@article{3001383,
    title = "MACVIA clinical decision algorithm in adolescents and adults with allergic rhinitis",
    author = "Bousquet, J. and Schünemann, H.J. and Hellings, P.W. and Arnavielhe, S. and Bachert, C. and Bedbrook, A. and Bergmann, K.-C. and Bosnic-Anticevich, S. and Brozek, J. and Calderon, M. and Canonica, G.W. and Casale, T.B. and Chavannes, N.H. and Cox, L. and Chrystyn, H. and Cruz, A.A. and Dahl, R. and De Carlo, G. and Demoly, P. and Devillier, P. and Dray, G. and Fletcher, M. and Fokkens, W.J. and Fonseca, J. and Gonzalez-Diaz, S.N. and Grouse, L. and Keil, T. and Kuna, P. and Larenas-Linnemann, D. and Lodrup Carlsen, K.C. and Meltzer, E.O. and Mullol, J. and Muraro, A. and Naclerio, R.N. and Palkonen, S. and Papadopoulos, N.G. and Passalacqua, G. and Price, D. and Ryan, D. and Samolinski, B. and Scadding, G.K. and Sheikh, A. and Spertini, F. and Valiulis, A. and Valovirta, E. and Walker, S. and Wickman, M. and Yorgancioglu, A. and Haahtela, T. and Zuberbier, T. and Aberer, W. and Adachi, M. and Agache, I. and Akdis, C. and Akdis, M. and Annesi-Maesano, I. and Ansotegui, I.J. and Anto, J.M. and Arshad, S.H. and Baiardini, I. and Baigenzhin, A.K. and Barbara, C. and Bateman, E.D. and Beghé, B. and Bel, E.H. and Ben Kheder, A. and Bennoor, K.S. and Benson, M. and Bernstein, D. and Michael, B. and Thomas, B. and Bindslev-Jensen, C. and Bjermer, L. and Blain, H. and Boner, A. and Bonini, M. and Bonini, S. and Bosse, I. and Bouchard, J. and Boulet, L.-P. and Bourret, R.A. and Bousquet, P.J. and Braido, F. and Briggs, A.H. and Brightling, C.E. and Buhl, R. and Burney, P. and Bush, A. and Caballero-Fonseca, F. and Caimmi, D.P. and Camargos, P. and Camuzat, T. and Carlsen, K.-H. and Carr, W. and Casale, T.B. and Sarabia, A.C. and Chatzi, L. and Chen, Y. and Chiron, R. and Chkhartishvili, E. and Chuchalin, A. and Ciprandi, G. and Cirule, I. and Correia de Sousa, J. and Costa, D. and Crooks, G. and Custovic, A. and Dahlen, S.-E. and Darsow, U. and De Blay, F. and De Manuel Keenoy, E. and Dedeu, T. and Deleanu, D. and Denburg, J. and Didier, A. and Dinh-Xuan, A.-T. and Dokic, D. and Douagui, H.B. and Dubakiene, R. and Durham, S. and Dykewicz, M. and El-Gamal, Y. and Emuzyte, R. and Fink-Wagner, A. and Fiocchi, A. and Forastiere, F. and Gamkrelidze, A. and Gemicioğlu, B. and Gereda, J.E. and Gerth van Wijk, R. and Gotua, M. and Grisle, I. and Guzmán, M.A. and Haahtela, T. and Heinrich, J. and Hellquist-Dahl, B. and Horak, F. and Howarth, P.H. and Humbert, M. and Hyland, M. and Ivancevich, J.-C. and Jares, E.J. and Johnston, S.L. and Jonquet, O. and Joos, G. and Jung, K.-S. and Just, J. and Jutel, M. and Kaidashev, I.P. and Khaitov, M. and Kalayci, O. and Kalyoncu, F. and Keith, P. and Khaltaev, N. and Kleine-Tebbe, J. and Klimek, L. and N'Goran, B.K. and Kolek, V. and Koppelman, G.H. and Kowalski, M. and Kull, I. and Kvedariene, V. and Lambrecht, B. and Lau, S. and Laune, D. and Le Thi Tuyet, L. and Li, J. and Lieberman, P. and Lipworth, B.J. and Renaud, L. and Magard, Y. and Magnan, A. and Mahboub, B. and Majer, I. and Makela, M. and Manning, P.J. and Masjedi, M.R. and Maurer, M. and Mavale-Manuel, S. and Melén, E. and Melo-Gomes, E. and Mercier, J. and Merk, H. and Miculinic, N. and Mihaltan, F. and Milenkovic, B. and Mohammad, Y. and Molimard, M. and Momas, I. and Montilla-Santana, A. and Morais-Almeida, M. and Mösges, R. and Nadif, R. and Namazova-Baranova, L. and Neffen, H. and Nekam, K. and Neou, A. and Niggemann, B. and Nyembue, D. and O'Hehir, R. and Ohta, K. and Okamoto, Y. and Okubo, K. and Ouedraogo, S. and Paggiaro, P.-L. and Pali-Schöll, I. and Palmer, S. and Panzner, P. and Papi, A. and Park, H.-S. and Pavord, I. and Pawankar, R. and Pfaar, O. and Picard, R. and Pigearias, B. and Pin, I. and Plavec, D. and Pohl, W. and Popov, T. and Postma, D.S. and Potter, P. and Poulsen, L.K. and Rabe, K.F. and Raciborski, F. and Pontal, F.R. and Reitamo, S. and Repka-Ramirez, M.-S. and Robalo-Cordeiro, C. and Roberts, G. and Rodenas, F. and Rolland, C. and Rodriguez, M.R. and Romano, A. and Rosado-Pinto, J. and Rosario, N.A. and Rosenwasser, L. and Rottem, M. and Sanchez-Borges, M. and Sastre-Dominguez, J. and Schmid-Grendelmeier, P. and Serrano, E. and Simons, F.E.R. and Sisul, J.-C. and Skrindo, I. and Smit, H.A. and Solé, D. and Sooronbaev, T. and Spranger, O. and Stelmach, R. and Strandberg, T. and Sunyer, J. and Thijs, C. and Todo-Bom, A.-M. and Triggiani, M. and Valenta, R. and Valero, A.L. and van Hage, M. and Vandenplas, O. and Vezzani, G. and Vichyanond, P. and Viegi, G. and Wagenmann, M. and Wahn, U. and De Yun, W. and Williams, D. and Wright, J. and Yawn, B.P. and Yiallouros, P. and Yusuf, O.M. and Zar, H.J. and Zernotti, M. and Zhang, L. and Zhong, N. and Zidarn, M.",
    journal = "Allergy: European Journal of Allergy and Clinical Immunology",
    year = "2016",
    volume = "138",
    number = "2",
    pages = "367-374.e2",
    publisher = "Mosby Year Book Inc",
    doi = "10.1016/j.jaci.2016.03.025",
    keywords = "adolescent;  adult;  algorithm;  allergic rhinitis;  Article;  clinical decision support system;  consensus development;  disease control;  human;  immunotherapy;  priority journal;  rhinoconjunctivitis;  age;  clinical decision making;  Conjunctivitis, Allergic;  disease management;  patient satisfaction;  Rhinitis, Allergic, Adolescent;  Adult;  Age Factors;  Algorithms;  Clinical Decision-Making;  Conjunctivitis, Allergic;  Disease Management;  Humans;  Patient Satisfaction;  Rhinitis, Allergic",
    abstract = "The selection of pharmacotherapy for patients with allergic rhinitis (AR) depends on several factors, including age, prominent symptoms, symptom severity, control of AR, patient preferences, and cost. Allergen exposure and the resulting symptoms vary, and treatment adjustment is required. Clinical decision support systems (CDSSs) might be beneficial for the assessment of disease control. CDSSs should be based on the best evidence and algorithms to aid patients and health care professionals to jointly determine treatment and its step-up or step-down strategy depending on AR control. Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon (MACVIA-LR [fighting chronic diseases for active and healthy ageing]), one of the reference sites of the European Innovation Partnership on Active and Healthy Ageing, has initiated an allergy sentinel network (the MACVIA-ARIA Sentinel Network). A CDSS is currently being developed to optimize AR control. An algorithm developed by consensus is presented in this article. This algorithm should be confirmed by appropriate trials. © 2016 The Authors"
}