The international survey on the management of allergic rhinitis by physicians and patients (ISMAR)

Epidemiologic studies suggest that the prevalence of allergic rhinitis (AR) is rising worldwide. Several reports, in fact, indicate increasing trends in the prevalence of AR especially in developing countries, likely related to the environment and climate changes and the adoption of an urbanized We...

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Autores principales: Baena Cagnani, Carlos E., Canonica, Giorgio Walter, Helal, Mohamed Zaky, Gómez, René Maximiliano, Compalati, Enrico, Zernotti, Mario Emilio, Sánchez Borges, Mario, Morato Castro, Fabio F., Murrieta Aguttes, Margarita, López García, Aida, Tadros, Faheem A.
Formato: Artículo acceptedVersion
Lenguaje:Español
Publicado: Elseiver 2015
Materias:
Acceso en línea:http://pa.bibdigital.ucc.edu.ar/4222/1/A_BaenaCagnani_Canonica.pdf
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institution Universidad Católica de Córdoba
institution_str I-38
repository_str R-144
collection Producción Académica Universidad Católica de Córdoba (UCCor)
language Español
orig_language_str_mv spa
topic RF Otorrinolaringología
spellingShingle RF Otorrinolaringología
Baena Cagnani, Carlos E.
Canonica, Giorgio Walter
Helal, Mohamed Zaky
Gómez, René Maximiliano
Compalati, Enrico
Zernotti, Mario Emilio
Sánchez Borges, Mario
Morato Castro, Fabio F.
Murrieta Aguttes, Margarita
López García, Aida
Tadros, Faheem A.
The international survey on the management of allergic rhinitis by physicians and patients (ISMAR)
topic_facet RF Otorrinolaringología
description Epidemiologic studies suggest that the prevalence of allergic rhinitis (AR) is rising worldwide. Several reports, in fact, indicate increasing trends in the prevalence of AR especially in developing countries, likely related to the environment and climate changes and the adoption of an urbanized Western lifestyle. The primary objective of the present study was to collect information about management in real-life settings, including a characterization of typical patients’ profile referring to physicians, the disease features, the common approaches to diagnostic assessments and therapeutic decisions. This was an international, multicenter, cross-sectional study conducted in adults or children (≥6 years) suffering from rhinitis confirmed by physician's diagnosis for at least one year. The 234 physicians who participated in the study included a total of 2778 patients in Egypt, Mexico, Brazil, Colombia, Guatemala, Iran, Venezuela, Argentina, Israel, Kuwait and United Arab Emirates. It was found that clinical history was the selected tool to diagnose and categorize AR patients (97.1%), with less than half of patients undergoing allergy testing, may be explaining the scarce use of immunotherapy on management of disease. Out of 2776 patients, 93.4% had somehow received a recommendation to avoid allergens and irritant agent exposure. Notably, 91.4% were receiving at least one treatment at the time of the survey, mostly oral antihistamines (79.7%) and intranasal corticosteroids (66.3%). Oral antihistamines, intranasal steroids and decongestants were considered both safe and effective by patients and physicians, preferring oral and nasal route of administration. The ISMAR registry was designed according to the most accepted epidemiological recommendations, and provides interesting information regarding the management of rhinitis from a patient and physician points of view, with many similarities between the participating countries. Further efforts are required to better manage AR and its comorbidities.
format Artículo
Artículo
acceptedVersion
author Baena Cagnani, Carlos E.
Canonica, Giorgio Walter
Helal, Mohamed Zaky
Gómez, René Maximiliano
Compalati, Enrico
Zernotti, Mario Emilio
Sánchez Borges, Mario
Morato Castro, Fabio F.
Murrieta Aguttes, Margarita
López García, Aida
Tadros, Faheem A.
author_facet Baena Cagnani, Carlos E.
Canonica, Giorgio Walter
Helal, Mohamed Zaky
Gómez, René Maximiliano
Compalati, Enrico
Zernotti, Mario Emilio
Sánchez Borges, Mario
Morato Castro, Fabio F.
Murrieta Aguttes, Margarita
López García, Aida
Tadros, Faheem A.
author_sort Baena Cagnani, Carlos E.
title The international survey on the management of allergic rhinitis by physicians and patients (ISMAR)
title_short The international survey on the management of allergic rhinitis by physicians and patients (ISMAR)
title_full The international survey on the management of allergic rhinitis by physicians and patients (ISMAR)
title_fullStr The international survey on the management of allergic rhinitis by physicians and patients (ISMAR)
title_full_unstemmed The international survey on the management of allergic rhinitis by physicians and patients (ISMAR)
title_sort international survey on the management of allergic rhinitis by physicians and patients (ismar)
publisher Elseiver
publishDate 2015
url http://pa.bibdigital.ucc.edu.ar/4222/1/A_BaenaCagnani_Canonica.pdf
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spelling I38-R144-42222024-03-18T17:18:49Z http://pa.bibdigital.ucc.edu.ar/4222/ The international survey on the management of allergic rhinitis by physicians and patients (ISMAR) Baena Cagnani, Carlos E. Canonica, Giorgio Walter Helal, Mohamed Zaky Gómez, René Maximiliano Compalati, Enrico Zernotti, Mario Emilio Sánchez Borges, Mario Morato Castro, Fabio F. Murrieta Aguttes, Margarita López García, Aida Tadros, Faheem A. RF Otorrinolaringología Epidemiologic studies suggest that the prevalence of allergic rhinitis (AR) is rising worldwide. Several reports, in fact, indicate increasing trends in the prevalence of AR especially in developing countries, likely related to the environment and climate changes and the adoption of an urbanized Western lifestyle. The primary objective of the present study was to collect information about management in real-life settings, including a characterization of typical patients’ profile referring to physicians, the disease features, the common approaches to diagnostic assessments and therapeutic decisions. This was an international, multicenter, cross-sectional study conducted in adults or children (≥6 years) suffering from rhinitis confirmed by physician's diagnosis for at least one year. The 234 physicians who participated in the study included a total of 2778 patients in Egypt, Mexico, Brazil, Colombia, Guatemala, Iran, Venezuela, Argentina, Israel, Kuwait and United Arab Emirates. It was found that clinical history was the selected tool to diagnose and categorize AR patients (97.1%), with less than half of patients undergoing allergy testing, may be explaining the scarce use of immunotherapy on management of disease. Out of 2776 patients, 93.4% had somehow received a recommendation to avoid allergens and irritant agent exposure. Notably, 91.4% were receiving at least one treatment at the time of the survey, mostly oral antihistamines (79.7%) and intranasal corticosteroids (66.3%). Oral antihistamines, intranasal steroids and decongestants were considered both safe and effective by patients and physicians, preferring oral and nasal route of administration. The ISMAR registry was designed according to the most accepted epidemiological recommendations, and provides interesting information regarding the management of rhinitis from a patient and physician points of view, with many similarities between the participating countries. Further efforts are required to better manage AR and its comorbidities. Elseiver 2015-12-31 application/pdf spa http://pa.bibdigital.ucc.edu.ar/4222/1/A_BaenaCagnani_Canonica.pdf Baena Cagnani, Carlos E., Canonica, Giorgio Walter ORCID: https://orcid.org/0000-0001-8467-2557 <https://orcid.org/0000-0001-8467-2557>, Helal, Mohamed Zaky ORCID: https://orcid.org/0000-0002-5218-9904 <https://orcid.org/0000-0002-5218-9904>, Gómez, René Maximiliano, Compalati, Enrico ORCID: https://orcid.org/0000-0002-1856-6139 <https://orcid.org/0000-0002-1856-6139>, Zernotti, Mario Emilio ORCID: https://orcid.org/0000-0003-4288-2809 <https://orcid.org/0000-0003-4288-2809>, Sánchez Borges, Mario, Morato Castro, Fabio F., Murrieta Aguttes, Margarita, López García, Aida and Tadros, Faheem A. (2015) The international survey on the management of allergic rhinitis by physicians and patients (ISMAR). World Allergy Organization Journal, 8 (10). info:eu-repo/semantics/altIdentifier/doi/ttps://doi.org/10.1186/s40413-015-0057-0 info:eu-repo/semantics/article info:ar-repo/semantics/artículo info:eu-repo/semantics/acceptedVersion Fil: Baena Cagnani, Carlos E. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina Fil: Canonica, Giorgio Walter. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina Fil: Helal, Mohamed Zaky. Ain Shams University; Egipto Fil: Gómez, René Maximiliano. Ayre Foundation, Head, Research & Education; Argentina Fil: Compalati, Enrico. University of Genoa; Italia Fil: Zernotti, Mario Emilio. Universidad Católica de Córdoba. Facultad de Ciencias de la Salud; Argentina Fil: Sánchez Borges, Mario. Central University of Venezuela; Venezuela Fil: Morato Castro, Fabio F. Universidade de São Paulo; Brasil Fil: Murrieta Aguttes, Margarita. Medical Director Consumer Health Care Division; Francia Fil: López García, Aida. Hospital Universitario de Puebla; México Fil: Tadros, Faheem A. ENT Consultant, Al Zahra Hospital; Emiratos Árabes Unidos info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by/4.0/deed.es