title: [ARIA Mexico 2014. Adaptation of the Clinical Practice Guide ARIA 2010 for Mexico. Methodology ADAPTE].
abstract: BACKGROUND
  The global prevalence of allergic rhinitis is high. International Study of Asthma and Allergies in Childhood (ISAAC) Phase III reports a total estimated prevalence of 4.6% in Mexico. There is evidence based on allergic rhinitis Clinical Practice Guidelines (CPG), but its promotion, acceptance and application is not optimal or adequate in Mexico.
  
  
  OBJECTIVE
  To generate a guideline for the treatment of allergic rhinitis and its impact on asthma by adaptating the 2010 ARIA Guideline to Mexican reality, through a transculturation process applying the ADAPTE methodology.
  
  
  METHODS
  Using the ADAPTE Methodology, the original 2010 ARIA CPG recommendations were evaluated by the guideline development group (GDG) into which multiple medical specialities managing patients with allergic rhinitis were incoorporated. The GDG valorated the quality of 2010 ARIA, checked and translated key clinical questions. Moreover, the GDG adjusted recommendations, patient preferences and included comments in the context of the Mexican reality (safety, costs and cultural issues). To accomplish this, we ran Delphi panels with as many rounds as necessary to reach agreement. One extra question, not included in the original 2010 ARIA, on the use of Nasal Lavages for AR was created sustained by a systematic literature review.
  
  
  RESULTS
  A total of 45 questions from the original 2010 ARIA were included and divided into six groups covering prevention, medical treatment, immunotherapy and alternative medicine to treat patients with allergic rhinitis with or without asthma. Most of the questions reached agreement in one or two rounds; one question required three rounds.
  
  
  CONCLUSIONS
  An easy-to-use, adaptated, up-to-date and applicable allergic rhinitis guideline for Mexico is now available.
authors.affiliation: Hospital Médica Sur, México, DF.
authors.forename: Désirée
authors.initials: D
authors.lastname: Larenas-Linnemann
authors.forename: José Luis
authors.initials: JL
authors.lastname: Mayorga-Butrón
authors.forename: Andrés
authors.initials: A
authors.lastname: Sánchez-González
authors.forename: Arturo
authors.initials: A
authors.lastname: Ramírez-García
authors.forename: Miguel
authors.initials: M
authors.lastname: Medina-Ávalos
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Figueroa-Morales
authors.forename: B Beatriz
authors.initials: BB
authors.lastname: Montaño-Velázquez
authors.forename: Gabriel
authors.initials: G
authors.lastname: Montes-Narváez
authors.forename: Sergio
authors.initials: S
authors.lastname: Romero-Tapia
authors.forename: Héctor
authors.initials: H
authors.lastname: Stone-Aguilar
authors.forename: Luis
authors.initials: L
authors.lastname: Xochihua-Díaz
authors.forename: Jorge
authors.initials: J
authors.lastname: Salas-Hernández
authors.forename: Héctor
authors.initials: H
authors.lastname: Hernán-Ruiz
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Betancourt-Suárez
authors.forename: María Carmen
authors.initials: MC
authors.lastname: Cano-Salas
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Curiel-Aceves
authors.forename: Javier
authors.initials: J
authors.lastname: Dibildox-Martínez
authors.forename: Margarita
authors.initials: M
authors.lastname: Fernández-Vega
authors.forename: Carlos
authors.initials: C
authors.lastname: García-Bolaños
authors.forename: Fernando
authors.initials: F
authors.lastname: Iduñate-Palacios
authors.forename: M Alejandro
authors.initials: MA
authors.lastname: Jiménez-Chobillon
authors.forename: Doris N
authors.initials: DN
authors.lastname: López-Lizárraga
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Matta-Campos
authors.forename: Jorge
authors.initials: J
authors.lastname: Olvera-Salinas
authors.forename: María Antonia
authors.initials: MA
authors.lastname: Rivera-Gómez
authors.forename: César
authors.initials: C
authors.lastname: Virgen-Ortega
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Sienra-Monge
authors.forename: Blanca
authors.initials: B
authors.lastname: Del Río-Navarro
authors.forename: Alfredo
authors.initials: A
authors.lastname: Arias-Cruz
authors.forename: Antonio
authors.initials: A
authors.lastname: Sacre-Hazouri
authors.forename: Ambrocio
authors.initials: A
authors.lastname: Aguilar-Aranda
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Vásquez Del Mercado-Cordero
authors.forename: Raúl Humberto
authors.initials: RH
authors.lastname: Barnica
authors.forename: Liliana
authors.initials: L
authors.lastname: Velasco-Hidalgo
authors.forename: Cecilia
authors.initials: C
authors.lastname: Solís-Galicia
keywords: Allergen; Allergic rhinitis; Alternative medicine; Antihistaminic; Antileukotriene; Asthma; Corticosteroid; Immunotherapy; Intermitent; Nasal lavage; Perennial; Persistent