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Research

International consensus statement on allergy and rhinology: rhinosinusitis

pubmed.ncbi.nlm.nih.gov · added Jan 2023

Type
journal article, literature review, medical advisory
Keywords
**Top Five Keywords:** acute rhinosinusitis, chronic rhinosinusitis, endoscopic sinus surgery, evidence-based medicine, recurrent acute rhinosinusitis.
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Summary

The International Consensus Statement on Allergy and Rhinology: Rhinosinusitis 2021 provides evidence-based recommendations for medical and surgical treatment of the most common forms of rhinosinusitis, along with a comprehensive management algorithm.

Key points

  • The International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR-RS) has made foundational progress in understanding and treating rhinologic disease.
  • ICAR-RS-2021 covers over 180 topics in the forms of evidence-based reviews with recommendations (EBRRs), evidence-based reviews, and literature reviews.
  • ICAR-RS-2021 executive summary provides a compilation of the evidence-based recommendations for medical and surgical treatment of the most common forms of RS.
  • A comprehensive evidence-based management algorithm is provided.

Notes

“There are many treatments for chronic rhinosinusitis but the most proven ones are salt-water rinses and steroid sprays or washes.”

Abstract

I.

**Executive summary: ** BACKGROUND: The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR-RS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICAR-RS-2021 as well as updates to the original 140 topics. This executive summary consolidates the evidence-based findings of the document.

**Methods: ** ICAR-RS presents over 180 topics in the forms of evidence-based reviews with recommendations (EBRRs), evidence-based reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary.

**Results: ** ICAR-RS-2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidence-based management algorithm is provided.

**Conclusion: ** This ICAR-RS-2021 executive summary provides a compilation of the evidence-based recommendations for medical and surgical treatment of the most common forms of RS.

**Keywords: ** acute rhinosinusitis; chronic rhinosinusitis; endoscopic sinus surgery; evidence-based medicine; recurrent acute rhinosinusitis; rhinosinusitis; systematic review.

© 2021 ARS-AAOA, LLC.

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