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Journal Articles Journal of Allergy and Clinical Immunology Year : 2016

MACVIA Clinical Decision Algorithm in Allergic Rhinitis in adolescents and adults

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 CHRU Montpellier - Hôpital Saint Eloi
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
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 Clinic of Children's Diseases
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
Sylvie Arnavielhe
  • Function : Author
Claus Bachert
Henry Chrystyn
  • Function : Author
Gérard Dray
Antonella Muraro
Dermot Ryan
Arzu Yorgancioglu


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.
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Dates and versions

hal-01310973 , version 1 (03-05-2016)




Jean Bousquet, Holger J. Schünemann, Peter W. Hellings, Sylvie Arnavielhe, Claus Bachert, et al.. MACVIA Clinical Decision Algorithm in Allergic Rhinitis in adolescents and adults. Journal of Allergy and Clinical Immunology, 2016, ⟨10.1016/j.jaci.2016.03.025⟩. ⟨hal-01310973⟩
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