期刊
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
卷 140, 期 4, 页码 950-958出版社
MOSBY-ELSEVIER
DOI: 10.1016/j.jaci.2017.03.050
关键词
Allergic rhinitis; practice guideline
资金
- ARIA Initiative
- Almirall
- Meda
- Merck
- MSD
- Novartis
- Sanofi-Aventis
- Takeda
- Teva
- Uriach
- Chiesi
- GlaxoSmithKline
- Menarini
- AstraZeneca
- Boehringer Ingelheim
- Eurofarma
- MEDA Pharma
- Hypermarcas-Ache
- ALK-Abello
- Stallergenes Greer
- Thermo Fisher Scientific
- Ysslab
- MacGRADE Centre
- MEDA/Mylan
- MAPI S.A.S.-RWE
- Allakos
- Sanofi
- A. Menarini
- FAES Farma (Lab. Vitoria)
- Allergopharma
- Bionorica
- Lofarma
- Biomay
- HAL
- LETI
- Roxall
- Bencard
- Adamed
- Bayer
- Berlin Chemie
- Faes
- HAL Allergy
- Lekam
- Polharma
- Pfizer
- Sandoz
- UCB
- Grunenthal
- Siegfried
- Armstrong
- Greer
- Mylan
- Kyorin
- Astellas
- Shire
- Stallergenes
- NESTEC
- AbbVie
- Omega Pharma
- Danone
- Japanese Ministry of Education
- Aerocrine
- AKL Research and Development
- British Lung Foundation
- Mundipharma
- Napp
- Respiratory Effectiveness Group
- Teva Pharmaceuticals
- Theravance
- UK National Health Service
- Zentiva
- Cipla
- Skyepharma
- National Science Center
- Ministry of Health
- Polfarma
- European Academy of Allergy and Clinical Immunology
- Pfizer Canada
- CSL Behring
- Pediapharm
- Aralez
- Bayer Health Care
- Henkel
- Kryolan
- L'Oreal
- Asthma UK [MRC-Asthma UK Centre, AUK-AC-2012-01, MRC-AsthmaUKCentre] Funding Source: researchfish
- Medical Research Council [G1000758, G1000758B] Funding Source: researchfish
Background: Allergic rhinitis (AR) affects 10% to 40% of the population. It reduces quality of life and school and work performance and is a frequent reason for office visits in general practice. Medical costs are large, but avoidable costs associated with lost work productivity are even larger than those incurred by asthma. New evidence has accumulated since the last revision of the Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines in 2010, prompting its update. Objective: We sought to provide a targeted update of the ARIA guidelines. Methods: The ARIA guideline panel identified new clinical questions and selected questions requiring an update. We performed systematic reviews of health effects and the evidence about patients' values and preferences and resource requirements (up to June 2016). We followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) evidence-to-decision frameworks to develop recommendations. Results: The 2016 revision of the ARIA guidelines provides both updated and new recommendations about the pharmacologic treatment of AR. Specifically, it addresses the relative merits of using oral H-1-antihistamines, intranasal H-1-antihistamines, intranasal corticosteroids, and leukotriene receptor antagonists either alone or in combination. The ARIA guideline panel provides specific recommendations for the choice of treatment and the rationale for the choice and discusses specific considerations that clinicians and patients might want to review to choose the management most appropriate for an individual patient. Conclusions: Appropriate treatment of AR might improve patients' quality of life and school and work productivity. ARIA recommendations support patients, their caregivers, and health care providers in choosing the optimal treatment.
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