MACVIA clinical decision algorithm in adolescents and adults with allergic rhinitis

Authors: Jean Bousquet, Holger J. Schünemann, Peter W. Hellings, S. Arnavielhe, Claus Bachert, Anna Bedbrook, Karl‐Christian Bergmann, Sinthia Bosnic‐Anticevich, Jan Brożek, Moisés A. Calderón, Giorgio Walter Canonica, Thomas B. Casale, Niels H. Chavannes, Linda Cox, Henry Chrystyn, Álvaro A. Cruz, Ronald Dahl, Giuseppe De Carlo, Pascal Demoly, P. Devillier, Gérard Dray, Monica Fletcher, Wytske J. Fokkens, João Fonseca, Sandra Nora González Díaz, Lawrence D. Grouse, Thomas Keil, Piotr Kuna, Désirée Larenas‐Linnemann, Karin C. Lødrup Carlsen, Eli O. Meltzer, Jaoquim Mullol, Antonella Muraro, Robert N. Naclerio, Susanna Palkonen, Nikolaos G. Papadopoulos, Giovanni Passalacqua, David Price, Dermot Ryan, Bolesław Samoliński, Glenis K. Scadding, Aziz Sheikh, François Spertini, Arunas Valiulis, Erkka Valovirta, Samantha Walker, Magnus Wickman, Arzu Yorgancıoğlu, Tari Haahtela, Torsten Zuberbier, Werner Aberer, Mitsuru Adachi, Ioana Agache, Cezmi A. Akdiş, Mübeccel Akdis, Isabella Annesi-Maesano, Ignacio J. Ansotegui, Josep M Antó, Syed Hasan Arshad, Ilaria Baiardini, Аbay Baigenzhin, Cristina Bárbara, Eric D. Bateman, Bianca Beghé, Elisabeth H. Bel, Ali Ben Kheder, Kazi Saifuddin Bennoor, Michael K. D. Benson, David N. Bernstein, Bewick Michael, Bieber Thomas, Carsten Bindslev‐Jensen, Leif Bjermer, Hubert Blain, Attilio Boner, Matteo Bonini, С. Бонини, Isabelle Bossé, Jacques Bouchard, Louis‐Philippe Boulet, Rodolphe A. Bourret, Philippe‐Jean Bousquet, Fulvio Braido, Andrew Briggs, Christopher E. Brightling, Roland Buhl, Peter Burney, Andrew Bush, F. Caballero-Fonseca, Davide Caimmi, Paulo Augusto Moreira Camargos, T. Camuzat, Kai‐Håkon Carlsen, Warner Carr, Thomas B. Casale, Alfonso Cepeda Sarabia, Leda Chatzi, Yuzhi Chen, R. Chiron, Ekaterine Chkhartishvili, А. Г. Чучалин, Georgio Ciprandi, Ieva Cirule, Jaime Correia de Sousa, David Costa, George Crooks, Adnan Čustović, Sven-Erik Dahlen, Ulf Darsow, F. de Blay, Esteban De Manuel Keenoy, Tony Dedeu, Diana Deleanu, Judah A. Denburg, A. Didier, Anh Tuan Dinh‐Xuan, Dejan Dokic, H. Douagui, Rūta Dubakienė, Stephen R. Durham, Mark S. Dykewicz, Yehia El‐Gamal, Regina Emuzyte, Antje Fink-Wagner, Alessandro Fiocchi, Francesco Forastiere, Amiran Gamkrelidze, Bilun Gemicioğlu, José E. Gereda, Roy Gerth van Wijk, Maia Gotua, Ineta Grisle, M. Antonieta Guzmán, Tari Haahtela, Joachim Heinrich, B. Hellquist-Dahl, Friedrich Horak, Peter Howarth, Marc Humbert, Michael E. Hyland, Juan Carlos Ivancevich, Edgardo Járes, Sebastian L. Johnston, O. Jonquet, Guy Joos, Ki‐suck Jung, J. Just, Marek Jutel, Ігор Петрович Кайдашев, Musa Khaitov, Ömer Kalayci, Fuat Kalyoncu, Paul K. Keith, Nikolaï Khaltaev, Jörg Kleine‐Tebbe, Ludger Klimek, B. Koffi N’Goran, Vitezlav Kolek, Gerard H. Koppelman, Marek L. Kowalski, Inger Kull, Violeta Kvedarienė, Bart N. Lambrecht, Susanne Lau, Daniel Laune, Lan Le Thi Tuyet, Jing Li, Phillipe Lieberman, Brian J. Lipworth, Renaud Louis, Y. Magard, A. Magnan, Bassam Mahboub, I. Majer, Mika J. Mäkelä, Peter J. Manning, Mohamad R. Masjedi, Marcus Maurer, Sandra Mavale-Manuel, Erik Melén, E. Melo-Gomes, Jacques Mercier, Hans Merk, Neven Miculinić, Florin Mihălţan, Branislava Milenković, Yousser Mohammad, Mathiéu Molimard, Isabelle Momas, A. Montilla-Santana, Mário Morais‐Almeida, Ralph Mösges, Rachel Nadif, Leyla S. Namazova-Baranova, Hugo Neffen, K Nékám, Angelos Neou, B. Niggemann, Dieudonné T. Nyembue, Robyn E. O’Hehir, Ken Ohta, Yoshitaka Okamoto, K. Okubo, S. Ouedraogo, Pier-Luigi Paggiaro, Isabella Pali‐Schöll, Stephen Palmer, Petr Panzner, Alberto Papi, Hae‐Sim Park, Ian Pavord, Ruby Pawankar, Oliver Pfaar, Robert Picard, Bernard Pigearias, Isabelle Pin, Davor Plavec, Wolfgang Pohl, Todor A. Popov, Dirkje S. Postma, Paul Potter, Lars K. Poulsen, Klaus F. Rabe, Filip Raciborski, Françoise Radier Pontal, Sakari Reitamo, Maria-Susana Repka-Ramirez, Carlos Robalo Cordeiro, Graham Roberts, Francisco Ródenas, Christine Rolland, Miguel Román-Rodríguez, Antonino Romano, José Rosado‐Pinto, Nelson Augusto Rosário Filho, Larry Rosenwasser, Menachem Rottem, Mario Sánchez‐Borges, Joaquim Sastre-Dominguez, Peter Schmid‐Grendelmeier, E Sancho Serrano, F. Estelle R. Simons, Juan‐Carlos Sisul, Ingebjørg Skrindo, Henriëtte A. Smit, Dírceu Solé, Talant Sooronbaev, Otto Spranger, Rafaël Stelmach, Timo Strandberg, Jordi Sunyer, Carel Thijs, Ana Todo‐Bom, Massimo Triggiani, Rudolf Valenta, Antonio Valero, Marianne van Hage, Olivier Vandenplas, G. Vezzani, Pakit Vichyanond, Giovanni Viegi, Martin Wagenmann, Ulrich Wahn, Wang De Yun, D. Gwyn Williams, John Wright, Barbara P. Yawn, Panayiotis K. Yiallouros, Osman Yusuf, Heather J. Zar, Mario Zernotti, Luo Zhang, Nanshan Zhong, Mihaela Zidarn - Journal of Allergy and Clinical Immunology 2016 cited by 172

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.