| Title: |
Allergic Rhinitis and Its Impact on Asthma ( ARIA )‐ EAACI Guidelines—2024–2025 Revision : Part I—Guidelines on Intranasal Treatments |
| Authors: |
Sousa‐Pinto, Bernardo; Schünemann, Holger J.; Zuberbier, Torsten; Williams, Sian; Torres, Marı́a José; Shamji, Mohamed H.; Vecillas, Leticia de las; Dykewicz, Mark S.; Jacomelli, Cristina; Klimek, Ludger; Lourenço, Olga; Papadopoulos, Nikolaos G.; Teresa Ventura, Maria; Yepes-Núñez, Juan José; Giovannini, Mattia; Gradauskienė, Brigita; Jartti, Tuomas; Kuna, Piotr; Larenas‐Linnemann, Désirée; Mohammad, Yousser; Pfaar, Oliver; Suppli Ulrik, Charlotte; Rostan, Marylin Valentin; Haahtela, Tari; Ivancevich, Juan Carlos; Khaltaev, Nikolaï; Yorgancıoğlu, Arzu; Al‐Ahmad, Mona; Al‐Nesf, Maryam; Amaral, Rita; Bergmann, Karl‐Christian; Bernstein, Jonathan A.; Braido, Fulvio; Casale, Thomas B.; Cecchi, Lorenzo; Fiocchi, Alessandro; Christoff, George; Cirule, Ieva; de Sousa, Jaime Correia; Costa, Elı́sio; Hossny, Elham; Irani, Carla; Ispayeva, Zhanat; Kraxner, Helga; Kupczyk, Maciej; Mičulinić, Neven; Le Thi Tuyet, Lan; Milenković, Branislava; Moreira, André; Mullol, Joaquim; Nadif, Rachel; Nakonechna, Alla; Neffen, Hugo; Niedoszytko, Marek; O’Hehir, Robyn E.; Palomares, Óscar; Panzner, Petr; Patella, Vincenzo; Quirce, Santiago; Repka-Ramirez, María Susana; Sastre, J.; Sisul, Juan‐Carlos; Soto‐Martínez, Manuel E.; Tantilipikorn, Pongsakorn; Todo‐Bom, Ana; Tsaryk, Vladyslav; Vasankari, Tuula; Worm, Margitta; Gil‐Mata, Sara; Marques‐Cruz, Manuel; Mahboub, Bassam; Aberer, Werner; Artesani, Maria Cristina; Azzolini, Elena; Bartra, Joan; Boner, Attilio; Borowiack, E; Bouchard, Jacques; Brussino, Luisa; Buhl, Roland; Vizuete, José Antonio Castillo; Chełmińska, Marta; Cheng, Lei; Chkhartishvili, Ekaterine; Choudhury, Diptiman; Chu, Derek K.; Cingi, Cemal; Compalati, Enrico; D’Amato, Gennaro; Bona, Danilo Di; Díaz, Sandra Nora González; Dimou, Maria; Gawlik, Radosław; Calvo-Gil, María Julia; Guzmán, María Antonieta; Tan, Rachel; Hyland, Michael E.; Toppila-Salmi, Sanna K.; Valovirta, Erkka; Thomander, Tuuli |
| Contributors: |
HUS Inflammation Center; Department of Dermatology, Allergology and Venereology; Department of Pathology; HUS Heart and Lung Center |
| Publisher Information: |
Wiley Blackwell |
| Publication Year: |
2026 |
| Collection: |
Helsingfors Universitet: HELDA – Helsingin yliopiston digitaalinen arkisto |
| Subject Terms: |
General medicine; internal medicine and other clinical medicine; ARIA |
| Description: |
Background Allergic rhinitis (AR) impacts quality of life, work and school productivity. Over the last years, an important body of evidence resulting from mHealth data has led to a better understanding of AR. Such advances have motivated an EAACI‐endorsed update of the Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines (ARIA 2024–2025). This manuscript presents the ARIA 2024–2025 recommendations for intranasal treatments, one of the mainstays for AR management. Methods The ARIA 2024–2025 guideline panel issued recommendations following the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) evidence‐to‐decision framework. Several sources of evidence were used to inform panel judgments and recommendations, including systematic reviews, evaluation of mHealth and pharmacovigilance data, as well as a survey of experts on costs. Results Eleven guideline questions concerning intranasal treatments for AR were prioritized, leading to recommendations. Overall, these questions concern the choice between different classes of intranasal medications—most notably, intranasal corticosteroids (INCS), antihistamines (INAH), fixed combinations of INAH+INCS and decongestants—or between different individual medications within each class. Four questions had not been evaluated in previous ARIA guidelines, while for the other three there was a change in the strength or directionality of recommendations. Overall, recommendations point to the suggested use of INAH+INCS over INAH or INCS and INCS over INAH. Conclusion This ARIA 2024–2025 article supports patients, their caregivers, and healthcare professionals in choosing an intranasal treatment. However, decisions on AR treatment should consider the clinical variability of the disease, patients' values, and the affordability of medications. ; Peer reviewed |
| Document Type: |
review |
| File Description: |
application/pdf |
| Language: |
English |
| Relation: |
https://hdl.handle.net/10138/626143 |
| Availability: |
https://hdl.handle.net/10138/626143 |
| Rights: |
cc_by ; info:eu-repo/semantics/openAccess ; openAccess |
| Accession Number: |
edsbas.1FBDBC85 |
| Database: |
BASE |