International consensus statement on allergy and rhinology: Allergic rhinitis – 2023

Guías clínicas

Área temática

Rinología, alergia y base de cráneo anterior

Tipo de documento

Guías clínicas

DOI

DOI: 10.1002/alr.23090
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Autores
Sarah K. Wise MD, MSCR, Cecelia Damask DO, Lauren T. Roland MD, MSCI, Charles Ebert MD, MPH, Joshua M. Levy MD, MPH, MSc, Sandra Lin MD, Amber Luong MD, PhD, Kenneth Rodriguez MD, Ahmad R. Sedaghat MD, PhD, Elina Toskala MD, PhD, MBA, Jennifer Villwock MD, Baharudin Abdullah MBBS, MMED, Cezmi Akdis MD, Jeremiah A. Alt MD, PhD, Ignacio J. Ansotegui MD, PhD, Antoine Azar MD, Fuad Baroody MD, FACS, Michael S. Benninger MD, Jonathan Bernstein MD, Christopher Brook MD, Raewyn Campbell BMed (Hons), BAppSc, Thomas Casale MD, Mohamad R. Chaaban MD, MBA, MSCR, Fook Tim Chew PhD, Jeffrey Chambliss MD, Antonella Cianferoni MD, PhD, Adnan Custovic MD, PhD, FMedSci, Elizabeth Mahoney Davis MD, John M. DelGaudio MD, Anne K. Ellis MD, MSc, FRCPC, Carrie Flanagan MD, Wytske J. Fokkens MD, PhD, Christine Franzese MD, Matthew Greenhawt MD, MBA, MSc, Amarbir Gill MD, Ashleigh Halderman MD, Jens M. Hohlfeld MD, Cristoforo Incorvaia MD, Stephanie A. Joe MD, Shyam Joshi MD, Merin Elizabeth Kuruvilla MD, Jean Kim MD, PhD, Adam M. Klein MD, FACS, Helene J. Krouse PhD, RN, Edward C. Kuan MD, MBA, David Lang MD, Desiree Larenas-Linnemann MD, Adrienne M. Laury MD, Matt Lechner MD, PhD, Stella E. Lee MD, Victoria S. Lee MD, Patricia Loftus MD, Sonya Marcus MD, Haidy Marzouk MD, MBA, Jose Mattos MD, MPH, Edward McCoul MD, MPH, Erik Melen MD, PhD, James W. Mims MD, Joaquim Mullol MD, PhD, Jayakar V. Nayak MD, PhD, John Oppenheimer MD, Richard R. Orlandi MD, Katie Phillips MD, Michael Platt MD, Murugappan Ramanathan Jr MD, Mallory Raymond MD, Chae-Seo Rhee MD, PhD, Sietze Reitsma MD, PhD, Matthew Ryan MD, Joaquin Sastre MD, PhD, Rodney J. Schlosser MD, Theodore A. Schuman MD, Marcus S. Shaker MD, MSc, Aziz Sheikh BSc, MBBS, MSc, MD, Kristine A. Smith MD, FRCSC, Michael B. Soyka MD, Masayoshi Takashima MD, Monica Tang MD, Pongsakorn Tantilipikorn MD, PhD, Malcolm B. Taw MD, Jody Tversky MD, Matthew A. Tyler MD, Maria C. Veling MD, Dana Wallace MD, De Yun Wang MD, PhD, Andrew White MD, Luo Zhang MD, PhD
Índice

Background

In the 5 years that have passed since the publication of the 2018 International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (ICAR-Allergic Rhinitis 2018), the literature has expanded substantially. The ICAR-Allergic Rhinitis 2023 update presents 144 individual topics on allergic rhinitis (AR), expanded by over 40 topics from the 2018 document. Originally presented topics from 2018 have also been reviewed and updated. The executive summary highlights key evidence-based findings and recommendation from the full document.

Methods

ICAR-Allergic Rhinitis 2023 employed established evidence-based review with recommendation (EBRR) methodology to individually evaluate each topic. Stepwise iterative peer review and consensus was performed for each topic. The final document was then collated and includes the results of this work.

Results

ICAR-Allergic Rhinitis 2023 includes 10 major content areas and 144 individual topics related to AR. For a substantial proportion of topics included, an aggregate grade of evidence is presented, which is determined by collating the levels of evidence for each available study identified in the literature. For topics in which a diagnostic or therapeutic intervention is considered, a recommendation summary is presented, which considers the aggregate grade of evidence, benefit, harm, and cost.

Conclusion

The ICAR-Allergic Rhinitis 2023 update provides a comprehensive evaluation of AR and the currently available evidence. It is this evidence that contributes to our current knowledge base and recommendations for patient evaluation and treatment.