Evidence map›Paper›PMID 42223039›Full record

ArticleAllergy, asthma & immunology research2026

Efficacy and Adherence of Combined Fluticasone Propionate and Azelastine Nasal Spray Versus Fluticasone Propionate Alone in Pediatric Allergic Rhinitis.

Figen Çelebi Çelik, Özlem Sancaklı, Özgen Soyöz, İdil Akay Hacı, Mehmet Şirin Kaya, Ayça Demir, Canan Ş Karkıner, Demet Can

Abstract read
In one paragraph

Article in Allergy, asthma & immunology research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

8 authors.

Figen Çelebi ÇelikDivision of Allergy and Immunology, Department of Pediatrics, Dr. Behcet Uz Pediatric Diseases and Surgery Training and Research Hospital, Izmir Faculty of Medicine, University of Health Sciences, Izmir, Turkey. figencelebicelik@gmail.com.ORCID https://orcid.org/0000-0002-1100-4117
Özlem SancaklıDivision of Allergy and Immunology, Department of Pediatrics, Dr. Behcet Uz Pediatric Diseases and Surgery Training and Research Hospital, Izmir Faculty of Medicine, University of Health Sciences, Izmir, Turkey.ORCID https://orcid.org/0000-0003-2489-4021
Özgen SoyözDivision of Allergy and Immunology, Department of Pediatrics, Dr. Behcet Uz Pediatric Diseases and Surgery Training and Research Hospital, Izmir Faculty of Medicine, University of Health Sciences, Izmir, Turkey.ORCID https://orcid.org/0000-0002-4540-352X
İdil Akay HacıDivision of Allergy and Immunology, Department of Pediatrics, Dr. Behcet Uz Pediatric Diseases and Surgery Training and Research Hospital, Izmir Faculty of Medicine, University of Health Sciences, Izmir, Turkey.ORCID https://orcid.org/0000-0002-0965-0726
Mehmet Şirin KayaDivision of Allergy and Immunology, Department of Pediatrics, Dr. Behcet Uz Pediatric Diseases and Surgery Training and Research Hospital, Izmir Faculty of Medicine, University of Health Sciences, Izmir, Turkey.ORCID https://orcid.org/0000-0001-9416-9058
Ayça DemirDivision of Allergy and Immunology, Department of Pediatrics, Dr. Behcet Uz Pediatric Diseases and Surgery Training and Research Hospital, Izmir Faculty of Medicine, University of Health Sciences, Izmir, Turkey.ORCID https://orcid.org/0000-0002-8115-9878
Canan Ş KarkınerDivision of Allergy and Immunology, Department of Pediatrics, Dr. Behcet Uz Pediatric Diseases and Surgery Training and Research Hospital, Izmir Faculty of Medicine, University of Health Sciences, Izmir, Turkey.ORCID https://orcid.org/0000-0001-6662-8288
Demet CanDivision of Allergy and Immunology, Department of Pediatrics, Dr. Behcet Uz Pediatric Diseases and Surgery Training and Research Hospital, Izmir Faculty of Medicine, University of Health Sciences, Izmir, Turkey.ORCID https://orcid.org/0000-0002-1258-9348

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntranasal corticosteroids (INCS) and their combination with intranasal antihistamines (INCS/INAH) are treatment options for patients with allergic rhinitis (AR). Therefore, we aimed to prospectively compare these two different intranasal therapies regarding symptom scores, quality of life (QoL), and treatment adherence in adolescents.

methodsThe study included pediatric patients aged 12-18 years, diagnosed with moderate-to-severe AR. Patients' symptom severity at baseline and at the one- and two-month follow-ups was assessed using the Total Nasal Symptoms Score (TNSS); additionally, QoL and treatment adherence were measured via the Pediatric Rhinoconjunctivitis Quality of Life Questionnaire (PRQLQ) and Medication Adherence Reporting Scale (MARS), respectively. These scores were compared between treatment groups.

resultsThe study included 79 patients with moderate-to-severe AR. Thirty-five patients (44.3%) had concomitant allergic diseases, and 28 (35.4%) had asthma. INCS (fluticasone propionate) therapy was started in 41 patients (51.9%), and combination therapy (azelastine hydrochloride + fluticasone propionate [AzeFlu]) was started in 38 patients (48.1%). Treatment adherence (MARS) was higher in the AzeFlu group (

conclusionsAzeFlu therapy may be preferred in patients with persistent symptoms and unresponsive to other treatments. Especially in adolescent children with persistent AR, AzeFlu should be considered as first-line treatment to increase treatment adherence.

Indexed as

adherenceAllergic rhinitisantihistamineazelastinecorticosteroidefficacyfluticasone

Identifiers

PMID42223039
PMCPMC13226864

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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.