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Expert Panel Consensus Recommendations for Allergic Rhinitis in Patients with Asthma in India.

R Narasimhan1, Sitesh Roy2, Meghanadh Koralla3

  • 1Pulmonology Respiratory Medicine Specialist, Apollo Hospital, Chennai, Tamil Nadu, India.

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Diagnosing allergic rhinitis in asthma patients is challenging. This expert consensus offers updated, evidence-based recommendations for the Indian context to improve patient care.

Keywords:
Allergic rhinitisAsthmaDiagnosisIndiaManagement

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Area of Science:

  • Pulmonology
  • Allergology
  • Otolaryngology

Background:

  • Allergic rhinitis and asthma frequently coexist, negatively impacting patient health.
  • Diagnosis of allergic rhinitis in asthma patients is often difficult, leading to underdiagnosis and poor management.
  • Current clinical practice and research have gaps in managing these comorbid conditions.

Purpose of the Study:

  • To develop updated, expert-driven consensus statements for diagnosing and managing allergic rhinitis in asthma patients.
  • To provide recommendations specifically tailored to the Indian healthcare context.
  • To address existing gaps in research and clinical practice for these overlapping conditions.

Main Methods:

  • A modified Delphi method was employed, involving 29 multidisciplinary experts (pulmonologists, ENT surgeons, allergologists).
  • Group discussions were conducted to formulate consensus statements on epidemiology, diagnosis, and management.
  • Final statements were derived from the collective clinical judgment and experience of the expert panel.

Main Results:

  • Consensus statements were established covering key aspects of allergic rhinitis and asthma comorbidity.
  • The recommendations focus on a systematic and evidence-based approach to diagnosis and management.
  • The consensus provides guidance tailored to the specific needs and challenges within the Indian context.

Conclusions:

  • This expert consensus offers crucial updated recommendations for managing allergic rhinitis in asthma patients in India.
  • Implementing these guidelines can enhance the identification and treatment of allergic rhinitis in this patient population.
  • The consensus aims to improve overall disease management and enhance patient well-being by bridging research and clinical practice.