title: Development and implementation of guidelines in allergic rhinitis – an ARIA-GA2LEN paper.
abstract: The links between asthma and rhinitis are well characterized. The Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines stress the importance of these links and provide guidance for their prevention and treatment. Despite effective treatments being available, too few patients receive appropriate medical care for both diseases. Most patients with rhinitis and asthma consult primary care physicians and therefore these physicians are encouraged to understand and use ARIA guidelines. Patients should also be informed about these guidelines to raise their awareness of optimal care and increase control of the two related diseases. To apply these guidelines, clinicians and patients need to understand how and why the recommendations were made. The goal of the ARIA guidelines is to provide recommendations about the best management options for most patients in most situations. These recommendations should be based on the best available evidence. Making recommendations requires the assessment of the quality of available evidence, deciding on the balance between benefits and downsides, consideration of patients’ values and preferences, and, if applicable, resource implications. Guidelines must be updated as new management options become available or important new evidence emerges. Transparent reporting of guidelines facilitates understanding and acceptance, but implementation strategies need to be improved.
authors.affiliation: University Hospital, Hôpital Arnaud de Villeneuve, Montpellier Cedex 5, France. jean.bousquet@inserm.fr
authors.forename: Jean
authors.initials: J
authors.lastname: Bousquet
authors.forename: H J
authors.initials: HJ
authors.lastname: Schünemann
authors.forename: T
authors.initials: T
authors.lastname: Zuberbier
authors.forename: C
authors.initials: C
authors.lastname: Bachert
authors.forename: C E
authors.initials: CE
authors.lastname: Baena-Cagnani
authors.forename: P J
authors.initials: PJ
authors.lastname: Bousquet
authors.forename: J
authors.initials: J
authors.lastname: Brozek
authors.forename: G W
authors.initials: GW
authors.lastname: Canonica
authors.forename: T B
authors.initials: TB
authors.lastname: Casale
authors.forename: P
authors.initials: P
authors.lastname: Demoly
authors.forename: R
authors.initials: R
authors.lastname: Gerth van Wijk
authors.forename: K
authors.initials: K
authors.lastname: Ohta
authors.forename: E D
authors.initials: ED
authors.lastname: Bateman
authors.forename: M
authors.initials: M
authors.lastname: Calderon
authors.forename: A A
authors.initials: AA
authors.lastname: Cruz
authors.forename: W K
authors.initials: WK
authors.lastname: Dolen
authors.forename: J
authors.initials: J
authors.lastname: Haughney
authors.forename: R F
authors.initials: RF
authors.lastname: Lockey
authors.forename: J
authors.initials: J
authors.lastname: Lötvall
authors.forename: P
authors.initials: P
authors.lastname: O'Byrne
authors.forename: O
authors.initials: O
authors.lastname: Spranger
authors.forename: A
authors.initials: A
authors.lastname: Togias
authors.forename: S
authors.initials: S
authors.lastname: Bonini
authors.forename: L P
authors.initials: LP
authors.lastname: Boulet
authors.forename: P
authors.initials: P
authors.lastname: Camargos
authors.forename: K H
authors.initials: KH
authors.lastname: Carlsen
authors.forename: N H
authors.initials: NH
authors.lastname: Chavannes
authors.forename: L
authors.initials: L
authors.lastname: Delgado
authors.forename: S R
authors.initials: SR
authors.lastname: Durham
authors.forename: W J
authors.initials: WJ
authors.lastname: Fokkens
authors.forename: J
authors.initials: J
authors.lastname: Fonseca
authors.forename: T
authors.initials: T
authors.lastname: Haahtela
authors.forename: O
authors.initials: O
authors.lastname: Kalayci
authors.forename: M L
authors.initials: ML
authors.lastname: Kowalski
authors.forename: D
authors.initials: D
authors.lastname: Larenas-Linnemann
authors.forename: J
authors.initials: J
authors.lastname: Li
authors.forename: Y
authors.initials: Y
authors.lastname: Mohammad
authors.forename: J
authors.initials: J
authors.lastname: Mullol
authors.forename: R
authors.initials: R
authors.lastname: Naclerio
authors.forename: R E
authors.initials: RE
authors.lastname: O'Hehir
authors.forename: N
authors.initials: N
authors.lastname: Papadopoulos
authors.forename: G
authors.initials: G
authors.lastname: Passalacqua
authors.forename: K F
authors.initials: KF
authors.lastname: Rabe
authors.forename: R
authors.initials: R
authors.lastname: Pawankar
authors.forename: D
authors.initials: D
authors.lastname: Ryan
authors.forename: B
authors.initials: B
authors.lastname: Samolinski
authors.forename: F E R
authors.initials: FE
authors.lastname: Simons
authors.forename: E
authors.initials: E
authors.lastname: Valovirta
authors.forename: A
authors.initials: A
authors.lastname: Yorgancioglu
authors.forename: O M
authors.initials: OM
authors.lastname: Yusuf
authors.forename: I
authors.initials: I
authors.lastname: Agache
authors.forename: N
authors.initials: N
authors.lastname: Aït-Khaled
authors.forename: I
authors.initials: I
authors.lastname: Annesi-Maesano
authors.forename: B
authors.initials: B
authors.lastname: Beghe
authors.forename: A
authors.initials: A
authors.lastname: Ben Kheder
authors.forename: M S
authors.initials: MS
authors.lastname: Blaiss
authors.forename: D A
authors.initials: DA
authors.lastname: Boakye
authors.forename: J
authors.initials: J
authors.lastname: Bouchard
authors.forename: P G
authors.initials: PG
authors.lastname: Burney
authors.forename: W W
authors.initials: WW
authors.lastname: Busse
authors.forename: M
authors.initials: M
authors.lastname: Chan-Yeung
authors.forename: Y
authors.initials: Y
authors.lastname: Chen
authors.forename: A G
authors.initials: AG
authors.lastname: Chuchalin
authors.forename: D J
authors.initials: DJ
authors.lastname: Costa
authors.forename: A
authors.initials: A
authors.lastname: Custovic
authors.forename: R
authors.initials: R
authors.lastname: Dahl
authors.forename: J
authors.initials: J
authors.lastname: Denburg
authors.forename: H
authors.initials: H
authors.lastname: Douagui
authors.forename: R
authors.initials: R
authors.lastname: Emuzyte
authors.forename: L
authors.initials: L
authors.lastname: Grouse
authors.forename: M
authors.initials: M
authors.lastname: Humbert
authors.forename: C
authors.initials: C
authors.lastname: Jackson
authors.forename: S L
authors.initials: SL
authors.lastname: Johnston
authors.forename: M A
authors.initials: MA
authors.lastname: Kaliner
authors.forename: P K
authors.initials: PK
authors.lastname: Keith
authors.forename: Y Y
authors.initials: YY
authors.lastname: Kim
authors.forename: J M
authors.initials: JM
authors.lastname: Klossek
authors.forename: P
authors.initials: P
authors.lastname: Kuna
authors.forename: L T
authors.initials: LT
authors.lastname: Le
authors.forename: C
authors.initials: C
authors.lastname: Lemiere
authors.forename: B
authors.initials: B
authors.lastname: Lipworth
authors.forename: B
authors.initials: B
authors.lastname: Mahboub
authors.forename: J L
authors.initials: JL
authors.lastname: Malo
authors.forename: G D
authors.initials: GD
authors.lastname: Marshall
authors.forename: S
authors.initials: S
authors.lastname: Mavale-Manuel
authors.forename: E O
authors.initials: EO
authors.lastname: Meltzer
authors.forename: M
authors.initials: M
authors.lastname: Morais-Almeida
authors.forename: C
authors.initials: C
authors.lastname: Motala
authors.forename: C
authors.initials: C
authors.lastname: Naspitz
authors.forename: K
authors.initials: K
authors.lastname: Nekam
authors.forename: B
authors.initials: B
authors.lastname: Niggemann
authors.forename: E
authors.initials: E
authors.lastname: Nizankowska-Mogilnicka
authors.forename: Y
authors.initials: Y
authors.lastname: Okamoto
authors.forename: M P
authors.initials: MP
authors.lastname: Orru
authors.forename: S
authors.initials: S
authors.lastname: Ouedraogo
authors.forename: S
authors.initials: S
authors.lastname: Palkonen
authors.forename: T A
authors.initials: TA
authors.lastname: Popov
authors.forename: D
authors.initials: D
authors.lastname: Price
authors.forename: J
authors.initials: J
authors.lastname: Rosado-Pinto
authors.forename: G K
authors.initials: GK
authors.lastname: Scadding
authors.forename: T M
authors.initials: TM
authors.lastname: Sooronbaev
authors.forename: S W
authors.initials: SW
authors.lastname: Stoloff
authors.forename: E
authors.initials: E
authors.lastname: Toskala
authors.forename: P
authors.initials: P
authors.lastname: van Cauwenberge
authors.forename: O
authors.initials: O
authors.lastname: Vandenplas
authors.forename: C
authors.initials: C
authors.lastname: van Weel
authors.forename: G
authors.initials: G
authors.lastname: Viegi
authors.forename: J C
authors.initials: JC
authors.lastname: Virchow
authors.forename: D Y
authors.initials: DY
authors.lastname: Wang
authors.forename: M
authors.initials: M
authors.lastname: Wickman
authors.forename: D
authors.initials: D
authors.lastname: Williams
authors.forename: B P
authors.initials: BP
authors.lastname: Yawn
authors.forename: H J
authors.initials: HJ
authors.lastname: Zar
authors.forename: M
authors.initials: M
authors.lastname: Zernotti
authors.forename: N
authors.initials: N
authors.lastname: Zhong
mesh_terms: D001249:Asthma / Q000517:prevention & control / Q000628:therapy; D019468:Disease Management; D019317:Evidence-Based Medicine; D006801:Humans; D010934:Planning Techniques; D017410:Practice Guidelines as Topic; D012221:Rhinitis, Allergic, Perennial / Q000517:prevention & control / Q000628:therapy*; D006255:Rhinitis, Allergic, Seasonal / Q000517:prevention & control / Q000628:therapy