MACVIA Clinical Decision Algorithm in Allergic Rhinitis in adolescents and adults
Jean Bousquet
(1, 2, 3)
,
Holger J. Schünemann
(4)
,
Peter W. Hellings
(5)
,
Sylvie Arnavielhe
(6)
,
Claus Bachert
(7)
,
Anna Bedbrook
(1)
,
Karl-Christian Bergmann
(8)
,
Sinthia Bosnic-Anticevich
(9)
,
Jan Brozek
(4)
,
Moises Calderon
(10)
,
G. Walter Canonica
(11)
,
Thomas B. Casale
(12)
,
Niels H. Chavannes
(13)
,
Linda Cox
(14)
,
Henry Chrystyn
(15)
,
Alvaro A. Cruz
(16)
,
Ronald Dahl
(17)
,
Giuseppe de Carlo
(18)
,
Pascal Demoly
(19, 20)
,
Philippe Devillier
(21)
,
Gérard Dray
(22)
,
Monica Fletcher
(23)
,
Wytske J. Fokkens
(24)
,
Joao Fonseca
(25)
,
Sandra N. Gonzalez-Diaz
(26)
,
Lawrence Grouse
(27)
,
Thomas Keil
(28)
,
Piotr Kuna
(29)
,
Désirée Larenas-Linnemann
(30)
,
Karin C. Lodrup Carlsen
(31)
,
Eli O. Meltzer
(32)
,
Joaquim Mullol
(33)
,
Antonella Muraro
(34)
,
Robert Naclerio
(35)
,
Susanna Palkonen
(18)
,
Nikolaos G. Papadopoulos
(36)
,
Giovanni Passalacqua
(11)
,
David Price
(37)
,
Dermot Ryan
(38)
,
Boleslaw Samolinski
(39)
,
Glenis K. Scadding
(40)
,
Aziz Sheikh
(41)
,
Arunas Valiulis
(42)
,
Erkka Valovirta
(43)
,
Samantha Walker
(44)
,
Magnus Wickman
(45)
,
Arzu Yorgancioglu
(46)
,
Torsten Zuberbier
(8)
1
MACVIA-LR -
Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon
2 VIMA - Vieillissement et Maladies chroniques : approches épidémiologique et de santé publique
3 Hôpital Saint Eloi [CHU Montpellier]
4 Departments of Clinical Epidemiology and Biostatistics and Medicine [Ontario]
5 Laboratory of clinical immunology
6 Kyomed
7 Upper Airways Research Laboratory
8 GA2LEN - Secretary General of the Global Allergy and Asthma European Network
9 Woolcock Institute of Medical Research [Sydney]
10 NHLBI - National Heart, Lung, and Blood Institute [Bethesda]
11 Allergy & Respiratory Diseases Clinic - DIMI
12 Division of Allergy/Immunology
13 Department of Public Health and Primary Care [leiden]
14 Department of Medicine [Floride]
15 RiRL
16 ProAR – Nucleo de Excelencia em Asma
17 Department of Dermatology and Allergy Centre
18 EFA - European Federation of Allergy
19 DS3 - ESIM - Déterminants Sociaux de la Santé et du Recours aux Soins
20 Service des Maladies Respiratoires [Montpellier]
21 Laboratoire de Pharmacologie Respiratoire UPRES EA220
22 IMT - MINES ALES - IMT - MINES ALES
23 Education for Health
24 Department of Otorhinolaryngology [Amsterdam]
25 CINTESIS - Center of Research in Health Technologies and Information Systems
26 UANL - Universidad Autonoma de Nuevo Leon [Mexique]
27 Faculty of the Department of Neurology
28 Institute of Social Medicine
29 Division of Internal Medicine, Asthma and Allergy
30 Clínica de Alergia- Asma y Pediatría
31 Department of Paediatrics [Oslo]
32 Allergy & Asthma Medical Group & Research Center
33 Transverse group for research in primary care [Barcelona]
34 Department of Women and Child Health
35 OHNS - Section of Otolaryngology-Head & Neck Surgery
36 Center for Pediatrics and Child Health
37 Academic Centre of Primary Care
38 Allergy and Respiratory Research Group
39 Department of Prevention of Envinronmental Hazards and Allergology
40 The Royal National TNE Hospital
41 Centre for Population Health Sciences
42 Vilnius University [Vilnius]
43 Dept. of Lung Diseases and Clinical Allergology
44 King‘s College London
45 IMM - The Institute of Environmental Medicine [Stockholm]
46 Department of Pulmonology
2 VIMA - Vieillissement et Maladies chroniques : approches épidémiologique et de santé publique
3 Hôpital Saint Eloi [CHU Montpellier]
4 Departments of Clinical Epidemiology and Biostatistics and Medicine [Ontario]
5 Laboratory of clinical immunology
6 Kyomed
7 Upper Airways Research Laboratory
8 GA2LEN - Secretary General of the Global Allergy and Asthma European Network
9 Woolcock Institute of Medical Research [Sydney]
10 NHLBI - National Heart, Lung, and Blood Institute [Bethesda]
11 Allergy & Respiratory Diseases Clinic - DIMI
12 Division of Allergy/Immunology
13 Department of Public Health and Primary Care [leiden]
14 Department of Medicine [Floride]
15 RiRL
16 ProAR – Nucleo de Excelencia em Asma
17 Department of Dermatology and Allergy Centre
18 EFA - European Federation of Allergy
19 DS3 - ESIM - Déterminants Sociaux de la Santé et du Recours aux Soins
20 Service des Maladies Respiratoires [Montpellier]
21 Laboratoire de Pharmacologie Respiratoire UPRES EA220
22 IMT - MINES ALES - IMT - MINES ALES
23 Education for Health
24 Department of Otorhinolaryngology [Amsterdam]
25 CINTESIS - Center of Research in Health Technologies and Information Systems
26 UANL - Universidad Autonoma de Nuevo Leon [Mexique]
27 Faculty of the Department of Neurology
28 Institute of Social Medicine
29 Division of Internal Medicine, Asthma and Allergy
30 Clínica de Alergia- Asma y Pediatría
31 Department of Paediatrics [Oslo]
32 Allergy & Asthma Medical Group & Research Center
33 Transverse group for research in primary care [Barcelona]
34 Department of Women and Child Health
35 OHNS - Section of Otolaryngology-Head & Neck Surgery
36 Center for Pediatrics and Child Health
37 Academic Centre of Primary Care
38 Allergy and Respiratory Research Group
39 Department of Prevention of Envinronmental Hazards and Allergology
40 The Royal National TNE Hospital
41 Centre for Population Health Sciences
42 Vilnius University [Vilnius]
43 Dept. of Lung Diseases and Clinical Allergology
44 King‘s College London
45 IMM - The Institute of Environmental Medicine [Stockholm]
46 Department of Pulmonology
Jean Bousquet
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Claus Bachert
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- ORCID : 0000-0003-4742-1665
Anna Bedbrook
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- ORCID : 0000-0001-9226-7762
G. Walter Canonica
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- ORCID : 0000-0001-8467-2557
Pascal Demoly
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- IdHAL : pascal-demoly
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Philippe Devillier
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- ORCID : 0000-0001-6054-1886
Gérard Dray
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Joao Fonseca
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- ORCID : 0000-0002-0887-8796
Piotr Kuna
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Joaquim Mullol
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Antonella Muraro
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Giovanni Passalacqua
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- ORCID : 0000-0002-5139-3604
Dermot Ryan
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- ORCID : 0000-0002-4115-7376
Arunas Valiulis
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- ORCID : 0000-0002-0287-9915
Arzu Yorgancioglu
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- ORCID : 0000-0002-4032-0944
Torsten Zuberbier
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- ORCID : 0000-0002-1466-8875
Résumé
The selection of pharmacotherapy for patients with allergic rhinitis depends on several factors, including age, prominent symptoms, symptom severity, control of allergic rhinitis, patient preferences and cost. Allergen exposure and resulting symptoms vary and treatment adjustment is required. Clinical decision support systems (CDSS) may be beneficial for the assessment of disease control. Clinical decision support systems should be based on the best evidence and algorithms to aid patients and health care professionals to jointly determine the treatment and its step-up or step-down strategy depending on AR control. 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 (MASK: MACVIA-ARIA Sentinel networK). A clinical decision support system is currently being developed to optimize allergic rhinitis control. An algorithm developed by consensus is presented in this paper. This algorithm should be confirmed by appropriate trials.
Domaines
Immunologie| Origine | Publication financée par une institution |
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