Allergic Rhinitis and its Impact on Asthma (ARIA): Achievements in 10 years and future needs
Open accessAbstract
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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Allergic rhinitis is commonly diagnosed by the combination of clinical history and results of in vivo and/or in vitro tests for specific IgE antibodies.
“AR is commonly diagnosed by the combination of clinical history and results of in vivo and/or in vitro tests for sIgE antibodies.1090”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [1090]
The AR phenotypes section describes allergic rhinitis as IgE-mediated, and the Epidemiology section mentions diagnosis and a separate guide to skin-prick testing. Neither passage says that diagnosis commonly combines clinical history with in vivo or in vitro specific-IgE test results; searches for those diagnostic terms found no passage establishing the combination. (LLM, conf=0.70)
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Self-citation
- Authors
- Bousquet, J., Schünemann, H. J., Samolinski, B., Demoly, P., Baena-Cagnani, C. E., Bachert, C., Bonini, S., Boulet, L. P., Bousquet, P. J., Brozek, J. L., Canonica, G. W., Casale, T. B., Cruz, A. A., Fokkens, W. J., Fonseca, J. A., van Wijk, R. G., Grouse, L., Haahtela, T., Khaltaev, N., Kuna, P., Lockey, R. F., Lodrup Carlsen, K. C., Mullol, J., Naclerio, R., O'Hehir, R. E., Ohta, K., Palkonen, S., Papadopoulos, N. G., Passalacqua, G., Pawankar, R., Price, D., Ryan, D., Simons, F. E. R., Togias, A., Williams, D., Yorgancioglu, A., Yusuf, O. M., Aberer, W., Adachi, M., Agache, I., Aït-Khaled, N., Akdis, C. A., Andrianarisoa, A., Annesi-Maesano, I., Ansotegui, I. J., Baiardini, I., Bateman, E. D., Bedbrook, A., Beghé, B., Beji, M., Bel, E. H., Ben Kheder, A., Bennoor, K. S., Bergmann, K. C., Berrissoul, F., Bieber, T., Bindslev Jensen, C., Blaiss, M. S., Boner, A. L., Bouchard, J., Braido, F., Brightling, C. E., Bush, A., Caballero, F., Calderon, M. A., Calvo, M. A., Camargos, P. A. M., Caraballo, L. R., Carlsen, K. H., Carr, W., Cepeda, A. M., Cesario, A., Chavannes, N. H., Chen, Y. Z., Chiriac, A. M., Chivato Pérez, T., Chkhartishvili, E., Ciprandi, G., Costa, D. J., Cox, L., Custovic, A., Dahl, R., Darsow, U., De Blay, F., Deleanu, D., Denburg, J. A., Devillier, P., Didi, T., Dokic, D., Dolen, W. K., Douagui, H., Dubakiene, R., Durham, S. R., Dykewicz, M. S., El-Gamal, Y., El-Meziane, A., Emuzyte, R., Fiocchi, A., Fletcher, M., Fukuda, T., Gamkrelidze, A., Gereda, J. E., González Diaz, S., Gotua, M., Guzmán, M. A., Hellings, P. W., Hellquist-Dahl, B., Horak, F., Hourihane, J. O., Howarth, P., Humbert, M., Ivancevich, J. C., Jackson, C., Just, J., Kalayci, O., Kaliner, M. A., Kalyoncu, A. F., Keil, T., Keith, P. K., Khayat, G., Kim, Y. Y., Koffi N'Goran, B., Koppelman, G. H., Kowalski, M. L., Kull, I., Kvedariene, V., Larenas-Linnemann, D., Le, L. T., Lemière, C., Li, J., Lieberman, P., Lipworth, B., Mahboub, B., Makela, M. J., Martin, F., Marshall, G. D., Martinez, F. D., Masjedi, M. R., Maurer, M., Mavale-Manuel, S., Mazon, A., Melen, E., Meltzer, E. O., Mendez, N. H., Merk, H., Mihaltan, F., Mohammad, Y., Morais-Almeida, M., Muraro, A., Nafti, S., Namazova-Baranova, L., Nekam, K., Neou, A., Niggemann, B., Nizankowska-Mogilnicka, E., Nyembue, T. D., Okamoto, Y., Okubo, K., Orru, M. P., Ouedraogo, S., Ozdemir, C., Panzner, P., Pali-Schöll, I., Park, H. S., Pigearias, B., Pohl, W., Popov, T. A., Postma, D. S., Potter, P., Rabe, K. F., Ratomaharo, J., Reitamo, S., Ring, J., Roberts, R., Rogala, B., Romano, A., Roman Rodriguez, M., Rosado-Pinto, J., Rosenwasser, L., Rottem, M., Sanchez-Borges, M., Scadding, G. K., Schmid-Grendelmeier, P., Sheikh, A., Sisul, J. C., Solé, D., Sooronbaev, T., Spicak, V., Spranger, O., Stein, R. T., Stoloff, S. W., Sunyer, J., Szczeklik, A., Todo-Bom, A., Toskala, E., Tremblay, Y., Valenta, R., Valero, A. L., Valeyre, D., Valiulis, A., Valovirta, E., Van Cauwenberge, P., Vandenplas, O., van Weel, C., Vichyanond, P., Viegi, G., Wang, D. Y., Wickman, M., Wöhrl, S., Wright, J., Yawn, B. P., Yiallouros, P. K., Zar, H. J., Zernotti, M. E., Zhong, N., Zidarn, M., & Zuberbier, T.
- Affiliations
- Inserm (FR)
- McMaster University (CA)
- Medical University of Warsaw (PL)
- Centre Hospitalier Universitaire de Montpellier (FR)
- Ghent University (BE)
- University of Campania "Luigi Vanvitelli" (IT)
- Creighton University (US)
- Universidade do Porto (PT)
- University of Washington (US)
- University of Helsinki (FI)
- University of South Florida (US)
- University of Chicago (US)
- National and Kapodistrian University of Athens (GR)
- University of Aberdeen (GB)
- National Institutes of Health (US)
- University of North Carolina at Chapel Hill (US)
- Medical University of Graz (AT)
- SHOWA Medical University (JP)
- University of Cape Town (ZA)
- World Health Organization - Pakistan (PK)
- University of Modena and Reggio Emilia (IT)
- University of Tennessee Health Science Center (US)
- University of Verona (IT)
- University of Leicester (GB)
- Austral University of Chile (CL)
- Federal University of São João del-Rei (BR)
- Universidad de Cartagena (CO)
- University of Oslo (NO)
- Università Cattolica del Sacro Cuore (IT)
- Leiden University (NL)
- Université de Montpellier (FR)
- Nova Southeastern University (US)
- Aarhus University (DK)
- Iuliu Hațieganu University of Medicine and Pharmacy (RO)
- Augusta University (US)
- Vilnius University (LT)
- University of Milan (IT)
- University of Chile (CL)
- University College Cork (IE)
- Université Paris-Sud (FR)
- University of St Andrews (GB)
- Université Paris Cité (FR)
- George Washington University (US)
- Seoul National University (KR)
- University of Groningen (NL)
- Karolinska Institutet (SE)
- Université de Montréal (CA)
- University of Dundee (GB)
- University of Sharjah (AE)
- University of Mississippi (US)
- University of California San Diego (US)
- Latakia University (SY)
- University of Padua (IT)
- Russian Academy of Sciences (RU)
- Chiba University (JP)
- Charles University (CZ)
- University of Wisconsin–Madison (US)
- Technion – Israel Institute of Technology (IL)
- University of Zurich (CH)
- Universidade Federal de São Paulo (BR)
- University of Nevada, Reno (US)
- Jagiellonian University (PL)
- Mahidol University (TH)
- National Academies of Sciences, Engineering, and Medicine (US)
- National University of Singapore (SG)
- Medical University of Vienna (AT)
- University of Minnesota (US)
- Cyprus University of Technology (CY)
- University of Ljubljana (SI)
- Corresponding author
- Bousquet, J.
- ORCID
- Bousquet, J.
- Schünemann, H.J.
- Samolinski, B.
- Demoly, P.
- Bachert, C.
- Bonini, S.
- Bousquet, P.J.
- Canonica, G.W.
- Casale, T.B.
- Fokkens, W.J.
- Fonseca, J.A.
- Haahtela, T.
- Kuna, P.
- Lockey, R.F.
- Mullol, J.
- Naclerio, R.
- Ohta, K.
- Papadopoulos, N.G.
- Passalacqua, G.
- Price, D.
- Ryan, D.
- Simons, F.E.R.
- Togias, A.
- Yusuf, O.M.
- Aberer, W.
- Adachi, M.
- Agache, I.
- Ansotegui, I.J.
- Bedbrook, A.
- Beghé, B.
- Bel, E.H.
- Bennoor, K.S.
- Bergmann, K.C.
- Bieber, T.
- Blaiss, M.S.
- Braido, F.
- Brightling, C.E.
- Bush, A.
- Calvo, M.A.
- Camargos, P.A.M.
- Carr, W.
- Cesario, A.
- Chavannes, N.H.
- Chiriac, A.M.
- Chkhartishvili, E.
- Ciprandi, G.
- Cox, L.
- Darsow, U.
- Deleanu, D.
- Devillier, P.
- Durham, S.R.
- Dykewicz, M.S.
- Emuzyte, R.
- Fiocchi, A.
- Fletcher, M.
- Fukuda, T.
- Gereda, J.E.
- Gotua, M.
- Guzmán, M.A.
- Hellings, P.W.
- Hourihane, J.O'B.
- Howarth, P.
- Humbert, M.
- Ivancevich, J.C.
- Just, J.
- Keil, T.
- Keith, P.K.
- Khayat, G.
- Kim, Y.Y.
- Koppelman, G.H.
- Kull, I.
- Lemière, C.
- Li, J.
- Lieberman, P.
- Lipworth, B.
- Mahboub, B.
- Marshall, G.D.
- Masjedi, M.R.
- Maurer, M.
- Mihaltan, F.
- Mohammad, Y.
- Muraro, A.
- Namazova-Baranova, L.
- Niggemann, B.
- Okamoto, Y.
- Okubo, K.
- Ouedraogo, S.
- Panzner, P.
- Park, H.S.
- Pohl, W.
- Popov, T.A.
- Postma, D.S.
- Rabe, K.F.
- Reitamo, S.
- Ring, J.
- Roberts, R.
- Rogala, B.
- Romano, A.
- Rosenwasser, L.
- Rottem, M.
- Scadding, G.K.
- Sheikh, A.
- Sooronbaev, T.
- Spranger, O.
- Stein, R.T.
- Sunyer, J.
- Valenta, R.
- Valeyre, D.
- Valiulis, A.
- Vandenplas, O.
- Viegi, G.
- Wang, D.Y.
- Wickman, M.
- Wöhrl, S.
- Yawn, B.P.
- Yiallouros, P.K.
- Zar, H.J.
- Zernotti, M.E.
- Zidarn, M.
- Zuberbier, T.
- Venue
- Journal of Allergy and Clinical Immunology
- Publisher
- Elsevier BV
- Published
- 2012-11
- Volume
- 130
- Issue
- 5
- Pages
- 1049-1062
- ISSN
- 0091-6749 (ISSN-L)
- OpenAlex
- W2136712715
- Cited by
- 623
- References
- 108
- Citations by year
- 2026: 16 · 2025: 28 · 2024: 30 · 2023: 37 · 2022: 42 · 2021: 42 · 2020: 36 · 2019: 30 · 2018: 50 · 2017: 65 · 2016: 76 · 2015: 65 · 2014: 67 · 2013: 37 · 2012: 1
- FWCI
- 7.50
- Type
- journal article
- Language
- en
- Update notices
- erratum (2013-02-01)
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Allergy and Clinical Immunology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion)
- Homo Politicus (Academy of Humanities and Economics in Lodz) (submittedVersion, cc-by-nc-nd)
- Leiden Repository (Leiden University) (submittedVersion, other-oa)
- El Repositorio Academico Digital de la UANL (Universidad Autónoma de Nuevo León) (submittedVersion, other-oa)
- Dspace Repository (Marmara Üniversitesi) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, other-oa)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Digital Access to Libraries (Université catholique de Louvain (UCL), l'Université de Namur (UNamur) and the Université Saint-Louis (USL-B)) (submittedVersion, other-oa)
- Discovery Research Portal (University of Dundee) (submittedVersion)
- Docusalut (Conselleria de Salut i Consum del Govern de les Illes Balears) (submittedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Hispana (submittedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi della Campania "Luigi Vanvitelli" (submittedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- Ktisis at Cyprus University of Technology (Cyprus University of Technology) (submittedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- Hacettepe University Institutional Repository (hacettepe.edu.tr) (submittedVersion, other-oa)
- Leiden Repository (Leiden University) (submittedVersion)
- Dspace Repository (Marmara Üniversitesi) (submittedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- RWTH Publications (RWTH Aachen) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- AJOU Open Repository (Ajou University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Funders
- National Science Foundation
- Amgen
- American Academy of Allergy Asthma and Immunology
- Pfizer
- AstraZeneca
- GlaxoSmithKline
- Sanofi
- World Health Organization
- Teva Pharmaceutical Industries
- Children's Hospital of Philadelphia
- George Washington University
- Wake Forest University
- University of Minnesota
- Université Catholique de Louvain
- Univerzita Karlova v Praze
- Aarhus Universitetshospital
- Danone
- Université Laval
- Cyprus University of Technology
- European Respiratory Society
- University of Dundee
- Uniwersytet Jagielloński Collegium Medicum
- University of Missouri-Kansas City
- Sunovion
- Guangzhou Medical University
- McMaster University
- Regeneron Pharmaceuticals
- Children's Mercy Hospital
- Canadian Thoracic Society
- Università degli Studi di Milano
- Immune Tolerance Network
- Institute of Science and Technology Austria
- University of Sharjah
- Universitat Pompeu Fabra
- Tishreen University
- Food Standards Agency
- University of Southampton
- University of St Andrews
- University of Warwick
- Imperial College London
- Imperial College Healthcare NHS Trust
- University College London
- European Commission
- University of Glasgow
- National University of Singapore
- University College Cork
- Institut National de la Santé et de la Recherche Médicale
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
- Rijksuniversiteit Groningen
- Radboud Universiteit
- Ain Shams University
- Seoul National University
- Ajou University
- Dokkyo Medical University
- Universität Wien
- Università degli Studi di Padova
- Karolinska Institutet
- Universiteit Gent
- China Scholarship Council
- Universidad Autónoma de Nuevo León
- Instituto Mexicano del Seguro Social
- Leids Universitair Medisch Centrum
- Universitair Medisch Centrum Groningen
- Hacettepe Üniversitesi
- Turun Yliopisto
- Universidade de São Paulo
- Uniwersytet Łódzki
- Medizinische Universität Wien
- Universidad de Chile
- Technion-Israel Institute of Technology
- University of Cape Town
- Marmara Üniversitesi
- Chiba University
- Veterinärmedizinische Universität Wien
- Assistance publique-Hôpitaux de Paris
- Śląski Uniwersytet Medyczny w Katowicach
- Christine Kühne – Center for Allergy Research and Education
- Servier
- European Academy of Allergy and Clinical Immunology
- Karl Landsteiner Privatuniversität für Gesundheitswissenschaften
- Directorate for Biological Sciences
- Genentech
- Allergan
- University of California, San Diego
- School of Medicine and Public Health, University of Wisconsin-Madison
- Allergopharma
- Faculté de Médecine, Université Laval
- BIO5 Institute, University of Arizona
- Medical Research Council
- Helse Sør-Øst RHF
- Faculty of Medicine Siriraj Hospital, Mahidol University
- National Institute of Allergy and Infectious Diseases
- Topics
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Immunology and Allergy › Food Allergy and Anaphylaxis Research
- Keywords
- allergic rhinitis, asthma, aria, treatment options, GRADE, unmet clinical needs
- MeSH terms
- Animals, Asthma, Child, Clinical Trials as Topic, Europe, Rhinitis, Allergic, Seasonal, Humans, Rhinitis, Allergic, Perennial, World Health Organization, Practice Guidelines as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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