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Japanese Guideline for Allergic Rhinitis 2014
Kimihiro Okubo1, Yuichi Kurono2, Shigeharu Fujieda3
1Department of Otorhinolaryngology, Nippon Medical School, Tokyo, Japan.
Summary
Allergic rhinitis, a common allergic disease, significantly impacts quality of life. This guideline provides an evidence-based approach for managing allergic rhinitis, including diagnosis, treatment, and special populations.
Area of Science:
- Clinical Immunology
- Otolaryngology
- Allergology
Background:
- Allergic rhinitis is a prevalent allergic disease, often causing significant quality of life (QOL) reduction, particularly during severe episodes like pollinosis.
- Existing guidelines are crucial for understanding and managing allergic rhinitis effectively.
Purpose of the Study:
- To update the Japanese guideline for allergic rhinitis management incorporating evidence-based medicine (EBM).
- To provide a comprehensive resource for diagnosis, treatment, and clinical application in diverse patient groups.
Main Methods:
- Supplementation of the 2013 Practical Guideline for the Management of Allergic Rhinitis in Japan with the latest evidence and literature.
- Inclusion of EBM principles and step-by-step treatment strategies.
Main Results:
- The revised guideline offers detailed assessment of diagnosis and treatment, including prescriptions for children and pregnant women.
- It addresses QOL concepts, cost-benefit analyses, and broad clinical applications, referencing international standards like ARIA.
Conclusions:
- The updated guideline serves as a vital tool for managing allergic rhinitis in Japan, supporting various clinical scenarios.
- It enhances clinical practice by integrating EBM and addressing specific patient needs, including a new Q&A section.
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