Evidence map›Paper›PMID 41346461›Full record

ReviewAsia Pacific allergy2025

Diagnosis and management of allergic rhinitis: An Indian expert consensus by otorhinolaryngologists.

Mohan Kameswaran, Meenesh Juvekar, Deepak Haldipur, Biplab Nath, A V Ramana Rao, Adip Shetty, Ajitha Kumara, Anil Israni, Anil Jain, Anirudha Mukherjee and 53 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Asia Pacific allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Allergic rhinitis is the strongest independent predictor of obstructive sleep apnea severity in preschool children.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

63 authors.

Mohan KameswaranMadras ENT Research Foundation, Chennai, India.
Meenesh JuvekarENT Department, Juvekar's Nursing Home & Cochlear Implant, Mumbai, India.
Deepak HaldipurENT Department, Trustwell Hospital, Bangalore, India.
Biplab NathHead of Department, Agartala Medical College, Agartala, India.
A V Ramana RaoENT Department, Sri Gowthami ENT Hospital, Rajahmundry, India.
Adip ShettyHead of Department, Rajawadi Hospital & Consultant, Lilavati Hospital, Mumbai, India.
Ajitha KumaraENT Department, V Plus Health Care, Kundapura, India.
Anil IsraniENT Department, Shrikrishna ENT Care Centre, Yavatmal, India.
Anil JainENT Department, Jain ENT Clinic, Delhi, India.
Anirudha MukherjeeENT Department, Park ENT Clinic, Bankura, India.
Anurag TandonENT Department, Max Healthcare, Delhi, India.
Anusha Shashidhara ShettyENT Department, KMC Manipal (Mahe), Udupi, India.
Arun Prabhu GaneshanENT Department, Apollo Hospital, Madurai, India.
Arvind GuptaENT Department, Ghosh Foundation (Saltlake), Kolkata, India.
Bhanu Pratap SinghENT Department, Trauma Centre & Hospital, Firozabad, India.
Ch Ramana CharyENT Department, Keshava ENT Hospital, Karimnagar, India.
Chetan Vijay GhorpadeENT Department, Ishan Hospital, Kolhapur, India.
D M NarurkarENT Department, Dr. Narurkar ENT Hospital, Mumbai, India.
Debasis SanyalENT Department, Thikana Clinic, Howrah, India.
Dhiraj Ranjan SarkarENT Department, Woodlands Hospital, Kolkata, India.
Dipak DesaiENT Department, Nirmalata Ear, Nose, Throat & Thyroid Clinic, Mumbai, India.
G GananathanENT Department, Vijaya Health Care Center, Chennai, India.
Jagveer Singh YadavENT Department, Yadav Ear, Nose Throat Hospital, Mahavir Chowk, Narnaul, India.
K N MishraENT Department, ENT and Aryan Dental Clinic, Varanasi, India.
Kabikant SamantrayENT Department, Head of Department, KIIMS Hospital, Bhubaneswar, India.
Khageshwar RoutENT Department, KIIMS Medical College, Bhubaneswar, India.
Kshitij BhatnagarENT Department, Kailash Hospital, Noida, India.
Mainak MoitraENT Department, SSKM Hospital, Kolkata, India.
Maneesh Kumar JainENT Department, ENT Clinic & Advanced Endoscopy Centre, Mathura, India.
Mehul S PatelENT Department, Iris Hospital, Anand, India.
Milind NeneENT Department, Nene Clinic, Vadodara, India.
Narayan SahuENT Department, Trishu Medicine Clinic, Cuttack, India.
G N NarayanamswamyENT Department, Ganga Hospital, Tumkur, Bangalore, India.
Neelam SatheENT Department, Seth GS Medical College & KEM Hospital, Mumbai, India.
Neeraj SuriENT Department, Evara Hospital, Ahmedabad, India.
Nitish AggarwalENT Department, Siya ENT Allergy & Physiotherapy Centre, Noida, India.
P Venu Gopal ReddyENT Department, Yashoda Hospitals, Malakpet, Hyderabad, India.
Prakash V DhondENT Department, H N Bhagwati Municipal Hospital, Mumbai, India.
Prasanta GureENT Department, Calcutta Medical College and Hospital, Kolkata, India.
Prasheetha BaskarENT Department, Arunai Medical College & Hospital, Thiruvanamalai, India.
Praveen Ramchandra SirdesaiENT Department, Apollo Hospital, Secunderabad, Hyderabad, India.
Rajlaxmi PanigrahiENT Department, HITECH Hospital, Bhubaneswar, India.
Rakshitha SamanthENT Department, Kasturba Medical College, Manipal, Udupi, India.
Ramakrishnan VengeloteENT Department, Aster Mims, Kannur, India.
S G MaheshENT Department, AJ Institute of Medical Science, Mangalore, India.
S K E ApparaoENT Department, Susruta ENT Hospital, Vishakhapatnam, India.
S Ramesh KumarENT Department, Rtd. Principal & Professor of ENT, Kakatiya Medical College, Hanamkonda, India.
Sameer SethiENT Department, Fortis Hospital Shalimar Bagh, Delhi, India.
Sankar MahadevanENT Department, Dr. Sanker ENT Centre, Calicut, India.
Sarrath Rathnaraajan SubramaniamMadras ENT Research Foundation, Chennai, India.
Shahid RasoolENT Department, Hamdard Institute of Medical Sciences and Research, New Delhi, India.
Shama ShettyENT Department, Sparsh Hospital, Bangalore, India.
Smrity Rupa Borah DuttaENT Department, Silchar Medical College, Silchar, India.
Sudhir M BhaleraoENT Department, Bhalerao ENT Hospital, Pune, India.
Sulphi NoohuENT Department, General Hospital, Trivandrum, India.
Sunil Kumar KpENT Department, Head of Department, Govt Medical College, Calicut, India.
Swapan Kumar GhoshENT Department, Ananda Clinic, Kolkata, India.
Swapan Kumar SarkarENT Department, Max Superspeciality Hospital, Vaishali, Ghaziabad, Delhi, India.
V HarishvelENT Department, Arunai Medical College & Hospital, Thiruvanamalai, India.
Vikrant RaiENT Department, ENT and Aryan Dental Clinic, Varanasi, India.
Vishwas K PaiENT Department, A J Institute of Medical Sciences, Mangalore, India.
Ashok JaiswalMedical & Regulatory Affairs, Zydus Healthcare Limited, Mumbai, India.
Ravi T MehtaMedical & Regulatory Affairs, Zydus Healthcare Limited, Mumbai, India.ORCID https://orcid.org/0000-0001-6745-9391

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The prevalence of allergic rhinitis (AR) has increased progressively over the past several years. One of the vital objectives of management of AR is to provide satisfactory symptom control that improves the patient's quality of life. Several classes of drugs, such as antihistamines, intranasal corticosteroids, decongestants, leukotriene receptor antagonists, and immunotherapy, have been developed over the past decades for more effective management of AR. Combinations of pharmacotherapies have also been advocated to treat AR. Objective: To develop clinical practice-relevant consensus statements from experts in the field of otorhinolaryngology after giving due consideration to the real-world clinical dilemmas, current evidence, and preferences of both physicians and patients. Methods: Expert otorhinolaryngologists (n = 61) from India were invited to develop the consensus statements based on the modified Delphi method. Results: Several consensus statements were framed based on evidence from clinical trials and expert insights and experience. One crucial statement was regarding the additional subgrouping of patients with intermittent or persistent AR, or mild, moderate or severe AR into "sneeze-runners" (sneezing, anterior rhinorrhea, itchy nose, and itchy eyes; more sensitization to pollens) and "blockers" (severe nasal blockage and thick nasal mucus which often leads to postnasal drip and breathlessness; higher sensitization to polyvalent house dust, house dust mites and fungi) since they have distinct clinical profiles and different treatment approach. Another critical consensus was on the use of the fixed-dose combination of fluticasone furoate and oxymetazoline hydrochloride nasal spray for the persistent and moderate-severe blocker phenotype of AR. Conclusion: This expert consensus will help physicians in their clinical practice and complement effective diagnosis and management of AR.

Indexed as

Allergic rhinitisantihistaminesexpert consensusfluticasone furoateintranasal corticosteroidsintranasal salinemodified Delphinasal decongestantsoxymetazolinerhinitis

Identifiers

PMID41346461
PMCPMC12672191

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.