Indian Expert Consensus on Allergic Rhinitis in Women: A Modified Delphi Survey

Area of Science:

• Allergy and Immunology
• Public Health
• Women's Health

Background:

• Significant gaps exist in understanding the clinical needs of Indian women with allergic rhinitis.
• Allergic rhinitis disproportionately affects Indian women, highlighting a critical public health concern.
• Indoor allergen exposure is a key factor contributing to allergies in this demographic.

Purpose of the Study:

• To address the gap in clinical practice for allergic rhinitis management in Indian women.
• To develop an innovative questionnaire for diagnosing and managing allergic rhinitis in female patients.
• To provide real-world clinical recommendations for assessing and managing allergens.

Main Methods:

• A modified Delphi survey was employed, utilizing systematic group communication.
• The survey addressed research questions and resolved conflicting viewpoints through detailed argument evaluation.
• Eighty statements were developed covering disease burden, risk factors, clinical presentation, comorbidities, symptoms, and treatment.

Main Results:

• Sixty-one statements were reviewed by an expert panel.
• A consensus was reached on 38 statements, achieving over 80% agreement.
• The consensus highlights indoor allergen exposure as a significant factor.

Conclusions:

• Allergic conditions are more prevalent and impactful among Indian women.
• High consensus indicates a link between indoor time, allergen exposure, and increased allergy vulnerability.
• Experts provided clinical recommendations for managing modifiable and nonmodifiable allergens in Indian women.