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Current Treatment Options in Allergy

, Volume 5, Issue 2, pp 266–273 | Cite as

ARIA 2017: a Review of Major Changes and Innovations

  • Hugo E. Neffen
  • Juan Carlos Ivancevich
Allergic Rhinitis (J Maspero, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Allergic Rhinitis

Abstract

Background

Allergic rhinitis is a disease underestimated by patients, and underdiagnosed and thus undertreated by physicians since most of the patients present with symptoms of moderate-to-severe disease, overall diminished quality of life, impairing sleep quality and cognitive function, and a substantial impact on work productivity, school absenteeism, and costs. The relationship between treating physician and patients is crucial in all chronic diseases.

Objectives

Review the main changes and innovations of recent years in the ARIA guidelines.

Methods

The most recent publications of the ARIA (Allergic Rhinitis and its Impact on Asthma) guidelines were reviewed.

Results

ARIA 2016 strengthens the role of patients in the control and treatment of their symptoms by the use of technology, which improves physician-patient communication. 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. It confirms that inhaled corticosteroids are the most effective drugs for the management of seasonal or perennial allergic rhinitis, not surpassed by combination therapies with oral or topical antihistamines. On the other hand, no significant differences between the use of oral or topical antihistamines are evidenced. Allergen exposure and the resulting symptoms vary, and treatment adjustment is required. A step-up/step-down individualized approach to AR pharmacotherapy might hold the potential for optimal control of AR symptoms while minimizing side effects and costs. After choosing the best pharmacological therapy, compliance is a critical issue in the management of all chronic diseases. In order to improve compliance, it is important to consider patient preferences and views of patients and their caregivers, as ARIA guidelines remarks in the 2016 update.

Conclusion

ARIA guideline has evolved to a technology-based implementation strategy to help rhinitis sufferers to have an active and healthy life and to reduce health and social inequalities caused by this very common disease, irrespective of their age, sex, or socio-economic status.

Keywords

ARIA Rhinitis Pharmacological therapy Quality of life Emerging technologies 

Notes

Compliance with Ethical Standards

Conflict of Interest

Dr. Neffen declares that he has no conflict of interest.

Dr. Ivancevich reports personal fees from Faes Farma, personal fees from Eurofarma, outside the submitted work.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Center of Allergy, Immunology and Respiratory DiseasesSanta FeArgentina
  2. 2.Immunology, Faculty of Medicine, del Salvador UniversityBuenos AiresArgentina
  3. 3.Allergy & Immunology, Santa Isabel ClinicBuenos AiresArgentina

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