Evidence map›Paper›PMID 42133217›Full record

SynthesisCurrent allergy and asthma reports2026

Pharmacotherapeutic Medication Adherence in Patients With Allergic Rhinitis: A Systematic Review and Meta-Analysis.

Nevin Yi Meng Chua, Eugene Tay, Russell Larry Chua, Rachel Siew Yen Tham, De Yun Wang, Chew Lip Ng

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Current allergy and asthma reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Nevin Yi Meng ChuaLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, 308232, Singapore. NCHUA013@e.ntu.edu.sg.ORCID 0009-0009-4780-3592
Eugene TayCentre for Behavioural and Implementation Science Interventions, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-6781-1049
Russell Larry ChuaDepartment of Otolaryngology-Head and Neck Surgery, National University Health System, Singapore, Singapore.ORCID 0009-0008-6620-7027
Rachel Siew Yen ThamDepartment of Otolaryngology-Head and Neck Surgery, National University Health System, Singapore, Singapore.ORCID 0009-0002-5855-7955
De Yun WangDepartment of Otolaryngology, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-0909-2963
Chew Lip NgDepartment of Otolaryngology-Head and Neck Surgery, Ng Teng Fong General Hospital, Singapore, Singapore.ORCID 0000-0002-4352-6454

Funding

JurongHealth Fund JHF-24-PI001Singapore's Ministry of Health Fund MH 006:003\001-0096
6 · The paper itself

Abstract

purpose of reviewMedication adherence is essential for effective management of allergic rhinitis (AR), yet real-world adherence to guideline-recommended pharmacotherapies remains poorly characterized. This systematic review and meta-analysis aims to estimate pooled adherence proportions to prescribed intranasal corticosteroids and oral antihistamines in adults with AR, further stratified by adherence measurement method and geographic region. RECENT

findingsTwelve studies encompassing 191,103 AR patients were included. Overall pooled adherence to both intranasal corticosteroids and oral antihistamines was 43%, with substantial heterogeneity across studies. Adherence estimates differed significantly by measurement method with self-reported adherence consistently exceeding pharmacy refill-based estimates for both medication classes. Significant geographic variation was also observed, with intranasal corticosteroid adherence ranging from 17% in North America to 61% in Asia, and oral antihistamine adherence ranging from 26% in North America to 48% in Northern and Western Europe. Peters' test did not indicate any significant publication bias and a Leave-One-Out (LOO) sensitivity analysis showed that no single study had a disproportionate effect on the overall effect size. Adherence to pharmacotherapy in AR is suboptimal, highly method-dependent, and varies significantly across geographic regions. These findings suggest that reported adherence rates are not only influenced by patients' behaviour, but also by the methods used to measure adherence and the broader healthcare environment. Integrating methodological rigour with geographic stratification provides more informative benchmarks for clinical practice and highlights the need for context-sensitive strategies to improve real-world AR management. Future research should prioritize standardized adherence measurement and prospective studies in underrepresented regions.

Indexed as

Adrenal Cortex HormonesHistamine AntagonistsMedication AdherenceRhinitis, AllergicAdministration, IntranasalAdministration, OralHumansNorth AmericaAdrenal Cortex HormonesHistamine AntagonistsAdherence measurementGeographic variationIntranasal corticosteroidsOral antihistaminesPatient behaviour

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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.