ARIA guideline 2019: treatment of allergic rhinitis in the German health system
Ludger Klimek¹, Claus Bachert², Oliver Pfaar³, Sven Becker⁴, Thomas Bieber⁵, Randolf Brehler⁶, Roland Buhl⁷, Ingrid Casper¹, Adam Chaker⁸, Wolfgang Czech⁹, Jörg Fischer¹⁰, Thomas Fuchs¹¹, Michael Gerstlauer¹², Karl Hörmann¹³, Thilo Jakob¹⁴, Kirsten Jung¹⁵, Matthias V. Kopp¹⁶, Vera Mahler¹⁷, Hans Merk¹⁸, Norbert Mülleneisen¹⁹, Katja Nemat²⁰, Uta Rabe²¹, Johannes Ring²², Joachim Saloga²³, Wolfgang Schlenter²⁴, Carsten Schmidt-Weber²⁵, Holger Seyfarth²⁶, Annette Sperl¹, Thomas Spindler²⁷, Petra Staubach²³, Sebastian Strieth²⁸, Regina Treudler²⁹, Christian Vogelberg³⁰, Andrea Wallrafen³¹, Wolfgang Wehrmann³², Holger Wrede³³, Torsten Zuberbier³⁴, Anna Bedbrook³⁵, Giorgio W. Canonica³⁶, Victoria Cardona³⁷, Thomas B. Casale³⁸, Wienczylawa Czarlewski³⁹, Wytske J. Fokkens⁴⁰, Eckard Hamelmann⁴¹, Marek Jutel⁴², Désirée Larenas-Linnemann⁴³, Joaquim Mullol⁴⁴, Nikolaos G. Papadopoulos⁴⁵, Sanna Toppila-Salmi⁴⁶, Thomas Werfel⁴⁷, Jean Bousquet^{34, 35, 48, 49
1} Center of Rhinology and Allergology, Wiesbaden, Germany, ² Upper Airways Research Laboratory and Department of Oto-Rhino-Laryngology, Ghent University and Ghent, University Hospital, Ghent, Belgium, Division of ENT Diseases, CLINTEC, Karolinska Institute, University of Stockholm, Stockholm, Sweden, ³ Department of Otorhinolaryngology, Head and Neck, Surgery, Section of Rhinology and Allergy, University, Hospital Marburg, Philipps-Universität Marburg,Marburg, Germany, ⁴ Department of Otolaryngology, Head and Neck Surgery, University of Tübingen, Tübingen, Germany, ⁵ Department of Dermatology and Allergy, University of Bonn, Bonn, Germany, Christine Kühne-Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St Gallen-Zürich, St. Gallen, Switzerland, ⁶ Department of Allergy, Occupational Dermatology and Environmental Medicine, Universitätsklinikum Münster, Münster, Germany, ⁷ Pulmonary Department,Mainz University Hospital,Mainz, Germany, ⁸ Department of Otolaryngology and Center for Allergy and Environment (ZAUM), Klinikum rechts der Isar, Technical University of Munich and Helmholtz Center Munich, Munich, Germany, ⁹ Department of Dermatology, University of Freiburg, Freiburg, Germany, ^{1  0} Department of Dermatology, Eberhard Karls University, Tübingen, Tübingen, Germany, ^{1  1} Department of Dermatology, Venereology, and Allergology, University Medical Center, Georg August University, Göttingen, Germany, ^{1  2} Pediatric Pneumology and Allergology Unit, Medical University of Augsburg, Augsburg, Germany, ^{1  3} Department of Otorhinolaryngology, Mannheim University Hospital, Mannheim, Germany, ^{1  4} Department of Dermatology and Allergology, University Medical Center Gießen and Marburg, Campus Gießen, Justus-Liebig-University, Gießen, Germany, ^{1  5} Group Practice for Dermatology, Erfurt, Germany, ^{1  6} Clinic of Pediatric and Adolescent Medicine, Airway Research Center North (ARCN), Member of the German Lung Center (DZL), Lübeck University, Lübeck, Germany, ^{1  7} Medical Faculty, Friedrich- Alexander-University (FAU) Erlangen-Nürnberg, Germany, ^{1  8} Department of Dermatology and Allergology, University Hospital, RWTH Aachen University, Aachen, Germany, ^{1  9} Asthma and Allergy Centre, Leverkusen, Germany, ^{2  0} Department of Pediatrics, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany, ^{2  1} Department of Allergology, Johanniter-Krankenhaus im Fläming Treuenbrietzen GmbH, Treuenbrietzen, Germany, ^{2  2} Department and Outpatient Clinic for Dermatology and Allergology am Biederstein, Technical University of Munich, Munich, Germany and Christine Kühne Center for Allergy Research and Education (CK-Care), Davos, Switzerland, ^{2  3} Department of Dermatology, University Medical Center Mainz,Mainz, Germany, ^{2  4} Former Head ENT - Department, Katharina- Kasper-Kliniken, Marienkrankenhaus, c/o University Hospital, Frankfurt, Germany, ^{2  5} Center for Allergy and Environment (ZAUM), Member of the German Center of Lung Research (DZL) and the Inflammation and Immunology Helmholtz Initiative, Technical University of Munich and Helmholtz Center Munich, Munich, Germany, ^{2  6} Pharmacy Association in Hesse, Offenbach, Germany, ^{2  7} Allergy Campus Davos, Hochgebirgsklinik Davos dpt. Pediatrics, Davos, Switzerland, ^{2  8} Department of Otolaryngology, University Medical Center Mainz, Mainz, Germany, ^{2  9} Department of Dermatology, Venereology and Allergology, LICA – Leipzig Comprehensive Allergy Center, University of Leipzig, Leipzig, Germany, ^{3  0} Department of Pediatric Pneumology and Allergology, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany, ^{3  1} German Allergy and Asthma Association, Mönchengladbach, Germany, ^{3  2} Dermatology Group Practice,Münster, Germany, ^{3  3} Herford, North Rhine-Westphalia, Germany, ^{3  4} Department of Dermatology and Allergy, Allergie-Centrum – Charité, Charité – Universitätsmedizin, Berlin, Berlin, Germany, ^{3  5} MACVIA-France, Montpellier, France, ^{3  6} Allergy Section, Allergy and Respiratory Diseases, DIMI, University of Genoa, Genoa, Italy, ^{3  7} Department of Internal Medicine, Hospital Universitari Vall d’Hebron, Barcelona, Spain, ^{3  8} Division of Allergy and Immunology, University of South Florida, Tampa, FL, USA, ^{3  9} Medical Consulting Czarlewski, Levallois, France, ^{4  0} Department Otorhinolaryngologie, Academic Medical Centers, Amsterdam, The Netherlands, ^{4  1} Children’s Center, Protestant Hospital Bethel, University Bielefeld, Bielefeld Germany, ^{4  2} Department of Clinical Immunology, Wroclaw Medical University, Wroclaw, Poland and ALL-MED Medical Research Institute, Wroclaw, Poland, ^{4  3} HospitalMédica Sur, México City, Mexico, ^{4  4} Unitat de Rinologia i Clínica de l’Olfacte, Servei d’ORL, Hospital Clínic, Clinical and Experimental Respiratory Immunoallergy, IDIBAPS, University of Barcelona, Barcelona, Spain, ^{4  5} Department of Allergy, ² nd Pediatric Clinic, University of Athens, Athens, Greece, ^{4  6} Haartman Institute, University of Helsinki, Helsinki, Finland, ^{4  7} Division of Immunodermatology and Allergy Research, Department of Dermatology and Allergy, Hannover Medical School, Hannover, Germany, ^{4  8} University Hospital, Montpellier, ^{4  9}  INSERM, Unit ^{1  1  6  8} , Paris, France