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Allergic Rhinitis and its Impact on Asthma (ARIA): achievements in 10 years and future needs
J Bousquet1, H J Schünemann, B Samolinski
1jean.bousquet@inserm.fr
Insights
Allergic rhinitis and asthma often coexist, impacting global health. The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative provides guidelines to improve patient care and research for these conditions.
Area of Science:
- Allergy and immunology
- Respiratory medicine
- Public health
Background:
- Allergic rhinitis (AR) and asthma are prevalent global health issues affecting all age groups.
- A significant comorbidity exists between asthma and rhinitis, impacting patient management.
- The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative was established to address this relationship.
Purpose of the Study:
- To summarize the achievements of the ARIA initiative over the past decade.
- To identify unmet clinical, research, and implementation needs in AR and asthma management.
- To inform the European Union's priority on allergy and asthma in children.
Main Methods:
- Review of the ARIA classification and guideline development process.
- Analysis of the ARIA initiative's dissemination and implementation worldwide.
- Evaluation of the impact of ARIA on clinical practice and patient outcomes.
Main Results:
- ARIA reclassified AR and highlighted the rhinitis-asthma link, improving patient-centered care.
- ARIA developed evidence-based clinical practice guidelines using the GRADE system.
- The ARIA initiative has been adopted in over 50 countries.
Conclusions:
- The ARIA initiative has significantly advanced the understanding and management of allergic rhinitis and its impact on asthma.
- Continued efforts are needed to address remaining clinical, research, and implementation gaps.
- Strengthening the focus on allergy and asthma in children remains a priority.
Abstract:
Allergic rhinitis (AR) and asthma represent global health problems for all age groups. Asthma and rhinitis frequently coexist in the same subjects. Allergic Rhinitis and its Impact on Asthma (ARIA) was initiated during a World Health Organization workshop in 1999 (published in 2001). ARIA has reclassified AR as mild/moderate-severe and intermittent/persistent. This classification closely reflects patients' needs and underlines the close relationship between rhinitis and asthma. Patients, clinicians, and other health care professionals are confronted with various treatment choices for the management of AR. This contributes to considerable variation in clinical practice, and worldwide, patients, clinicians, and other health care professionals are faced with uncertainty about the relative merits and downsides of the various treatment options. In its 2010 Revision, ARIA developed clinical practice guidelines for the management of AR and asthma comorbidities based on the Grading of Recommendation, Assessment, Development and Evaluation (GRADE) system. ARIA is disseminated and implemented in more than 50 countries of the world. Ten years after the publication of the ARIA World Health Organization workshop report, it is important to make a summary of its achievements and identify the still unmet clinical, research, and implementation needs to strengthen the 2011 European Union Priority on allergy and asthma in children.
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