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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
Article de revue scientifique   Open Access   Avec comité de lecture

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

Jean Bousquet, Holger Schünemann, Akdis Togias, Claus Bachert, Martina Erhola, Peter Hellings, Ludger Klimek, Oliver Pfaar, Dana Wallace, Ignacio Ansotegui, …
Journal of Allergy and Clinical Immunology, Vol.145(1), p.70-80.e3
01/2020
DOI: https://doi.org/10.1016/j.jaci.2019.06.049
PMID: 31627910

Résumé

Allergic rhinitis Development and Evaluation Allergic Rhinitis and Its Impact on Asthma Grading of Recommendations Assessment Guidelines Real-world evidence Allergic rhinitis Algorithms Asthma Evidence-Based Practice Humans Practice Guidelines as Topic Rhinitis, Allergic
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.

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