Prof. Giorgio Walter Canonica Allergy and Respiratory Diseases Department University of Genoa
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Prof. Giorgio Walter Canonica Allergy and Respiratory Diseases Department University of Genoa Cancun, December 7, 2011 Past President 1°vice President GA2LEN WAO GA2LEN WAO and Guidelines and Guidelines
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Cancun, December 7, 2011. GA2LEN WAO and Guidelines. Prof. Giorgio Walter Canonica Allergy and Respiratory Diseases Department University of Genoa. 1°vice President. Past President. Guyatt GH ACP J Club 1991 Mar-Apr. 20 years. From OBM to EBM. Bousquet J. et al.,Allergy 2004. - PowerPoint PPT Presentation
Transcript of Prof. Giorgio Walter Canonica Allergy and Respiratory Diseases Department University of Genoa
Prof. Giorgio Walter CanonicaAllergy and Respiratory Diseases Department
University of Genoa
Cancun, December 7, 2011
Past President 1°vice President
GA2LEN WAO GA2LEN WAO and Guidelinesand Guidelines
Compalati 09
Guyatt GHACP J Club 1991 Mar-Apr
2
20 years20 years
Bousquet J. et al.,Allergy 2004 Bousquet J. et al.,Allergy 2004
ConclusionsQualityGraphicsProceduresPrinciplesBackground
Shekelle BMJ 1999; 318; 593-596 Università degli Studi di Genova
metanalysismetanalysis
Opinion Based Opinion Based
Mildpersistent
ARIA Guidelines: Recommendationsfor Management of Allergic Rhinitis
Mildintermittent
Moderate/severe
intermittent
Moderate/severe
persistent
Consider immunotherapy
Allergen and irritant avoidance
Intranasal decongestant (<10 days) or oral decongestant
Second-generation nonsedating H1-antihistamine
Leukotriene receptor antagonists
Local chromone
Intranasal corticosteroid
Check for asthma
Bousquet et al. J Allergy Clin Immunol. 2001;108(5 suppl):S147. At: http://www.whiar.org.
EAACI/GA2LEN/EDF Guidelines for Management of Urticaria
Zuberbier et al. Allergy. 2006;61:321-331.
EAACI / WAO / GA2LEN / EDF Guidelines
Urticaria 20083rd International Consensus Meeting on Urticaria
Management
Zuberbier et al. Allergy. 2009; 64: 1427-1443.
A general process in guidelines evolutionA general process in guidelines evolution
Factors that influence the strength of a recommendation
• Balance between desirable and undesirable effects
• Quality of evidence
• Patients’ values and preferences
• Costs
Braido et al. Allergy 2010: DOI: 10.1111/j.1398-9995.2010.02383.x.
Baiardini et al 2011
2012
