Allergic respiratory disease (ARD), setting forth the basics: proposals of an expert consensus report
Abstract Background The variability of symptoms observed in patients with respiratory allergy often hampers classification based on the criteria proposed in guidelines on rhinitis and asthma. Objectives We assessed specific aspects of allergic respiratory disease (ARD) that are not explicitly addres...
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doaj-d8e3408d895e48a49142fd2aa71fb50c2021-09-02T04:19:14ZengWileyClinical and Translational Allergy2045-70222017-05-017111210.1186/s13601-017-0150-2Allergic respiratory disease (ARD), setting forth the basics: proposals of an expert consensus reportAna M. Navarro0Julio Delgado1Rosa M. Muñoz-Cano2M. Teresa Dordal3Antonio Valero4Santiago Quirce5Behalf of the ARD Study GroupUGC of Allergy, Hospital El TomillarUGC of Allergy, Hospital Universitario Virgen MacarenaAllergy Unit, Pneumology Department, Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS)Allergy Service, Hospital Municipal, Badalona Serveis AssistencialsAllergy Unit, Pneumology Department, Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS)Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ)Abstract Background The variability of symptoms observed in patients with respiratory allergy often hampers classification based on the criteria proposed in guidelines on rhinitis and asthma. Objectives We assessed specific aspects of allergic respiratory disease (ARD) that are not explicitly addressed in the guidelines in order to issue specific recommendations and thus optimize clinical practice. Methods Using the Delphi technique, 40 Spanish allergists were surveyed to reach consensus on 71 items related to ARD. Results Consensus was achieved for 95.7% of the items. These included the following: the clinical manifestations of ARD are heterogeneous and individual airborne allergens can be related to specific clinical profiles; the optimal approach in patients with ARD is based on the global assessment of rhinoconjunctivitis and asthma; aeroallergens are largely responsible for the clinical features and severity of the disease; and clinical expression is associated with the period of environmental exposure to the allergen. Pharmacological treatment of ARD is often based on the intensity of symptoms recorded during previous allergen exposures and cannot always be administered following a step-up approach, as recommended in clinical practice guidelines. Allergen immunotherapy (AIT) is the only option for overall treatment of respiratory symptoms using an etiological approach. AIT can modify the prognosis of ARD and should therefore be considered a valuable first-line treatment. Conclusions The present study highlights gaps in current asthma and rhinitis guidelines and addresses specific aspects of ARD, such as global assessment of both asthma and rhinitis or the specific role of variable allergen exposure in the clinical expression of the disease.http://link.springer.com/article/10.1186/s13601-017-0150-2ConsensusDelphi methodAllergic respiratory diseaseOne airwayAeroallergensAllergic asthma |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ana M. Navarro Julio Delgado Rosa M. Muñoz-Cano M. Teresa Dordal Antonio Valero Santiago Quirce Behalf of the ARD Study Group |
spellingShingle |
Ana M. Navarro Julio Delgado Rosa M. Muñoz-Cano M. Teresa Dordal Antonio Valero Santiago Quirce Behalf of the ARD Study Group Allergic respiratory disease (ARD), setting forth the basics: proposals of an expert consensus report Clinical and Translational Allergy Consensus Delphi method Allergic respiratory disease One airway Aeroallergens Allergic asthma |
author_facet |
Ana M. Navarro Julio Delgado Rosa M. Muñoz-Cano M. Teresa Dordal Antonio Valero Santiago Quirce Behalf of the ARD Study Group |
author_sort |
Ana M. Navarro |
title |
Allergic respiratory disease (ARD), setting forth the basics: proposals of an expert consensus report |
title_short |
Allergic respiratory disease (ARD), setting forth the basics: proposals of an expert consensus report |
title_full |
Allergic respiratory disease (ARD), setting forth the basics: proposals of an expert consensus report |
title_fullStr |
Allergic respiratory disease (ARD), setting forth the basics: proposals of an expert consensus report |
title_full_unstemmed |
Allergic respiratory disease (ARD), setting forth the basics: proposals of an expert consensus report |
title_sort |
allergic respiratory disease (ard), setting forth the basics: proposals of an expert consensus report |
publisher |
Wiley |
series |
Clinical and Translational Allergy |
issn |
2045-7022 |
publishDate |
2017-05-01 |
description |
Abstract Background The variability of symptoms observed in patients with respiratory allergy often hampers classification based on the criteria proposed in guidelines on rhinitis and asthma. Objectives We assessed specific aspects of allergic respiratory disease (ARD) that are not explicitly addressed in the guidelines in order to issue specific recommendations and thus optimize clinical practice. Methods Using the Delphi technique, 40 Spanish allergists were surveyed to reach consensus on 71 items related to ARD. Results Consensus was achieved for 95.7% of the items. These included the following: the clinical manifestations of ARD are heterogeneous and individual airborne allergens can be related to specific clinical profiles; the optimal approach in patients with ARD is based on the global assessment of rhinoconjunctivitis and asthma; aeroallergens are largely responsible for the clinical features and severity of the disease; and clinical expression is associated with the period of environmental exposure to the allergen. Pharmacological treatment of ARD is often based on the intensity of symptoms recorded during previous allergen exposures and cannot always be administered following a step-up approach, as recommended in clinical practice guidelines. Allergen immunotherapy (AIT) is the only option for overall treatment of respiratory symptoms using an etiological approach. AIT can modify the prognosis of ARD and should therefore be considered a valuable first-line treatment. Conclusions The present study highlights gaps in current asthma and rhinitis guidelines and addresses specific aspects of ARD, such as global assessment of both asthma and rhinitis or the specific role of variable allergen exposure in the clinical expression of the disease. |
topic |
Consensus Delphi method Allergic respiratory disease One airway Aeroallergens Allergic asthma |
url |
http://link.springer.com/article/10.1186/s13601-017-0150-2 |
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