Methodology for development of the Allergic Rhinitis and its Impact on Asthma Guideline 2008 update

Background: We describe the methodology for the 2008 update of the Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines. The methodology differs from the 2001 edition in several respects. The most prominent change is the application of the Grading of Recommendations Assessment, Development a...

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Autores principales: Brozek, J.L., Baena Cagnani, Carlos E., Bonini, Sergio, Canonica, Giorgio Walter, Van Wijk, R.G., Rasi, G., Zuberbier, T., Guyatt, G., Bousquet, Jean, Schünemann, H.J.
Formato: Artículo
Lenguaje:Español
Publicado: 2008
Materias:
R Medicina (General)
Acceso en línea:http://pa.bibdigital.ucc.edu.ar/4906/1/A_Brozek.pdf
Aporte de:
Producción Académica Universidad Católica de Córdoba (UCCor) de Universidad Católica de Córdoba
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record_format dspace
spelling I38-R144-49062025-11-10T17:23:53Z http://pa.bibdigital.ucc.edu.ar/4906/ Methodology for development of the Allergic Rhinitis and its Impact on Asthma Guideline 2008 update Brozek, J.L. Baena Cagnani, Carlos E. Bonini, Sergio Canonica, Giorgio Walter Van Wijk, R.G. Rasi, G. Zuberbier, T. Guyatt, G. Bousquet, Jean Schünemann, H.J. R Medicina (General) Background: We describe the methodology for the 2008 update of the Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines. The methodology differs from the 2001 edition in several respects. The most prominent change is the application of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to compiling evidence, assessing the quality of evidence and grading of recommendations. Methods and results: Representatives of the GRADE working group joined the ARIA guideline panel to achieve these tasks. While most recommendations result from existing systematic reviews, systematic reviews were not always available and the panel compiled the best available evidence in evidence profiles without conducting actual reviews. The panel conducted two meetings and used the GRADE criteria to assess the quality of evidence (four categories of high, moderate, low and very low) and the strength of recommendation (strong and weak) based on weighing up the desirable and undesirable effects of management strategies, considering values and preferences influencing recommendations, and resource implications. The guideline panel has chosen the words 'we recommend' - for strong recommendations and 'we suggest' - for weak recommendations. Both categories indicate the best course of action for a given patient population, but their implementation, requires different considerations as we describe subsequently in this article. Conclusions: The 2008 update of the ARIA guidelines has become more evidence-based. Future iterations of the guidelines will further be improved by following the described processes even closer, such as ensuring availability of updated high quality systematic reviews for each question. 2008-12-31 info:eu-repo/semantics/article info:eu-repo/semantics/closedAccess application/pdf spa http://pa.bibdigital.ucc.edu.ar/4906/1/A_Brozek.pdf Brozek, J.L., Baena Cagnani, Carlos E., Bonini, Sergio, Canonica, Giorgio Walter ORCID: https://orcid.org/0000-0001-8467-2557 <https://orcid.org/0000-0001-8467-2557>, Van Wijk, R.G., Rasi, G., Zuberbier, T., Guyatt, G., Bousquet, Jean ORCID: https://orcid.org/0000-0002-4061-4766 <https://orcid.org/0000-0002-4061-4766> and Schünemann, H.J. (2008) Methodology for development of the Allergic Rhinitis and its Impact on Asthma Guideline 2008 update. Allergy: European Journal of Allergy and Clinical Immunology, 63 (1). pp. 38-46. ISSN 13989995 info:eu-repo/semantics/altIdentifier/doi/10.1111/j.1398-9995.2007.01560.x
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 R Medicina (General)
spellingShingle R Medicina (General)
Brozek, J.L.
Baena Cagnani, Carlos E.
Bonini, Sergio
Canonica, Giorgio Walter
Van Wijk, R.G.
Rasi, G.
Zuberbier, T.
Guyatt, G.
Bousquet, Jean
Schünemann, H.J.
Methodology for development of the Allergic Rhinitis and its Impact on Asthma Guideline 2008 update
topic_facet R Medicina (General)
description Background: We describe the methodology for the 2008 update of the Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines. The methodology differs from the 2001 edition in several respects. The most prominent change is the application of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to compiling evidence, assessing the quality of evidence and grading of recommendations. Methods and results: Representatives of the GRADE working group joined the ARIA guideline panel to achieve these tasks. While most recommendations result from existing systematic reviews, systematic reviews were not always available and the panel compiled the best available evidence in evidence profiles without conducting actual reviews. The panel conducted two meetings and used the GRADE criteria to assess the quality of evidence (four categories of high, moderate, low and very low) and the strength of recommendation (strong and weak) based on weighing up the desirable and undesirable effects of management strategies, considering values and preferences influencing recommendations, and resource implications. The guideline panel has chosen the words 'we recommend' - for strong recommendations and 'we suggest' - for weak recommendations. Both categories indicate the best course of action for a given patient population, but their implementation, requires different considerations as we describe subsequently in this article. Conclusions: The 2008 update of the ARIA guidelines has become more evidence-based. Future iterations of the guidelines will further be improved by following the described processes even closer, such as ensuring availability of updated high quality systematic reviews for each question.
format Artículo
author Brozek, J.L.
Baena Cagnani, Carlos E.
Bonini, Sergio
Canonica, Giorgio Walter
Van Wijk, R.G.
Rasi, G.
Zuberbier, T.
Guyatt, G.
Bousquet, Jean
Schünemann, H.J.
author_facet Brozek, J.L.
Baena Cagnani, Carlos E.
Bonini, Sergio
Canonica, Giorgio Walter
Van Wijk, R.G.
Rasi, G.
Zuberbier, T.
Guyatt, G.
Bousquet, Jean
Schünemann, H.J.
author_sort Brozek, J.L.
title Methodology for development of the Allergic Rhinitis and its Impact on Asthma Guideline 2008 update
title_short Methodology for development of the Allergic Rhinitis and its Impact on Asthma Guideline 2008 update
title_full Methodology for development of the Allergic Rhinitis and its Impact on Asthma Guideline 2008 update
title_fullStr Methodology for development of the Allergic Rhinitis and its Impact on Asthma Guideline 2008 update
title_full_unstemmed Methodology for development of the Allergic Rhinitis and its Impact on Asthma Guideline 2008 update
title_sort methodology for development of the allergic rhinitis and its impact on asthma guideline 2008 update
publishDate 2008
url http://pa.bibdigital.ucc.edu.ar/4906/1/A_Brozek.pdf
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