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Table 5 Items included in the questionnaire and results

From: Allergic respiratory disease (ARD), setting forth the basics: proposals of an expert consensus report

   Mean Median Interquartile range Above the median Result
30 Ocular itching and sneezing (upper respiratory tract) and recurrent wheezing (lower respiratory tract) are the symptoms that best correlate with the diagnosis of ARD 7.33 7 2 25 Agreement
31 The presence of asthma must be evaluated in all patients with allergic rhinoconjunctivitis 8.58 9 1 2.5 Agreement
32 A patient with ARD can manifest allergic rhinoconjunctivitis after being exposed to a specific allergen and asthma after exposure to a different one 7.88 8 1.5 12.5 Agreement
33 In the same patient, the presence of rhinoconjunctivitis and/or asthma at a particular time may depend on the intensity and duration of exposure to the allergen 8.2 8 1 0 Agreement
34 We define the concept of “maximum severity” as the highest intensity of symptoms achieved in previous allergen exposures 7.4 7.5 1 17.5 Agreement
35 Due to the variability of symptoms in ARD patients, it is important to record the “most severe” episodes as well as the symptom-free periods 7.98 8 1.5 10 Agreement
36 The variability of symptoms in ARD patients hampers their classification using the criteria proposed by consensus guidelines 7.85 8 2 12.5 Agreement
37 The current classification used by guidelines is based on the assessment of the intensity and frequency of symptoms of rhinoconjunctivitis and asthma separately and does not assess specific aspects of the causative allergens 8.18 8 1 10 Agreement
38 Besides the intensity and duration, the description of ARD symptoms should consider other aspects such as the frequency of the episodes, seasonality, and recurrence of symptoms at specific times 8.35 8.5 1 0 Agreement
39 A specific classification emphasizing the role of the causative allergen is required for patients with ARD 7.55 8 2 12.5 Agreement
40 A classification considering severity, control level, and clinical characteristics of the airborne allergens is required for diagnosis of ARD and treatment 7.63 8 2 12.5 Agreement
41 Control of ARD varies significantly depending on the intensity of the exposure to the responsible allergen 8.08 8 1 5 Agreement
42 ARD must be suspected on the basis of a compatible history and allergy workup 8.43 9 1 2.5 Agreement
43 Diagnosis of ARD is based on compatible clinical manifestations, the allergological study, and environmental exposure 8.35 9 1 2.5 Agreement
44 An allergological study must be indicated when symptoms of ARD have an impact on a patient’s quality of life 7.03 8 2 22.5 Agreement
45 Precise information regarding the characteristics of a pollen seasons is required for a proper diagnosis 8.23 8 1 5 Agreement
46 Patients with ARD sensitized to pollens present symptoms only during the pollen season 3.08 3 1 17.5 Disagreement
47 Patients with ARD may not meet functional and inflammatory criteria for rhinitis and/or asthma when allergen exposure is not present 7.93 8 2 2.5 Agreement
48 The diagnosis of ARD with lower respiratory tract involvement can be assumed in patients with allergic rhinoconjunctivitis and symptoms of bronchial asthma (even if asthma has not been confirmed by lung function tests) 5.63 7 4 42.5 No consensus
49 Allergy tests (prick tests, specific IgE, specific challenge) are reliable both in and out of the pollen season 8.55 9 1 0 Agreement
50 Lung function tests may be normal out of the pollen season in patients with upper and lower ARD during the pollen season 7.73 8 2 10 Agreement
  1. Symptoms, Classification, and Diagnosis