MACVIA clinical decision algorithm in adolescents and adults with allergic rhinitis

Jean Bousquet, Holger J. Schünemann, Peter W. Hellings, Sylvie Arnavielhe, Claus Bachert, Anna Bedbrook, Karl-Christian Bergmann, Sinthia Bosnic-Anticevich, Jan Brozek, Moises Calderon, G. Walter Canonica, Thomas B. Casale, Niels H. Chavannes, Linda Cox, Henry Chrystyn, Alvaro A. Cruz, Ronald Dahl, Giuseppe De Carlo, Pascal Demoly, Phillipe DevillierGérard Dray, Monica Fletcher, Wytske J. Fokkens, Joao Fonseca, Sandra N. Gonzalez-Diaz, Lawrence Grouse, Thomas Keil, Piotr Kuna, Désirée Larenas-Linnemann, Karin C. Lodrup Carlsen, Eli O. Meltzer, Jaoquim Mullol, Antonella Muraro, Robert N. Naclerio, Susanna Palkonen, Nikolaos G. Papadopoulos, Giovanni Passalacqua, David Price, Dermot Ryan, Boleslaw Samolinski, Glenis K. Scadding, Aziz Sheikh, François Spertini, Arunas Valiulis, Erkka Valovirta, Samantha Walker, Magnus Wickman, Arzu Yorgancioglu, Tari Haahtela, Torsten Zuberbier, MASK study group*

Research output: Contribution to journalArticle

60 Citations (Scopus)
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Abstract

The selection of pharmacotherapy for patients with allergic rhinitis (AR) depends on several factors, including age, prominent symptoms, symptom severity, control of AR, patient preferences, and cost. Allergen exposure and the resulting symptoms vary, and treatment adjustment is required. Clinical decision support systems (CDSSs) might be beneficial for the assessment of disease control. CDSSs should be based on the best evidence and algorithms to aid patients and health care professionals to jointly determine treatment and its step-up or step-down strategy depending on AR control. Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon (MACVIA-LR [fighting chronic diseases for active and healthy ageing]), one of the reference sites of the European Innovation Partnership on Active and Healthy Ageing, has initiated an allergy sentinel network (the MACVIA-ARIA Sentinel Network). A CDSS is currently being developed to optimize AR control. An algorithm developed by consensus is presented in this article. This algorithm should be confirmed by appropriate trials.

Original languageEnglish
Pages (from-to)367-374.e2
Number of pages10
JournalJournal of Allergy and Clinical Immunology
Volume138
Issue number2
Early online date23 Apr 2016
DOIs
Publication statusPublished - Aug 2016

Fingerprint

Clinical Decision Support Systems
Patient Preference
Age Factors
Allergens
Patient Selection
Patient Care
Hypersensitivity
Chronic Disease
Delivery of Health Care
Costs and Cost Analysis
Drug Therapy
Allergic Rhinitis
Therapeutics
cyhalothrin

Keywords

  • Allergic rhinitis
  • conjunctivitis
  • Allergic Rhinitis and its Impact on Asthma
  • MACVIA-LR
  • information and communication technology
  • clinical decision support system

Cite this

Bousquet, J., Schünemann, H. J., Hellings, P. W., Arnavielhe, S., Bachert, C., Bedbrook, A., ... MASK study group* (2016). MACVIA clinical decision algorithm in adolescents and adults with allergic rhinitis. Journal of Allergy and Clinical Immunology, 138(2), 367-374.e2. https://doi.org/10.1016/j.jaci.2016.03.025

MACVIA clinical decision algorithm in adolescents and adults with allergic rhinitis. / Bousquet, Jean; Schünemann, Holger J.; Hellings, Peter W.; Arnavielhe, Sylvie; Bachert, Claus; Bedbrook, Anna; Bergmann, Karl-Christian; Bosnic-Anticevich, Sinthia; Brozek, Jan; Calderon, Moises; Canonica, G. Walter; Casale, Thomas B.; Chavannes, Niels H.; Cox, Linda; Chrystyn, Henry; Cruz, Alvaro A.; Dahl, Ronald; De Carlo, Giuseppe; Demoly, Pascal; Devillier, Phillipe; Dray, Gérard; Fletcher, Monica; Fokkens, Wytske J.; Fonseca, Joao; Gonzalez-Diaz, Sandra N.; Grouse, Lawrence; Keil, Thomas; Kuna, Piotr; Larenas-Linnemann, Désirée; Lodrup Carlsen, Karin C.; Meltzer, Eli O.; Mullol, Jaoquim; Muraro, Antonella; Naclerio, Robert N.; Palkonen, Susanna; Papadopoulos, Nikolaos G.; Passalacqua, Giovanni; Price, David; Ryan, Dermot; Samolinski, Boleslaw; Scadding, Glenis K.; Sheikh, Aziz; Spertini, François; Valiulis, Arunas; Valovirta, Erkka; Walker, Samantha; Wickman, Magnus; Yorgancioglu, Arzu; Haahtela, Tari; Zuberbier, Torsten; MASK study group*.

In: Journal of Allergy and Clinical Immunology, Vol. 138, No. 2, 08.2016, p. 367-374.e2.

Research output: Contribution to journalArticle

Bousquet, J, Schünemann, HJ, Hellings, PW, Arnavielhe, S, Bachert, C, Bedbrook, A, Bergmann, K-C, Bosnic-Anticevich, S, Brozek, J, Calderon, M, Canonica, GW, Casale, TB, Chavannes, NH, Cox, L, Chrystyn, H, Cruz, AA, Dahl, R, De Carlo, G, Demoly, P, Devillier, P, Dray, G, Fletcher, M, Fokkens, WJ, Fonseca, J, Gonzalez-Diaz, SN, Grouse, L, Keil, T, Kuna, P, Larenas-Linnemann, D, Lodrup Carlsen, KC, Meltzer, EO, Mullol, J, Muraro, A, Naclerio, RN, Palkonen, S, Papadopoulos, NG, Passalacqua, G, Price, D, Ryan, D, Samolinski, B, Scadding, GK, Sheikh, A, Spertini, F, Valiulis, A, Valovirta, E, Walker, S, Wickman, M, Yorgancioglu, A, Haahtela, T, Zuberbier, T & MASK study group* 2016, 'MACVIA clinical decision algorithm in adolescents and adults with allergic rhinitis', Journal of Allergy and Clinical Immunology, vol. 138, no. 2, pp. 367-374.e2. https://doi.org/10.1016/j.jaci.2016.03.025
Bousquet J, Schünemann HJ, Hellings PW, Arnavielhe S, Bachert C, Bedbrook A et al. MACVIA clinical decision algorithm in adolescents and adults with allergic rhinitis. Journal of Allergy and Clinical Immunology. 2016 Aug;138(2):367-374.e2. https://doi.org/10.1016/j.jaci.2016.03.025
Bousquet, Jean ; Schünemann, Holger J. ; Hellings, Peter W. ; Arnavielhe, Sylvie ; Bachert, Claus ; Bedbrook, Anna ; Bergmann, Karl-Christian ; Bosnic-Anticevich, Sinthia ; Brozek, Jan ; Calderon, Moises ; Canonica, G. Walter ; Casale, Thomas B. ; Chavannes, Niels H. ; Cox, Linda ; Chrystyn, Henry ; Cruz, Alvaro A. ; Dahl, Ronald ; De Carlo, Giuseppe ; Demoly, Pascal ; Devillier, Phillipe ; Dray, Gérard ; Fletcher, Monica ; Fokkens, Wytske J. ; Fonseca, Joao ; Gonzalez-Diaz, Sandra N. ; Grouse, Lawrence ; Keil, Thomas ; Kuna, Piotr ; Larenas-Linnemann, Désirée ; Lodrup Carlsen, Karin C. ; Meltzer, Eli O. ; Mullol, Jaoquim ; Muraro, Antonella ; Naclerio, Robert N. ; Palkonen, Susanna ; Papadopoulos, Nikolaos G. ; Passalacqua, Giovanni ; Price, David ; Ryan, Dermot ; Samolinski, Boleslaw ; Scadding, Glenis K. ; Sheikh, Aziz ; Spertini, François ; Valiulis, Arunas ; Valovirta, Erkka ; Walker, Samantha ; Wickman, Magnus ; Yorgancioglu, Arzu ; Haahtela, Tari ; Zuberbier, Torsten ; MASK study group*. / MACVIA clinical decision algorithm in adolescents and adults with allergic rhinitis. In: Journal of Allergy and Clinical Immunology. 2016 ; Vol. 138, No. 2. pp. 367-374.e2.
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AU - Bousquet, Jean

AU - Schünemann, Holger J.

AU - Hellings, Peter W.

AU - Arnavielhe, Sylvie

AU - Bachert, Claus

AU - Bedbrook, Anna

AU - Bergmann, Karl-Christian

AU - Bosnic-Anticevich, Sinthia

AU - Brozek, Jan

AU - Calderon, Moises

AU - Canonica, G. Walter

AU - Casale, Thomas B.

AU - Chavannes, Niels H.

AU - Cox, Linda

AU - Chrystyn, Henry

AU - Cruz, Alvaro A.

AU - Dahl, Ronald

AU - De Carlo, Giuseppe

AU - Demoly, Pascal

AU - Devillier, Phillipe

AU - Dray, Gérard

AU - Fletcher, Monica

AU - Fokkens, Wytske J.

AU - Fonseca, Joao

AU - Gonzalez-Diaz, Sandra N.

AU - Grouse, Lawrence

AU - Keil, Thomas

AU - Kuna, Piotr

AU - Larenas-Linnemann, Désirée

AU - Lodrup Carlsen, Karin C.

AU - Meltzer, Eli O.

AU - Mullol, Jaoquim

AU - Muraro, Antonella

AU - Naclerio, Robert N.

AU - Palkonen, Susanna

AU - Papadopoulos, Nikolaos G.

AU - Passalacqua, Giovanni

AU - Price, David

AU - Ryan, Dermot

AU - Samolinski, Boleslaw

AU - Scadding, Glenis K.

AU - Sheikh, Aziz

AU - Spertini, François

AU - Valiulis, Arunas

AU - Valovirta, Erkka

AU - Walker, Samantha

AU - Wickman, Magnus

AU - Yorgancioglu, Arzu

AU - Haahtela, Tari

AU - Zuberbier, Torsten

AU - MASK study group

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N2 - The selection of pharmacotherapy for patients with allergic rhinitis (AR) depends on several factors, including age, prominent symptoms, symptom severity, control of AR, patient preferences, and cost. Allergen exposure and the resulting symptoms vary, and treatment adjustment is required. Clinical decision support systems (CDSSs) might be beneficial for the assessment of disease control. CDSSs should be based on the best evidence and algorithms to aid patients and health care professionals to jointly determine treatment and its step-up or step-down strategy depending on AR control. Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon (MACVIA-LR [fighting chronic diseases for active and healthy ageing]), one of the reference sites of the European Innovation Partnership on Active and Healthy Ageing, has initiated an allergy sentinel network (the MACVIA-ARIA Sentinel Network). A CDSS is currently being developed to optimize AR control. An algorithm developed by consensus is presented in this article. This algorithm should be confirmed by appropriate trials.

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KW - conjunctivitis

KW - Allergic Rhinitis and its Impact on Asthma

KW - MACVIA-LR

KW - information and communication technology

KW - clinical decision support system

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