TY - JOUR TI - An international Delphi study on the burden of allergic rhinoconjunctivitis and urticaria and the role of bilastine among current treatment options AU - Church, M.K. AU - Canonica, G.W. AU - Kuna, P. AU - Maurer, M. AU - Mösges, R. AU - Novak, Z. AU - Papadopoulos, N.G. AU - Rodriguez del Rio, P. AU - the Delphi Study Group JO - Expert Review of Clinical Immunology PY - 2023 VL - null TODO - null SP - null PB - Taylor and Francis Ltd. SN - 1744-666X, 1744-8409 TODO - 10.1080/1744666X.2023.2214729 TODO - null TODO - Background: Allergic rhinoconjunctivitis and chronic urticaria are common histamine-driven diseases, exerting detrimental effects on cognitive functions, sleep, daily activities, and quality of life. Non-sedating second-generation H1-antihistamines are the first-line treatment of choice. Aim of the study was to define the role of bilastine among second-generation H1-antihistamines in the treatment of allergic rhinoconjunctivitis and urticaria in patients of different ages. Methods: An international Delphi study was carried out to assess consensus among experts from 17 European and extra-European countries on three main topics: 1) Burden of disease; 2) Current treatment options; 3) Specific characteristics of bilastine among second-generation antihistamines. Results: Here, we present the results obtained for a selection of 15 out of 27 consensus statements, focused on disease burden, role of second-generation antihistamines and bilastine profile. The rate of concordance was ≥98% for 4 statements, ≥ 96% for 6, ≥ 94% for 3, and ≥90% for 2. Conclusions: The high degree of agreement obtained suggests a wide awareness of the burden of allergic rhinoconjunctivitis and chronic urticaria among experts from all over the world and reflects a broad consensus on the role of second-generation antihistamines in general and of bilastine in particular for their management. © 2023 Informa UK Limited, trading as Taylor & Francis Group. ER -