AR治疗指南.doc

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Allergic Rhinitis and its Impact on Asthma(ARIA: Achievements in10years and future needs
,E
Allergic rhinitis(ARand asthma frequently coexist in the same subjects and represent a global health , clinicians,and other health care professionals worldwide are faced with the relative merits and downsides of the various treatment practice guidelines for AR manage-ment developed over the past15years1,2have improved the care of patients with
The outcomes of an expert workshop held at the World Health Organization(WHOin December1999(Allergic Rhinitis and its Impact on Asthma[ARIA]were published ARIA workshop report was innovative in
d proposing a new AR classification using persistenc
e and se-
verity of symptoms;
d promoting th
e concept o
f comorbidities in asthma and rhi-
nitis as a key factor for patients’management;
d developing guidelines in collaboration with all stake-
holders,including primary care physicians and patients;
d including experts from developed and developing
countries;
d adopting an evidence-based approach for thefirst tim
e in
guidelines on rhinitis5;and
d initiating global implementation among health car
e profes-
sionals and patients.
Finally,the International Primary Care Respiratory Group guidelines on AR were based on the ARIA workshop ,7 Guidelines must be ARIA update was published in20088by using the same evidence-based was a continuous process preceded by a literature review of the aspects not previously covered(eg,complementary and alternative med-icine9and sports10,the update on the links between rhinitis and asthma,11and prevention12and ,14
However,the transparent reporting of guidelines is needed to facilitate understanding and was thefirst chronic respiratory disease guideline to adopt the Grading of Recommendation,Assessment,Development and Evaluation (GRADEsystem,an advanced eviden