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 Devillier; Gérard 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

doi:10.1016/j.jaci.2016.03.025

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

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

137 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 language	English
Pages (from-to)	367-374.e2
Number of pages	10
Journal	Journal of Allergy and Clinical Immunology
Volume	138
Issue number	2
DOIs	https://doi.org/10.1016/j.jaci.2016.03.025
Publication status	Published - 1 Aug 2016
Externally published	Yes

Bibliographical note

Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

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

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10.1016/j.jaci.2016.03.025Licence: CC BY-NC-ND

Publisher version (open access)Final published version, 487 KBLicence: CC BY-NC-ND

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Bousquet, J., Schünemann, H. J., Hellings, P. W., Arnavielhe, S., Bachert, C., Bedbrook, A., Bergmann, K. C., Bosnic-Anticevich, S., Brozek, J., Calderon, M., Canonica, G. W., Casale, T. B., Chavannes, N. H., Cox, L., Chrystyn, H., Cruz, A. A., Dahl, R., De Carlo, G., Demoly, P., ... 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

@article{7f851153c46c4d689358b6be6040436f,

title = "MACVIA clinical decision algorithm in adolescents and adults with allergic rhinitis",

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.",

keywords = "Allergic rhinitis, Allergic Rhinitis and its Impact on Asthma, clinical decision support system, conjunctivitis, information and communication technology, MACVIA-LR",

author = "Jean Bousquet and Sch{\"u}nemann, {Holger J.} and Hellings, {Peter W.} and Sylvie Arnavielhe and Claus Bachert and Anna Bedbrook and Bergmann, {Karl Christian} and Sinthia Bosnic-Anticevich and Jan Brozek and Moises Calderon and Canonica, {G. Walter} and Casale, {Thomas B.} and Chavannes, {Niels H.} and Linda Cox and Henry Chrystyn and Cruz, {Alvaro A.} and Ronald Dahl and {De Carlo}, Giuseppe and Pascal Demoly and Phillipe Devillier and G{\'e}rard Dray and Monica Fletcher and Fokkens, {Wytske J.} and Joao Fonseca and Gonzalez-Diaz, {Sandra N.} and Lawrence Grouse and Thomas Keil and Piotr Kuna and D{\'e}sir{\'e}e Larenas-Linnemann and {Lodrup Carlsen}, {Karin C.} and Meltzer, {Eli O.} and Jaoquim Mullol and Antonella Muraro and Naclerio, {Robert N.} and Susanna Palkonen and Papadopoulos, {Nikolaos G.} and Giovanni Passalacqua and David Price and Dermot Ryan and Boleslaw Samolinski and Scadding, {Glenis K.} and Aziz Sheikh and Fran{\c c}ois Spertini and Arunas Valiulis and Erkka Valovirta and Samantha Walker and Magnus Wickman and Arzu Yorgancioglu and Tari Haahtela and Torsten Zuberbier and {MASK study group} and Werner Aberer and Mitsuru Adachi and Ioana Agache and Cezmi Akdis and Mubeccel Akdis and Isabella Annesi-Maesano and Ansotegui, {Ignacio J.} and Anto, {Josep M.} and Arshad, {S. Hasan} and Ilaria Baiardini and Baigenzhin, {Abay K.} and Cristina Barbara and Bateman, {Eric D.} and Bianca Begh{\'e} and Bel, {Elisabeth H.} and {Ben Kheder}, Ali and Bennoor, {Kazi S.} and Michael Benson and David Bernstein and Bewick Michael and Bieber Thomas and Carsten Bindslev-Jensen and Leif Bjermer and Hubert Blain and Attilio Boner and Matteo Bonini and Sergio Bonini and Isabelle Bosse and Jacques Bouchard and Boulet, {Louis Philippe} and Bourret, {Rodolphe A.} and Bousquet, {Philippe J.} and Fulvio Braido and Briggs, {Andrew H.} and Brightling, {Christopher E.} and Roland Buhl and Peter Burney and Andrew Bush and Fernando Caballero-Fonseca and Caimmi, {Davide P.} and Paulo Camargos and Thierry Camuzat and Carlsen, {Kai Hakon} and Warner Carr and Casale, {Thomas B.} and Sarabia, {Alfonso Cepeda} and Leda Chatzi and Yuzhi Chen and Rapha{\"e}l Chiron and Ekaterine Chkhartishvili and Alexander Chuchalin and Georgio Ciprandi and Ieva Cirule and {Correia de Sousa}, Jaime and David Costa and George Crooks and Adnan Custovic and Dahlen, {Sven Erik} and Ulf Darsow and {De Blay}, Fr{\'e}d{\'e}ric and {De Manuel Keenoy}, Esteban and Tony Dedeu and Diana Deleanu and Judah Denburg and Alain Didier and Dinh-Xuan, {Anh Tuan} and Dejan Dokic and Douagui, {Habib B.} and Ruta Dubakiene and Stephen Durham and Mark Dykewicz and Yehia El-Gamal and Regina Emuzyte and Antje Fink-Wagner and Alessandro Fiocchi and Francesco Forastiere and Amiran Gamkrelidze and Bilun Gemicioğlu and Gereda, {Jose E.} and {Gerth van Wijk}, Roy and Maia Gotua and Ineta Grisle and Guzm{\'a}n, {M. Antonieta} and Tari Haahtela and Joachim Heinrich and Birthe Hellquist-Dahl and Friedrich Horak and Howarth, {Peter H.} and Marc Humbert and Michael Hyland and Ivancevich, {Juan Carlos} and Jares, {Edgardo J.} and Johnston, {Sebastian L.} and Olivier Jonquet and Guy Joos and Jung, {Ki Suck} and Jocelyne Just and Marek Jutel and Kaidashev, {Igor P.} and Musa Khaitov and Omer Kalayci and Fuat Kalyoncu and Paul Keith and Nikolai Khaltaev and Jorg Kleine-Tebbe and Ludger Klimek and N'Goran, {Bernard Koffi} and Vitezlav Kolek and Koppelman, {Gerard H.} and Marek Kowalski and Inger Kull and Violeta Kvedariene and Bart Lambrecht and Susanne Lau and Daniel Laune and {Le Thi Tuyet}, Lan and Jing Li and Phillipe Lieberman and Lipworth, {Brian J.} and Louis Renaud and Yves Magard and Antoine Magnan and Bassam Mahboub and Ivan Majer and Mika Makela and Manning, {Peter J.} and Masjedi, {Mohamad R.} and Marcus Maurer and Sandra Mavale-Manuel and Erik Mel{\'e}n and Elisabete Melo-Gomes and Jacques Mercier and Hans Merk and Neven Miculinic and Florin Mihaltan and Branislava Milenkovic and Yousser Mohammad and Mathieu Molimard and Isabelle Momas and Anna Montilla-Santana and Mario Morais-Almeida and Ralph M{\"o}sges and Rachel Nadif and Leyla Namazova-Baranova and Hugo Neffen and Kristof Nekam and Angelos Neou and Bodo Niggemann and Dieudonn{\'e} Nyembue and Robyn O'Hehir and Ken Ohta and Yoshitaka Okamoto and Kim Okubo and Solange Ouedraogo and Paggiaro, {Pier Luigi} and Isabella Pali-Sch{\"o}ll and Stephen Palmer and Petr Panzner and Alberto Papi and Park, {Hae Sim} and Ian Pavord and Ruby Pawankar and Oliver Pfaar and Robert Picard and Bernard Pigearias and Isabelle Pin and Davor Plavec and Wolfgang Pohl and Todor Popov and Postma, {Dirkje S.} and Paul Potter and Poulsen, {Lars K.} and Rabe, {Klaus F.} and Filip Raciborski and Pontal, {Fran{\c c}oise Radier} and Sakari Reitamo and Repka-Ramirez, {Maria Susana} and Carlos Robalo-Cordeiro and Graham Roberts and Francisco Rodenas and Christine Rolland and Rodriguez, {Miguel Roman} and Antonino Romano and Jos{\'e} Rosado-Pinto and Rosario, {Nelson A.} and Larry Rosenwasser and Menachem Rottem and Mario Sanchez-Borges and Joaquim Sastre-Dominguez and Peter Schmid-Grendelmeier and Eli Serrano and Simons, {F. Estelle R.} and Sisul, {Juan Carlos} and Ingebjorg Skrindo and Smit, {Henriette A.} and Dirceu Sol{\'e} and Talant Sooronbaev and Otto Spranger and Rafael Stelmach and Timo Strandberg",

note = "Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",

year = "2016",

month = aug,

day = "1",

doi = "10.1016/j.jaci.2016.03.025",

language = "English",

volume = "138",

pages = "367--374.e2",

journal = "Journal of Allergy and Clinical Immunology",

issn = "0091-6749",

publisher = "Mosby-Year Book Inc.",

number = "2",

}

Bousquet, J, Schünemann, HJ, Hellings, PW, Arnavielhe, S, Bachert, C, Bedbrook, A, Bergmann, KC, 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

TY - JOUR

T1 - MACVIA clinical decision algorithm in adolescents and adults with allergic rhinitis

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

AU - Aberer, Werner

AU - Adachi, Mitsuru

AU - Agache, Ioana

AU - Akdis, Cezmi

AU - Akdis, Mubeccel

AU - Annesi-Maesano, Isabella

AU - Ansotegui, Ignacio J.

AU - Anto, Josep M.

AU - Arshad, S. Hasan

AU - Baiardini, Ilaria

AU - Baigenzhin, Abay K.

AU - Barbara, Cristina

AU - Bateman, Eric D.

AU - Beghé, Bianca

AU - Bel, Elisabeth H.

AU - Ben Kheder, Ali

AU - Bennoor, Kazi S.

AU - Benson, Michael

AU - Bernstein, David

AU - Michael, Bewick

AU - Thomas, Bieber

AU - Bindslev-Jensen, Carsten

AU - Bjermer, Leif

AU - Blain, Hubert

AU - Boner, Attilio

AU - Bonini, Matteo

AU - Bonini, Sergio

AU - Bosse, Isabelle

AU - Bouchard, Jacques

AU - Boulet, Louis Philippe

AU - Bourret, Rodolphe A.

AU - Bousquet, Philippe J.

AU - Braido, Fulvio

AU - Briggs, Andrew H.

AU - Brightling, Christopher E.

AU - Buhl, Roland

AU - Burney, Peter

AU - Bush, Andrew

AU - Caballero-Fonseca, Fernando

AU - Caimmi, Davide P.

AU - Camargos, Paulo

AU - Camuzat, Thierry

AU - Carlsen, Kai Hakon

AU - Carr, Warner

AU - Casale, Thomas B.

AU - Sarabia, Alfonso Cepeda

AU - Chatzi, Leda

AU - Chen, Yuzhi

AU - Chiron, Raphaël

AU - Chkhartishvili, Ekaterine

AU - Chuchalin, Alexander

AU - Ciprandi, Georgio

AU - Cirule, Ieva

AU - Correia de Sousa, Jaime

AU - Costa, David

AU - Crooks, George

AU - Custovic, Adnan

AU - Dahlen, Sven Erik

AU - Darsow, Ulf

AU - De Blay, Frédéric

AU - De Manuel Keenoy, Esteban

AU - Dedeu, Tony

AU - Deleanu, Diana

AU - Denburg, Judah

AU - Didier, Alain

AU - Dinh-Xuan, Anh Tuan

AU - Dokic, Dejan

AU - Douagui, Habib B.

AU - Dubakiene, Ruta

AU - Durham, Stephen

AU - Dykewicz, Mark

AU - El-Gamal, Yehia

AU - Emuzyte, Regina

AU - Fink-Wagner, Antje

AU - Fiocchi, Alessandro

AU - Forastiere, Francesco

AU - Gamkrelidze, Amiran

AU - Gemicioğlu, Bilun

AU - Gereda, Jose E.

AU - Gerth van Wijk, Roy

AU - Gotua, Maia

AU - Grisle, Ineta

AU - Guzmán, M. Antonieta

AU - Haahtela, Tari

AU - Heinrich, Joachim

AU - Hellquist-Dahl, Birthe

AU - Horak, Friedrich

AU - Howarth, Peter H.

AU - Humbert, Marc

AU - Hyland, Michael

AU - Ivancevich, Juan Carlos

AU - Jares, Edgardo J.

AU - Johnston, Sebastian L.

AU - Jonquet, Olivier

AU - Joos, Guy

AU - Jung, Ki Suck

AU - Just, Jocelyne

AU - Jutel, Marek

AU - Kaidashev, Igor P.

AU - Khaitov, Musa

AU - Kalayci, Omer

AU - Kalyoncu, Fuat

AU - Keith, Paul

AU - Khaltaev, Nikolai

AU - Kleine-Tebbe, Jorg

AU - Klimek, Ludger

AU - N'Goran, Bernard Koffi

AU - Kolek, Vitezlav

AU - Koppelman, Gerard H.

AU - Kowalski, Marek

AU - Kull, Inger

AU - Kvedariene, Violeta

AU - Lambrecht, Bart

AU - Lau, Susanne

AU - Laune, Daniel

AU - Le Thi Tuyet, Lan

AU - Li, Jing

AU - Lieberman, Phillipe

AU - Lipworth, Brian J.

AU - Renaud, Louis

AU - Magard, Yves

AU - Magnan, Antoine

AU - Mahboub, Bassam

AU - Majer, Ivan

AU - Makela, Mika

AU - Manning, Peter J.

AU - Masjedi, Mohamad R.

AU - Maurer, Marcus

AU - Mavale-Manuel, Sandra

AU - Melén, Erik

AU - Melo-Gomes, Elisabete

AU - Mercier, Jacques

AU - Merk, Hans

AU - Miculinic, Neven

AU - Mihaltan, Florin

AU - Milenkovic, Branislava

AU - Mohammad, Yousser

AU - Molimard, Mathieu

AU - Momas, Isabelle

AU - Montilla-Santana, Anna

AU - Morais-Almeida, Mario

AU - Mösges, Ralph

AU - Nadif, Rachel

AU - Namazova-Baranova, Leyla

AU - Neffen, Hugo

AU - Nekam, Kristof

AU - Neou, Angelos

AU - Niggemann, Bodo

AU - Nyembue, Dieudonné

AU - O'Hehir, Robyn

AU - Ohta, Ken

AU - Okamoto, Yoshitaka

AU - Okubo, Kim

AU - Ouedraogo, Solange

AU - Paggiaro, Pier Luigi

AU - Pali-Schöll, Isabella

AU - Palmer, Stephen

AU - Panzner, Petr

AU - Papi, Alberto

AU - Park, Hae Sim

AU - Pavord, Ian

AU - Pawankar, Ruby

AU - Pfaar, Oliver

AU - Picard, Robert

AU - Pigearias, Bernard

AU - Pin, Isabelle

AU - Plavec, Davor

AU - Pohl, Wolfgang

AU - Popov, Todor

AU - Postma, Dirkje S.

AU - Potter, Paul

AU - Poulsen, Lars K.

AU - Rabe, Klaus F.

AU - Raciborski, Filip

AU - Pontal, Françoise Radier

AU - Reitamo, Sakari

AU - Repka-Ramirez, Maria Susana

AU - Robalo-Cordeiro, Carlos

AU - Roberts, Graham

AU - Rodenas, Francisco

AU - Rolland, Christine

AU - Rodriguez, Miguel Roman

AU - Romano, Antonino

AU - Rosado-Pinto, José

AU - Rosario, Nelson A.

AU - Rosenwasser, Larry

AU - Rottem, Menachem

AU - Sanchez-Borges, Mario

AU - Sastre-Dominguez, Joaquim

AU - Schmid-Grendelmeier, Peter

AU - Serrano, Eli

AU - Simons, F. Estelle R.

AU - Sisul, Juan Carlos

AU - Skrindo, Ingebjorg

AU - Smit, Henriette A.

AU - Solé, Dirceu

AU - Sooronbaev, Talant

AU - Spranger, Otto

AU - Stelmach, Rafael

AU - Strandberg, Timo

N1 - Copyright the Author(s) 2016. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2016/8/1

Y1 - 2016/8/1

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.

AB - 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.

KW - Allergic rhinitis

KW - Allergic Rhinitis and its Impact on Asthma

KW - clinical decision support system

KW - conjunctivitis

KW - information and communication technology

KW - MACVIA-LR

UR - http://www.scopus.com/inward/record.url?scp=84973867730&partnerID=8YFLogxK

U2 - 10.1016/j.jaci.2016.03.025

DO - 10.1016/j.jaci.2016.03.025

M3 - Article

C2 - 27260321

AN - SCOPUS:84973867730

SN - 0091-6749

VL - 138

SP - 367-374.e2

JO - Journal of Allergy and Clinical Immunology

JF - Journal of Allergy and Clinical Immunology

IS - 2

ER -

MACVIA clinical decision algorithm in adolescents and adults with allergic rhinitis

Abstract

Bibliographical note

Keywords

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