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Japanese Guideline for Allergic Rhinitis 2014
Kimihiro Okubo1, Yuichi Kurono2, Shigeharu Fujieda3
1Japanese Society of Allergology, Department of Otorhinolaryngology, Nippon Medical School Tokyo.
Allergic rhinitis, a common allergic disease, significantly impacts quality of life. This guideline provides an evidence-based approach for diagnosis and treatment, including special considerations for children and pregnant women.
Area of Science:
- Allergy and Immunology
- Otolaryngology
Background:
- Allergic rhinitis, including pollinosis, is a prevalent allergic condition impacting quality of life.
- Existing guidelines require updates to incorporate current evidence-based medicine (EBM).
Purpose of the Study:
- To present the revised 7th edition of the Practical Guideline for the Management of Allergic Rhinitis in Japan (2013).
- To integrate the latest EBM and broaden clinical applicability for allergic rhinitis management.
Main Methods:
- Supplementation of the 2013 guideline with recent evidence and literature.
- Inclusion of diagnostic and treatment strategies, with specific considerations for pediatric and pregnant populations.
- Incorporation of quality of life (QOL) and cost-benefit analyses.
Main Results:
- The revised guideline offers an evidence-based, step-by-step treatment strategy.
- It addresses broad clinical applications, including sinusitis, childhood allergic rhinitis, oral allergy syndrome, anaphylaxis, and pregnant women.
- A Q&A section on allergic rhinitis in Japan is included.
Conclusions:
- The updated guideline facilitates comprehensive management of allergic rhinitis.
- It serves as a valuable resource for clinicians, aligning with international standards like ARIA (Allergic Rhinitis and its Impact on Asthma).
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