Skip to main navigation Skip to search Skip to main content

Methodology for the Development of the Allergic Rhinitis and Its Impact on Asthma (ARIA)-EAACI 2024–2025 Guidelines: From Evidence-to-Decision Frameworks to Digitalised Shared Decision-Making Algorithms

  • Jean Bousquet
  • , Bernardo Sousa-Pinto
  • , Rafael José Vieira
  • , Holger J. Schünemann
  • , Torsten Zuberbier
  • , Antonio Bognanni
  • , Alkis Togias
  • , Boleslaw Samolinski
  • , Arunas Valiulis
  • , Sian Williams
  • , Anna Bedbrook
  • , Wienczyslawa Czarlewski
  • , Maria Jose Torres
  • , Mohamed H. Shamji
  • , Mário Morais-Almeida
  • , G. Walter Canonica
  • , Leticia de las Vecillas
  • , Mark S. Dykewicz
  • , Cristina Jacomelli
  • , Ludger Klimek
  • Lucas Leemann, Olga Lourenço, Yuliia Palamarchuk, Nikolaos G. Papadopoulos, Ana Margarida Pereira, Marine Savouré, Sanna K. Toppila-Salmi, Maria Teresa Ventura, Juan Jose Yepes-Nuñez, Alvaro A. Cruz, Giorgio Ciprandi, Bilun Gemicioglu, Mattia Giovannini, Brigita Gradauskiene, Tuomas Jartti, Miloš Jeseňák, Piotr Kuna, Violeta Kvedariene, Désirée E. Larenas-Linnemann, Amir H.A. Latiff, Yousser Mohammad, Ken Ohta, Padukudru A. Mahesh, Isabella Pali-Schöll, Oliver Pfaar, Frederico S. Regateiro, Nicolas Roche, Mikhail Sofiev, Luís Taborda-Barata, Charlotte Suppli Ulrik, Marylin Valentin Rostan, Giovanni Viegi, Luo Zhang, Josep M. Antó, Tari Haahtela, Ivan Cherrez-Ojeda, Juan Carlos Ivancevich, Nikolai Khaltaev, Arzu Yorgancioglu, Baharudin Abdullah, Mona Al-Ahmad, Maryam Ali Al-Nesf, Rita Amaral, Julijana Asllani, Karl C. Bergmann, Jonathan A. Bernstein, Michael S. Blaiss, Fulvio Braido, Paulo Camargos, Pedro Carreiro-Martins, Thomas Casale, Lorenzo Cecchi, Alessandro G. Fiocchi, Antonio F.M. Giuliano, George Christoff, Ieva Cirule, Jaime Correia-de-Sousa, Elisio M. Costa, Stefano Del Giacco, Philippe Devillier, Dejan Dokic, Elham Hossny, Tomohisa Iinuma, Carla Irani, Zhanat Ispayeva, Kaja Julge, Igor Kaidashev, Kazi S. Bennoor, Helga Kraxner, Inger Kull, Marek Kulus, Maciej Kupczyk, Andriy Kurchenko, Stefania La Grutta, Neven Miculinic, Lan Le Thi Tuyet, Michael Makris, Branislava Milenkovic, Sang Min Lee, Stephen Montefort, André Moreira, Joaquim Mullol, Rachel Nadif, Alla Nakonechna, Hugo E. Neffen, Marek Niedoszytko, Dieudonné Nyembue, Robyn O'Hehir, Ismail Ogulur, Yoshitaka Okamoto, Heidi Olze, Oscar Palomares, Petr Panzner, Vincenzo Patella, Ruby Pawankar, Constantinos Pitsios, Todor A. Popov, Francesca Puggioni, Santiago Quirce, Agné Ramonaité, Marysia Recto, Maria Susana Repka-Ramirez, Graham Roberts, Karla Robles-Velasco, Menachem Rottem, Marianella Salapatas, Joaquin Sastre, Nicola Scichilone, Juan Carlos Sisul, Dirceu Solé, Manuel E. Soto-Martinez, Milan Sova, Pongsakorn Tantilipikorn, Ana Todo-Bom, Vladyslav Tsaryk, Ioanna Tsiligianni, Marilyn Urrutia-Pereira, Erkka Valovirta, Eric Van Ganse, Tuula Vasankari, Dana Wallace, De Yun Wang, Margitta Worm, Osman M. Yusuf, Mihaela Zidarn, Sara Gil-Mata, Manuel Marques-Cruz, Bassam Mahboub, Ignacio J. Ansotegui, Antonino Romano, Maria Cristina Artesani, Bruno Barreto, Sven Becker, Bianca Beghe, Jacques Bouchard, Melisande Bourgoin-Heck, Luisa Brussino, Roland Buhl, Mario Calvo-Gil, Victoria Cardona Dahl, José Antonio Castillo Vizuete, Denis Charpin, Niels H. Chavannes, Marta Chełmińska, Lei Cheng, Ekaterine Chkhartishvili, Herberto Jose Chong-Neto, Deepa Choudhury, Derek Chu, Cemal Cingi, Enrico Compalati, Biljana Cvetkovski, Jane Da Silva, Gennaro D'Amato, Janet Davies, Danilo Di Bona, Maria V. Dimou, Maria Do Ceu Teixeira, Maria Doulaptsi, José Miguel Fuentes Pérez, Radoslaw Gawlik, Ozlem Goksel, Maximiliano R. Gómez, Sandra N. Gonzalez Diaz, Maia Gotua, Christos Grigoreas, Ineta Grisle, Maria Antonieta Guzman, Rachel House Tan, Michael Hyland, Despo Ierodiakonou, Aspasia Karavelia, Marta Kisiel, Mitja Kosnik, Vicky Kritikos, Carlo Lombardi, Matteo Martini, Cem Meço, Eris Mesonjesi, Florin Mihaltan, Marcin Moniuszko, Robert Naclerio, Sophia Neisinger, Michal Ordak, Giovanni Paoletti, Edgar Arturo Perdomo-Flores, Nhan Pham-Thi, Emmanuel Prokopakis, Daniela Rivero Yeverino, Giovanni Rolla, Jan Romantowski, Philip W. Rouadi, Maia Rukhadze, Daiju Sakurai, Laila Salameh, Faradiba Serpa Sarquis, Tanja Soklic Kosak, Michael Soyka, Olga Sozinova, Krzysztof Specjalski, Vesna Tomic-Spiric, Martina Vachova, Marianne van Hage, Ilgim Vardaloglu Koyuncu, Pakit Vichyanond, Martin Wagenmann, Fanny Wai San Ko, Pascal Werminghaus, Vicky Paraskevi Xepapadaki, Yi Kui Xiang, João A. Fonseca
  • Charité – Universitätsmedizin Berlin
  • Fraunhofer Institute for Translational Medicine and Pharmacology ITMP
  • ARIA (Allergic Rhinitis and its Impact on Asthma)
  • University of Porto
  • McMaster University
  • Humanitas University
  • National Institutes of Health
  • Medical University of Warsaw
  • Vilnius University
  • Allergy
  • International Primary Care Respiratory Group
  • Medical Consulting Czarlewski
  • Hospital Regional Universitario Carlos Haya
  • Imperial College London
  • CUF Descobertas Hospital
  • IRCCS Istituto Clinico Humanitas - Rozzano (Milano)
  • Universidad Autónoma de Madrid
  • Saint Louis University
  • Asthma & Allergy Center
  • Johannes Gutenberg University Mainz
  • Center for Rhinology and Allergology
  • University of Zurich
  • University of Beira Interior
  • Finnish Meteorological Institute
  • National and Kapodistrian University of Athens
  • Instituto and Hospital CUF
  • Barcelona Institute for Global Health
  • Pompeu Fabra University
  • Biomedical Research Networking Center in Epidemiology and Public Health (CiberESP)
  • Hospital District of Helsinki and Uusimaa
  • University of Eastern Finland
  • University of Bari
  • National Research Council of Italy
  • Universidad de los Andes Colombia
  • Fundación Santa Fe de Bogotá
  • Universidade Federal da Bahia
  • Allergology Department
  • Istanbul University - Cerrahpaşa
  • University of Florence
  • Meyer Children's Hospital IRCCS
  • Lithuanian University of Health Sciences
  • University of Turku
  • Comenius University
  • University Teaching Hospital Martin
  • Barlicki University Hospital
  • Fundación Clínica Médica Sur
  • Pantai Hospital Kuala Lumpur
  • Tishreen University
  • Al-Sham Private University
  • Japan Anti-Tuberculosis Association
  • JSS Academy of Higher Education & Research
  • University of Veterinary Medicine Vienna
  • University of Marburg
  • University of Coimbra
  • Assistance publique – Hôpitaux de Paris
  • Institut Cochin
  • CESP
  • Cova da Beira University Hospital Centre
  • University of Copenhagen
  • Latín American Society of Allergy
  • Capital Medical University
  • Clinica Santa Isabel
  • Global NCD Platform
  • Manisa Celal Bayar University
  • Universiti Sains Malaysia
  • Kuwait University
  • Hamad Medical Corporation
  • Polytechnic Institute of Porto
  • Uppsala University
  • University of Medicine
  • University of Cincinnati
  • Augusta University
  • University of Genoa
  • IRCCS Ospedale Policlinico San Martino
  • Universidade Federal de Minas Gerais
  • NOVA University Lisbon
  • Hospital de Dona Estefânia
  • University of South Florida
  • USL Toscana Centro
  • IRCCS Ospedale pediatrico Bambino Gesù - Roma
  • Medical University Sofia
  • Children's Clinical University Hospital
  • University of Minho
  • University Hospital of Cagliari
  • Université Paris-Saclay
  • University Clinic of Pulmonology and Allergy
  • Ain Shams University
  • Chiba University
  • St Joseph University
  • Kazakh National Medical University
  • University of Tartu
  • Poltava State Medical University
  • National Institute of Diseases of the Chest and Hospital
  • Semmelweis University
  • Karolinska Institutet
  • Bogomolets National Medical University
  • Croatian Pulmonary Society
  • University Medical Center
  • University of Belgrade
  • Dankook University
  • University of Malta
  • Centro Hospitalar Universitário de São João
  • University of Barcelona
  • University of Versailles Saint-Quentin-en-Yvelines
  • Institut national de la santé et de la recherche médicale
  • Imperial College Healthcare NHS Trust
  • University of Liverpool
  • Immunology and Respiratory Diseases
  • Medical University of Gdańsk
  • Université de Kinshasa
  • Monash University
  • Chiba Rosai Hospital
  • Complutense University
  • Charles University
  • "Santa Maria della Speranza" Hospital
  • Agency of Health ASL
  • University of Naples Federico II
  • Nippon Medical School
  • University of Cyprus
  • Klaipeda National Hospital
  • University of the Philippines
  • National University
  • University of Southampton
  • Isle of Wight NHS Trust
  • NIHR Southampton Biomedical Research Centre
  • LEADER Research Inc.
  • Emek Medical Center
  • Technion-Israel Institute of Technology
  • Asthma Centre
  • University of Palermo
  • SPAAI
  • Universidade Federal de São Paulo
  • University of Costa Rica
  • Masaryk University
  • Mahidol University
  • International Primary Care Respiratory Group IPCRG
  • University of Crete
  • Universidade Federal do Pampa
  • Hôpital de la Croix-Rousse
  • Finnish Lung Health Association
  • Nova Southeastern University
  • National University of Singapore
  • The Allergy and Asthma Institute
  • University of Ljubljana
  • Dubai Hospital
  • University of Sharjah
  • Hospital Quironsalud Bizkaia
  • IRCCS Oasi Maria SS. - Troina (EN)
  • BIOS S.p.A. Società Benefit
  • Universidade do Estado do Pará
  • University of Tübingen
  • University of Modena and Reggio Emilia
  • Université Laval
  • Armand Trousseau University Hospital
  • Sorbonne Université
  • University of Turin
  • Ospedale Mauriziano Umberto I
  • Universidad Austral de Chile
  • Hospital Universitari Vall d'Hebron
  • ARADyAL Research Network
  • USP Institut Universitari Dexeus
  • Centro de Investigación Biomédica en Red Enfermedades Respiratorias (CIBERES) (Center for Biomedical Research in Respiratory Diseases Network)
  • Hôpital Nord AP-HM
  • Leiden University
  • Nanjing Medical University
  • David Tatishvili Medical Center; David Tvildiani Medical University-AIETI Medical School
  • Universidade Federal do Paraná
  • Buckinghamshire Healthcare NHS Trust
  • Research Institute of St. Joe’s
  • Osmangazi University
  • Lofarma S.p.A.
  • Woolcock Institute of Medical Research
  • Universidade Federal de Santa Catarina
  • Queensland University of Technology
  • Queensland Health
  • University of Foggia
  • Dr Agostinho Neto University Hospital
  • Cabo Verde University
  • Private Practice
  • Medical University of Silesia in Katowice
  • Ege University
  • Catholic University of Salta
  • Universidad Autonoma de Nuevo Leon
  • Asthma
  • Athens General Hospital
  • Riga East University Hospital
  • Universidad de Chile
  • Macquarie University
  • University of Plymouth
  • University of Nicosia Medical School
  • General Hospital of Kalamata
  • University of Sydney
  • Istituto Ospedaliero Fondazione Poliambulanza
  • Marche Polytechnic University
  • Ankara University
  • Paracelsus Private Medical University
  • Cornell University
  • University Medical Center of Tirana "Mother Teresa"
  • Carol Davila University of Medicine and Pharmacy
  • Medical University of Białystok
  • Johns Hopkins University
  • San Juan de Dios National Hospital
  • Ecole Polytechnique de Palaiseau
  • IRBA (Institut de Recherche Bio-Médicale des Armées)
  • Université Paris Cité
  • Hospital Universitario de Puebla
  • Eye and Ear University Hospital
  • Dar Al Shifa Hospital
  • Center Allergy & Immunology/Geomedi Teaching University
  • University of Yamanashi
  • Mohammed Bin Rashid University of Medicine and Health Sciences
  • Asthma Reference Center - School of Medicine of Santa Casa de Misericórdia of Vitória
  • ORL SOKLIC KOSAK
  • University of Latvia
  • Clinical Center of Serbia
  • Samitivej Allergy Institute
  • Heinrich Heine University Düsseldorf
  • Chinese University of Hong Kong
  • ENT and Allergology
  • Tongji University

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

The Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines produced their first edition in 1999, with subsequent revisions in 2008, 2010, 2016 and 2019. A new iteration of ARIA—ARIA 2024–2025—in collaboration with EAACI is currently being developed, focusing on the management of allergic rhinitis. ARIA 2024–2025 follows the GRADE framework and is endorsed by the European Academy of Allergy and Clinical Immunology (EAACI). A set of approaches has been used to develop guideline questions, including surveying key opinion leaders and using artificial intelligence (AI)-based tools to analyse web searches on allergic rhinitis and to generate questions. Each prioritised guideline question is assessed through an Evidence-to-Decision (EtD) framework. EtDs support the systematic and transparent formulation of recommendations, comprising 12 criteria for which the best available evidence should be sought. In the context of ARIA-EAACI 2024–2025, such evidence is derived not only from randomised controlled trials but also—among others—from patient-generated data sources that better reflect the affected individuals' perspectives. Moreover, ARIA-EAACI 2024–2025 incorporates evidence on planetary health. Developed guideline recommendations will support the creation of digitalised decision algorithms and care pathways. This paper describes the methodology used to develop the person-centred, digitally enabled and AI-assisted ARIA-EAACI 2024–2025. Among others, it describes (i) the development and prioritisation of guideline questions, (ii) sources of evidence for EtDs and (iii) the development of digitalised decision algorithms and care pathways.

Original languageEnglish
Pages (from-to)427-453
Number of pages27
JournalAllergy: European Journal of Allergy and Clinical Immunology
Volume81
Issue number2
DOIs
StatePublished - Feb 2026

Keywords

  • ENT (rhinitis, sinusitis, nasal polyps…)
  • allergic rhinitis
  • asthma
  • guidelines

Fingerprint

Dive into the research topics of 'Methodology for the Development of the Allergic Rhinitis and Its Impact on Asthma (ARIA)-EAACI 2024–2025 Guidelines: From Evidence-to-Decision Frameworks to Digitalised Shared Decision-Making Algorithms'. Together they form a unique fingerprint.

Cite this