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Next-generation Allergic Rhinitis and Its Impact on Asthma (ARIA) guidelines for allergic rhinitis based on Grading of Recommendations Assessment, Development and Evaluation (GRADE) and real-world evidence

  • Allergic Rhinitis and Its Impact on Asthma Working Group
  • MACVIA-France
  • Charité – Universitätsmedizin Berlin
  • National Institutes of Health
  • Ghent University
  • National Institute for Health and Welfare
  • University of Amsterdam
  • Center for Rhinology and Allergology
  • University of Marburg
  • Nova Southeastern University
  • Hospital Quironsalud Bizkaia
  • Transilvania University of Brasov
  • iQ4U Consultants Ltd
  • Université de Bourgogne
  • The University of Sydney
  • Allergist
  • Université Laval
  • Institut Universitaire de Cardiologie et de Pneumologie de l'Université Laval
  • McMaster University
  • Royal Brompton and Harefield NHS Foundation Trust
  • Humanitas University
  • Universidad de Cartagena
  • Vall d'Hebron University Hospital
  • University of South Florida
  • USL Toscana Centro
  • University of Porto
  • Universidade Federal da Bahia
  • Medical Consulting Czarlewski
  • University of Naples Federico II
  • Université Paris-Saclay
  • Imperial College London
  • Saint Louis University
  • National Hospital Organization Sagamihara National Hospital
  • CHU de Clermont-Ferrand
  • Allergist
  • Istanbul University - Cerrahpaşa
  • Erasmus University Rotterdam
  • Hospital District of Helsinki and Uusimaa
  • University of Southern Denmark
  • University of Crete
  • Chiba University
  • Clinica Santa Isabel
  • Wrocław Medical University
  • Ukrainina Medical Stomatological Academy
  • Russian Ministry of Health
  • Hacettepe University

Research output: Contribution to journalReview articlepeer-review

532 Scopus citations

Abstract

The selection of pharmacotherapy for patients with allergic rhinitis aims to control the disease and depends on many factors. Grading of Recommendations Assessment, Development and Evaluation (GRADE) guidelines have considerably improved the treatment of allergic rhinitis. However, there is an increasing trend toward use of real-world evidence to inform clinical practice, especially because randomized controlled trials are often limited with regard to the applicability of results. The Contre les Maladies Chroniques pour un Vieillissement Actif (MACVIA) algorithm has proposed an allergic rhinitis treatment by a consensus group. This simple algorithm can be used to step up or step down allergic rhinitis treatment. Next-generation guidelines for the pharmacologic treatment of allergic rhinitis were developed by using existing GRADE-based guidelines for the disease, real-world evidence provided by mobile technology, and additive studies (allergen chamber studies) to refine the MACVIA algorithm.

Original languageEnglish
Pages (from-to)70-80.e3
JournalJournal of Allergy and Clinical Immunology
Volume145
Issue number1
DOIs
StatePublished - Jan 2020

Keywords

  • Allergic Rhinitis and Its Impact on Asthma
  • Allergic rhinitis
  • Development and Evaluation
  • Grading of Recommendations Assessment
  • guidelines
  • real-world evidence

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