Allergic Rhinitis and its Impact on Asthma (ARIA): Achievements in 10 years and future needs
Jean Bousquet(Inserm), Holger J. Schünemann(McMaster University), Bolesław Samoliński(Medical University of Warsaw), Pascal Demoly(Centre Hospitalier Universitaire de Montpellier), Carlos E. Baena‐Cagnani(Centre Hospitalier Universitaire de Montpellier), Claus Bachert(Ghent University Hospital), С. Бонини(University of Campania "Luigi Vanvitelli"), LP Boulet(Centre Hospitalier Universitaire de Montpellier), Philippe‐Jean Bousquet(Centre Hospitalier Universitaire de Montpellier), Jan Brożek(Centre Hospitalier Universitaire de Montpellier), Giorgio Walter Canonica(Centre Hospitalier Universitaire de Montpellier), Thomas B. Casale(Creighton University), Álvaro A. Cruz(Universidade Federal da Bahia), W. J. Fokkens(Centre Hospitalier Universitaire de Montpellier), João Fonseca(Universidade do Porto), Roy Gerth van Wijk(Centre Hospitalier Universitaire de Montpellier), L. Grouse(University of Washington), Tari Haahtela(University of Helsinki), N. Khaltaev(Centre Hospitalier Universitaire de Montpellier), Piotr Kuna(Centre Hospitalier Universitaire de Montpellier), Richard F. Lockey(University of South Florida), Kai‐Håkon Carlsen(University of Oslo), Joaquim Mullol(Centre Hospitalier Universitaire de Montpellier), Robert M. Naclerio(University of Chicago), Robyn E. O’Hehir(Centre Hospitalier Universitaire de Montpellier), Ken Ohta(Centre Hospitalier Universitaire de Montpellier), S. Palkonen(Centre Hospitalier Universitaire de Montpellier), Nikolaos G. Papadopoulos(National and Kapodistrian University of Athens), Giovanni Passalacqua(Centre Hospitalier Universitaire de Montpellier), R. Pawankar(Centre Hospitalier Universitaire de Montpellier), David Price(University of Aberdeen), Dermot Ryan(Centre Hospitalier Universitaire de Montpellier), F. Estelle R. Simons(Centre Hospitalier Universitaire de Montpellier), Alkis Togias(National Institutes of Health), David Williams(University of North Carolina at Chapel Hill), Arzu Yorgancıoğlu(Manisa Celal Bayar University), Osman Yusuf(Centre Hospitalier Universitaire de Montpellier), Werner Aberer(Medical University of Graz), Mitsuru Adachi(Centre Hospitalier Universitaire de Montpellier), Ioana Agache(Centre Hospitalier Universitaire de Montpellier), N Aït-Khaled(International Union Against Tuberculosis and Lung Disease), Cezmi A. Akdiş(University of Zurich), A.C.F. Andrianarisoa(Centre Hospitalier Universitaire de Montpellier), Isabella Annesi‐Maesano(Inserm), Ignacio J. Ansotegui(Centre Hospitalier Universitaire de Montpellier), I. Baiardini(Centre Hospitalier Universitaire de Montpellier), E. D. Bateman(University of Cape Town), Anna Bedbrook(World Health Organization - Pakistan), Bianca Beghé(University of Modena and Reggio Emilia), M. Béji(Centre Hospitalier Universitaire de Montpellier), Elisabeth H. Bel(Centre Hospitalier Universitaire de Montpellier), A. Ben Kheder(Centre Hospitalier Universitaire de Montpellier), Kazi Saifuddin Bennoor(Centre Hospitalier Universitaire de Montpellier), Karl‐Christian Bergmann(Centre Hospitalier Universitaire de Montpellier), F. Berrissoul(Centre Hospitalier Universitaire de Montpellier), T. Bieber(Centre Hospitalier Universitaire de Montpellier), Carsten Bindslev‐Jensen(University of Southern Denmark), Michael S. Blaiss(University of Tennessee Health Science Center), Attilio Boner(University of Verona), J. Bouchard(Centre Hospitalier Universitaire de Montpellier), Fulvio Braido(Centre Hospitalier Universitaire de Montpellier), Christopher E. Brightling(University of Leicester), A. Bush(Centre Hospitalier Universitaire de Montpellier), F. Caballero(Centre Hospitalier Universitaire de Montpellier), Moisés A. Calderón(Centre Hospitalier Universitaire de Montpellier), Mario Calvo(Austral University of Chile), Paulo Augusto Moreira Camargos(Federal University of São João del-Rei), Luis Luque Caraballo(University of Cartagena), K. H. Carlsen(University of Oslo), Warner Carr(Centre Hospitalier Universitaire de Montpellier), Alfonso Cepeda(Centre Hospitalier Universitaire de Montpellier), Alfredo Cesario(Università Cattolica del Sacro Cuore), Niels H. Chavannes(Leiden University), Y. Z. Chen(Centre Hospitalier Universitaire de Montpellier), Anca‐Mirela Chiriac(Centre Hospitalier Universitaire de Montpellier), Thierry Perez(Centre Hospitalier Universitaire de Montpellier), E. Chkhartishvili(Centre Hospitalier Universitaire de Montpellier), Giorgio Ciprandi(Centre Hospitalier Universitaire de Montpellier), David Costa(Université de Montpellier), Linda Cox(Nova Southeastern University), Adnan Čustović(University of Manchester), Ronald Dahl(Aarhus University), U. Darsow(Centre Hospitalier Universitaire de Montpellier), F. de Blay(Centre Hospitalier Universitaire de Montpellier), Diana Deleanu(Iuliu Hațieganu University of Medicine and Pharmacy), Judah A. Denburg(Centre Hospitalier Universitaire de Montpellier), P. Devillier(Centre Hospitalier Universitaire de Montpellier), T. Didi(Centre Hospitalier Universitaire de Montpellier), D. Dokic(Centre Hospitalier Universitaire de Montpellier), William K. Dolen(Augusta University Health), H. Douagui(Centre Hospitalier Universitaire de Montpellier), R. Dubakiene(Vilnius University), S. R. Durham(Centre Hospitalier Universitaire de Montpellier), Mark S. Dykewicz(Centre Hospitalier Universitaire de Montpellier), Yehia El‐Gamal(Ain Shams University), A. El-Meziane(Centre Hospitalier Universitaire de Montpellier), R. Emuzyte(Vilnius University), Alessandro Fiocchi(University of Milan), Monica Fletcher(Centre Hospitalier Universitaire de Montpellier), Takeshi Fukuda(Centre Hospitalier Universitaire de Montpellier), A. Gamkrelidze(World Health Organization - Pakistan), José E. Gereda(Centre Hospitalier Universitaire de Montpellier), Sandra Nora González Díaz(Centre Hospitalier Universitaire de Montpellier), Maia Gotua(Centre Hospitalier Universitaire de Montpellier), Maria‐Antonieta Guzmán(University of Chile), Peter W. Hellings(Centre Hospitalier Universitaire de Montpellier), B. Hellquist-Dahl(Centre Hospitalier Universitaire de Montpellier), F. Horak(Centre Hospitalier Universitaire de Montpellier), J. O’. B. Hourihane(University College Cork), Peter Howarth(Centre Hospitalier Universitaire de Montpellier), Marc Humbert(Université Paris-Sud), Juan Carlos Ivancevich(Centre Hospitalier Universitaire de Montpellier), Claire Jackson(University of St Andrews), J. Just(Université Paris Cité), Ömer Kalaycı(Centre Hospitalier Universitaire de Montpellier), Michael Kaliner(George Washington University), A.F. Kalyoncu(Centre Hospitalier Universitaire de Montpellier), Thomas Keil(Centre Hospitalier Universitaire de Montpellier), Paul K. Keith(Centre Hospitalier Universitaire de Montpellier), Georges Khayat(Centre Hospitalier Universitaire de Montpellier), Yoo Yong Kim(Seoul National University), B. Koffi N’Goran(Centre Hospitalier Universitaire de Montpellier), Gerard H. Koppelman(University of Groningen), M. L. Kowalski(Centre Hospitalier Universitaire de Montpellier), Inger Kull(Karolinska Institutet), Violeta Kvedarienė(Vilnius University), Désirée Larenas‐Linnemann(Centre Hospitalier Universitaire de Montpellier), L. T. T. Le(Centre Hospitalier Universitaire de Montpellier), Catherine Lemière(Université de Montréal), Junjie Li(Centre Hospitalier Universitaire de Montpellier), Phil Lieberman(University of Tennessee Health Science Center), Brian J. Lipworth(University of Dundee), Bassam Mahboub(University of Sharjah), Mika J. Mäkelä(University of Helsinki), F Martín(Centre Hospitalier Universitaire de Montpellier), Gailen D. Marshall(University of Mississippi), Fernando D. Martínez(University of Arizona), Mohammad Reza Masjedi(Centre Hospitalier Universitaire de Montpellier), Marcus Maurer(Centre Hospitalier Universitaire de Montpellier), S. Mavale‐Manuel(Eduardo Mondlane University), Ángel Mazón(Centre Hospitalier Universitaire de Montpellier), E. Melén(Karolinska Institutet), Eli O. Meltzer(University of California San Diego), N H Segura Méndez(Mexican Social Security Institute), Hans F. Merk(Centre Hospitalier Universitaire de Montpellier), Florin Mihălţan(Centre Hospitalier Universitaire de Montpellier), Yousser Mohammad(Latakia University), Mário Morais‐Almeida(Centre Hospitalier Universitaire de Montpellier), Antonella Muraro(University of Padua), S. Nafti(Centre Hospitalier Universitaire de Montpellier), Leyla S. Namazova-Baranova(Russian Academy of Sciences), K Nékám(Centre Hospitalier Universitaire de Montpellier), A. Neou(Centre Hospitalier Universitaire de Montpellier), B. Niggemann(Centre Hospitalier Universitaire de Montpellier), Ewa Niżankowska‐Mogilnicka(Jagiellonian University), T. D. Nyembue(Centre Hospitalier Universitaire de Montpellier), Yoshitaka Okamoto(Chiba University), Kimihiro Okubo(Centre Hospitalier Universitaire de Montpellier), Marco Orrù(Centre Hospitalier Universitaire de Montpellier), S. Ouedraogo(Centre Hospitalier Universitaire de Montpellier), Cevdet Özdemir(Centre Hospitalier Universitaire de Montpellier), Petr Panzner(Charles University), Isabella Pali‐Schöll(University of Veterinary Medicine Vienna), Hae‐Sim Park(Centre Hospitalier Universitaire de Montpellier), B. Pigearias(Centre Hospitalier Universitaire de Montpellier), Wolfgang Pohl(Centre Hospitalier Universitaire de Montpellier), Todor A. Popov(Centre Hospitalier Universitaire de Montpellier), Dirkje S. Postma(University of Groningen), P. Potter(University of Cape Town), Klaus F. Rabe(Leiden University), J. Ratomaharo(Centre Hospitalier Universitaire de Montpellier), Sakari Reitamo(University of Helsinki), Johannes Ring(Centre Hospitalier Universitaire de Montpellier), Richard Roberts(University of Wisconsin–Madison), Barbara Rogala(Centre Hospitalier Universitaire de Montpellier), Antonino Romano(Centre Hospitalier Universitaire de Montpellier), Miguel Román-Rodríguez(Centre Hospitalier Universitaire de Montpellier), J. Rosado‐Pinto(Centre Hospitalier Universitaire de Montpellier), Lanny J. Rosenwasser(Centre Hospitalier Universitaire de Montpellier), M. Rottem(Technion – Israel Institute of Technology), Mario Sánchez‐Borges(Centre Hospitalier Universitaire de Montpellier), G. K. Scadding(Centre Hospitalier Universitaire de Montpellier), P. Schmid-Grendelmeier(University of Zurich), Aziz Sheikh(Centre Hospitalier Universitaire de Montpellier), Juan‐Carlos Sisul(Centre Hospitalier Universitaire de Montpellier), D. Solé(Universidade Federal de São Paulo), Talant Sooronbaev(Centre Hospitalier Universitaire de Montpellier), V Špičák(Centre Hospitalier Universitaire de Montpellier), O. Spranger(Centre Hospitalier Universitaire de Montpellier), Renato T. Stein(Centre Hospitalier Universitaire de Montpellier), Stuart Stoloff(University of Nevada, Reno), Jordi Sunyer(Centre Hospitalier Universitaire de Montpellier), Andrzej Szczeklik(Jagiellonian University), Ana Todo‐Bom(Centre Hospitalier Universitaire de Montpellier), Е. Тоскала(Centre Hospitalier Universitaire de Montpellier), Y. Tremblay(Centre Hospitalier Universitaire de Montpellier), Rudolf Valenta(Centre Hospitalier Universitaire de Montpellier), A.L. Valero(Centre Hospitalier Universitaire de Montpellier), Dominique Valeyre(Université Paris Cité), Arūnas Valiulis(Vilnius University), E Valovirta(Centre Hospitalier Universitaire de Montpellier), Paul Van Cauwenberge(University of Turku), Olivier Vandenplas(Centre Hospitalier Universitaire de Montpellier), Chris van Weel(Radboud University Nijmegen), P. Vichyanond(Mahidol University), Giovanni Viegi(National Academies of Sciences, Engineering, and Medicine), De Yun Wang(National University of Singapore), Magnus Wickman(Karolinska Institutet), Stefan Wöhrl(Medical University of Vienna), John Wright(Centre Hospitalier Universitaire de Montpellier), Barbara P. Yawn(University of Minnesota System), Panayiotis K. Yiallouros(Cyprus University of Technology), Heather J. Zar(University of Cape Town), M. E. Zernotti(Charité - Universitätsmedizin Berlin), N. Zhong(Guangzhou Medical University), Mihaela Zidarn(University of Ljubljana), Torsten Zuberbier(Charité - Universitätsmedizin Berlin)
Cited by 637Open Access
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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