). ALK All items with an impact score?

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