Development and implementation of guidelines in allergic rhinitis: an ARIA-GA2LEN paper

J. Bousquet, H. J. Schünemann, T. Zuberbier, C. Bachert, C. E. Baena-Cagnani, P. J. Bousquet, J. Brozek, G. W. Canonica, T. B. Casale, P. Demoly, R. Gerth van Wijk, K. Ohta, E. D. Bateman, M. Calderon, A. A. Cruz, W. K. Dolen, J. Haughney, R. F. Lockey, J. Lötvall, P. O'ByrneO. Spranger, A. Togias, S. Bonini, L. P. Boulet, P. Camargos, K. H. Carlsen, N. H. Chavannes, L. Delgado, S. R. Durham, W. J. Fokkens, J. Fonseca, T. Haahtela, O. Kalayci, M. L. Kowalski, D. Larenas-Linnemann, J. Li, Y. Mohammad, J. Mullol, R. Naclerio, R. E. O'Hehir, N. Papadopoulos, G. Passalacqua, K. F. Rabe, R. Pawankar, D Ryan, B. Samolinski, F. E. R. Simons, E. Valovirta, A. Yorgancioglu, David Brendan Price, WHO Collaborating Center of Asthma and Rhinitis (Montpellier)

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Abstract

The links between asthma and rhinitis are well characterized. The Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines stress the importance of these links and provide guidance for their prevention and treatment. Despite effective treatments being available, too few patients receive appropriate medical care for both diseases. Most patients with rhinitis and asthma consult primary care physicians and therefore these physicians are encouraged to understand and use ARIA guidelines. Patients should also be informed about these guidelines to raise their awareness of optimal care and increase control of the two related diseases. To apply these guidelines, clinicians and patients need to understand how and why the recommendations were made. The goal of the ARIA guidelines is to provide recommendations about the best management options for most patients in most situations. These recommendations should be based on the best available evidence. Making recommendations requires the assessment of the quality of available evidence, deciding on the balance between benefits and downsides, consideration of patients’ values and preferences, and, if applicable, resource implications. Guidelines must be updated as new management options become available or important new evidence emerges. Transparent reporting of guidelines facilitates understanding and acceptance, but implementation strategies need to be improved.
Original languageEnglish
Pages (from-to)1212-1221
Number of pages10
JournalAllergy
Volume65
Issue number10
Early online date7 Sep 2010
DOIs
Publication statusPublished - Oct 2010

Keywords

  • ARIA
  • asthma
  • EAACI
  • EFA
  • GA2LEN
  • IPCRG
  • rhinitis

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    Bousquet, J., Schünemann, H. J., Zuberbier, T., Bachert, C., Baena-Cagnani, C. E., Bousquet, P. J., Brozek, J., Canonica, G. W., Casale, T. B., Demoly, P., van Wijk, R. G., Ohta, K., Bateman, E. D., Calderon, M., Cruz, A. A., Dolen, W. K., Haughney, J., Lockey, R. F., Lötvall, J., ... WHO Collaborating Center of Asthma and Rhinitis (Montpellier) (2010). Development and implementation of guidelines in allergic rhinitis: an ARIA-GA2LEN paper. Allergy, 65(10), 1212-1221. https://doi.org/10.1111/j.1398-9995.2010.02439.x