Abstract
These parameters were developed by the Joint Task Force on Practice Parameters (JTFPP), representing the American Academy of Allergy, Asthma & Immunology (AAAAI); the American College of Allergy, Asthma & Immunology (ACAAI); and the Joint Council of Allergy, Asthma and Immunology. The AAAAI and the ACAAI have jointly accepted responsibility for establishing "A focused parameter update: Hereditary angioedema, acquired C1 inhibitor deficiency, and angiotensin-converting enzyme inhibitor-associated angioedema." This is a complete and comprehensive document at the current time. The medical environment is a changing environment, and not all recommendations will be appropriate for all patients. Because this document incorporated the efforts of many participants, no single individual, including those who served on the JTFPP, is authorized to provide an official AAAAI or ACAAI interpretation of these practice parameters. Any request for information about or an interpretation of these practice parameters by the AAAAI or ACAAI should be directed to the Executive Offices of the AAAAI, the ACAAI, and the Joint Council of Allergy, Asthma and Immunology. The Joint Task Force on Practice Parameters understands that the cost of diagnostic tests and therapeutic agents is an important concern that might appropriately influence the work-up and treatment chosen for a given patient. The JTFPP recognizes that the emphasis of our primary recommendations regarding a medication might vary, for example, depending on third-party payer issues and product patent expiration dates. However, because the cost of a given test or agent is so widely variable and there is a paucity of pharmacoeconomic data, the JTFPP generally does not consider cost when formulating practice parameter recommendations. In some instances the cost benefit of an intervention is considered relevant, and commentary might be provided. These parameters are not designed for use by pharmaceutical companies in drug promotion. The Joint Task Force is committed to ensuring that the practice parameters are based on the best scientific evidence that is free of commercial bias. To this end, the parameter development process includes multiple layers of rigorous review. These layers include the Workgroup convened to draft the parameter, the Task Force Reviewers, and peer review by members of each sponsoring society. Although the Task Force has the final responsibility for the content of the documents submitted for publication, each reviewer comment will be discussed, and reviewers will receive written responses to comments when appropriate. To preserve the greatest transparency regarding potential conflicts of interest, all members of the Joint Task Force and the Practice Parameters Workgroups will complete a standard potential conflict of interest disclosure form, which will be available for external review by the sponsoring organization and any other interested individual. In addition, before confirming the selection of a Workgroup chairperson, the Joint Task Force will discuss and resolve all relevant potential conflicts of interest associated with this selection. Finally, all members of parameter workgroups will be provided a written statement regarding the importance of ensuring that the parameter development process is free of commercial bias.
Original language | English (US) |
---|---|
Pages (from-to) | 1491-1493.e25 |
Journal | Journal of Allergy and Clinical Immunology |
Volume | 131 |
Issue number | 6 |
DOIs | |
State | Published - Jun 2013 |
Keywords
- Angiotensin-converting enzyme inhibitor
- C1 inhibitor deficiency
- acquired C1 inhibitor deficiency
- angioedema
- angiotensin receptor blocker
- bradykinin
- hereditary angioedema
ASJC Scopus subject areas
- Immunology and Allergy
- Immunology
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In: Journal of Allergy and Clinical Immunology, Vol. 131, No. 6, 06.2013, p. 1491-1493.e25.
Research output: Contribution to journal › Article › peer-review
}
TY - JOUR
T1 - A focused parameter update
T2 - Hereditary angioedema, acquired C1 inhibitor deficiency, and angiotensin-converting enzyme inhibitor-associated angioedema
AU - Zuraw, Bruce L.
AU - Bernstein, Jonathan A.
AU - Lang, David M.
AU - Craig, Timothy
AU - Dreyfus, David
AU - Hsieh, Fred
AU - Khan, David
AU - Sheikh, Javed
AU - Weldon, David
AU - Bernstein, David I.
AU - Blessing-Moore, Joann
AU - Cox, Linda
AU - Nicklas, Richard A.
AU - Oppenheimer, John
AU - Portnoy, Jay M.
AU - Randolph, Christopher R.
AU - Schuller, Diane E.
AU - Spector, Sheldon L.
AU - Tilles, Stephen A.
AU - Wallace, Dana
N1 - Funding Information: Disclosure of potential conflict of interest: B. L. Zuraw has received research support from Shire, the National Institutes of Health (NIH), the Department of Defense (DOD), and the Veterans' Administration; is the chair of the medical advisory board for the Hereditary Angioedema Association, and has consultant arrangements with CSL Behring, Dyax, Isis, and Biocryst. J. A. Bernstein is a partner in the Bernstein Allergy Group and a member of Bernstein Clinical Research; has received research support from Dyax, Shire, CSL Behring, ViroPharma, Pharming, and Novartis; is on the Board of Directors for the American Academy of Allergy, Asthma & Immunology (AAAAI), is a fellow of the American College of Allergy, Asthma & Immunology (ACAAI), is Chairman of Allergists for Israel, and is on the advisory board for the Hereditary Angioedema Association; is Editor in Chief of the Journal of Asthma; serves on the Editorial Boards for the Journal of Allergy and Clinical Immunology, the Annals of Allergy, Allergy Proceedings, and the Journal of Angioedema; and is the Editor of the Joint Task Force Guidelines on Urticaria and Angioedema. D. M. Lang serves on the Board of Directors for the AAAAI; is a member of the Pulmonary and Critical Care Steering Committee of the National Quality Forum; is a speaker for Genentech/Novartis, GlaxoSmithKline, and Merck; is a consultant for GlaxoSmithKline, Merck, and Aerocrine; and has received research support from Genentech/Novartis and Merck. T. Craig is an interest section leader for the AAAAI, is a board member for the ACAAI, the American Lung Association–Pennsylvania, and the Joint Council of Allergy, Asthma and Immunology; has consultant arrangements with CSL Behring, Dyax, ViroPharma, and Shire; has provided expert testimony in cases related to anaphylaxis; has received grants from ViroPharma, CSL Behring, Shire, Dyax, Pharming, Forrest, Genentech, Biota, GlaxoSmithKline, and Grifols; has received payment for lectures from ViroPharma, CSL Behring, Dyax, Merck, Novartis, Genentech, and TEVA; and has received payment for development of educational presentations from the Vietnam Education Foundation. F. Hsieh has received a research grant from the Howard Hughes Medical Institute. D. Khan has speaker arrangements with Genentech, Merck, Baxter, and ViroPharma; has received research support from the Vanberg Family Foundation and the NIH/National Institute of Mental Health; is the Allied Health Chair for the ACAAI, and is a member of the Joint Task Force on Practice Parameters for the Joint Council of Allergy, Asthma, and Immunology. J. Sheikh has consultant arrangements with CSL Behring; has consulted in cases related to allergy/immunology medical malpractice; is a member of the ACAAI; is on the Executive Board for the Massachusetts Allergy Society; and is on the Executive Board and is CME Director for the New England Society of Allergy. D. Weldon has provided expert testimony on behalf of the Texas Allergy, Asthma, and Immunology Society; is on the Board of Regents for the ACAAI; and is chair of the Practice Standards Committee for the Texas Allergy, Asthma, and Immunology Society. D. I Bernstein has received research support from TEVA, Genentech, Pfizer, Merck, Meda, GlaxoSmithKline, ARRAY, Cephalon, and MedImmune and has provided legal consultation services or expert witness testimony in cases related to anaphylaxis, contact dermatitis, and occupational asthma. J. Blessing-Moore is a speaker for Meda, Alcon, Teva, Sunovion, Genentech/Novartis, Merck and AstraZeneca; receives research support from Meda; and is a committee member of the American Thoracic Society, the American College of Chest Physicians, the ACAAI, and the AAAAI. L. Cox has received consulting fees from Stallergenes, has received travel support from the AAAAI, has received fees for participation in review activities from Circassia and Novartis, has received payment for writing or reviewing the manuscript from BCBS TEC, is a member of the American Board of Allergy and Immunology, has consultant arrangements with the US Food and Drug Administration Allergenic Products Advisory Committee, has provided expert testimony in cases related to chronic cinguteria, and has received payment for lectures from the Southeastern Allergy, Asthma, Immunology Association. R. A. Nicklas is a committee chair and fellow for the ACAAI. J. Oppenheimer has received research support from AstraZeneca, GlaxoSmithKline, Merck, Boehringer Ingelheim, Novartis, and MedImmune; has provided legal consultation services or expert witness testimony for the defense in a malpractice case; is Chairman of the American Board of Allergy and Immunology; and has consultant arrangements with GlaxoSmithKline, Mylan, Novartis, and Sunovion. J. M. Portnoy is a speaker for Thermo Fisher and Mylan and has consultant arrangements with Thermo Fisher and Sanofi. C. R. Randolph is a speaker for GlaxoSmithKline, TEVA, ViroPharma, Merck, and Dey; has received research grants from GlaxoSmithKline, Merck, Amgen, and Genentech/Novartis; has provided an advertisement for Pharmaxis; and has consultant arrangements with AstraZeneca and Meda. S. L. Spector has stock in GlaxoSmithKline and Merck; has consultant arrangements with Hycor; has received research support from AstraZeneca, GlaxoSmithKline, Amgen, Genentech, Novartis, TEVA, Mylan, Sanofi, and Boehringer Ingelheim; and is a speaker/moderator for the ACAAI. S. A. Tilles has consultant arrangements with SRXA, Sunovion, and Hyrox; has received research support from Astellas, Amphastar, MedImmune, Cephalon, Genentech, Merck, TEVA, Sunovion, Boehringer Ingelheim, Novartis, Array, Rigel, and AstraZeneca; is Associate Editor of AllergyWatch, Annals of Allergy, and the Joint Task Force for Practice Parameters; and is on the Executive Committee for the Seattle Food Allergy Consortium. D. Wallace is a speaker for the ACAAI, TEVA, and Mylan; is an advisor for Sanofi and Sunovion; is on the executive committee for the ACAAI; and is on the Board of Directors for the World Allergy Organization. The rest of the editors, contributors, and reviewers declare that they have no relevant conflicts of interest. Funding Information: Disclosure of potential conflict of interest: B. L. Zuraw has received research support from Shire, the National Institutes of Health (NIH), the Department of Defense (DOD), and the Veterans' Administration; is the chair of the medical advisory board for the Hereditary Angioedema Association, and has consultant arrangements with CSL Behring, Dyax, Isis, and Biocryst. J. A. Bernstein is a partner in the Bernstein Allergy Group and a member of Bernstein Clinical Research; has received research support from Dyax, Shire, CSL Behring, ViroPharma, Pharming, and Novartis ; is on the Board of Directors for the American Academy of Allergy, Asthma & Immunology (AAAAI), is a fellow of the American College of Allergy, Asthma & Immunology (ACAAI), is Chairman of Allergists for Israel, and is on the advisory board for the Hereditary Angioedema Association; is Editor in Chief of the Journal of Asthma; serves on the Editorial Boards for the Journal of Allergy and Clinical Immunology, the Annals of Allergy, Allergy Proceedings, and the Journal of Angioedema; and is the Editor of the Joint Task Force Guidelines on Urticaria and Angioedema. D. M. Lang serves on the Board of Directors for the AAAAI; is a member of the Pulmonary and Critical Care Steering Committee of the National Quality Forum; is a speaker for Genentech/Novartis, GlaxoSmithKline, and Merck; is a consultant for GlaxoSmithKline, Merck, and Aerocrine; and has received research support from Genentech/Novartis and Merck. T. Craig is an interest section leader for the AAAAI, is a board member for the ACAAI, the American Lung Association–Pennsylvania, and the Joint Council of Allergy, Asthma and Immunology; has consultant arrangements with CSL Behring, Dyax, Viropharma, and Shire; has provided expert testimony in cases related to anaphylaxis; has received grants from Viropharma, CSL Behring, Shire, Dyax, Pharming, Forrest, Genentech, Biota, GlaxoSmithKline, and Grifols; has received payment for lectures from Viropharma, CSL Behring, Dyax, Merck, Novartis, Genentech, and TEVA; and has received payment for development of educational presentations from the Vietnam Education Foundation. F. Hsieh has received a research grant from the Howard Hughes Medical Institute. D. Khan has speaker arrangements with Genentech, Merck, Baxter, and Viropharma; has received research support from the Vanberg Family Foundation and the NIH/National Institute of Mental Health; is the Allied Health Chair for the ACAAI, and is a member of the Joint Task Force on Practice Parameters for the Joint Council of Allergy, Asthma, and Immunology. J. Sheikh has consultant arrangements with CSL Behring; has consulted in cases related to allergy/immunology medical malpractice; is a member of the ACAAI; is on the Executive Board for the Massachusetts Allergy Society; and is on the Executive Board and is CME Director for the New England Society of Allergy. D. Weldon has provided expert testimony on behalf of the Texas Allergy, Asthma, and Immunology Society; is on the Board of Regents for the ACAAI; and is chair of the Practice Standards Committee for the Texas Allergy, Asthma, and Immunology Society. D. I Bernstein has received research support from TEVA, Genentech, Pfizer, Merck, Meda, GlaxoSmithKline, ARRAY, Cephalon, and MedImmune and has provided legal consultation services or expert witness testimony in cases related to anaphylaxis, contact dermatitis, and occupational asthma. J. Blessing-Moore is a speaker for Meda, Alcon, Teva, Sunovion, Genentech/Novartis, Merck and AstraZeneca; receives research support from Meda; and is a committee member of the American Thoracic Society, the American College of Chest Physicians, the ACAAI, and the AAAAI. L. Cox has received consulting fees from Stallergenes, has received travel support from the AAAAI, has received fees for participation in review activities from Circassia and Novartis, has received payment for writing or reviewing the manuscript from BCBS TEC, is a member of the American Board of Allergy and Immunology, has consultant arrangements with the US Food and Drug Administration Allergenic Products Advisory Committee, has provided expert testimony in cases related to chronic cinguteria, and has received payment for lectures from the Southeastern Allergy, Asthma, Immunology Association. R. A. Nicklas is a committee chair and fellow for the ACAAI. J. Oppenheimer has received research support from AstraZeneca, GlaxoSmithKline, Merck, Boehringer Ingelheim, Novartis, and MedImmune; has provided legal consultation services or expert witness testimony for the defense in a malpractice case; is Chairman of the American Board of Allergy and Immunology; and has consultant arrangements with GlaxoSmithKline, Mylan, Novartis, and Sunovion. J. M. Portnoy is a speaker for Thermo Fisher and Mylan and has consultant arrangements with Thermo Fisher and Sanofi. C. R. Randolph is a speaker for GlaxoSmithKline, TEVA, Viropharma, Merck, and Dey; has received research grants from GlaxoSmithKline, Merck, Amgen, and Genentech/Novartis; has provided an advertisement for Pharmaxis; and has consultant arrangements with AstraZeneca and Meda. S. L. Spector has stock in GlaxoSmithKline and Merck; has consultant arrangements with Hycor; has received research support from AstraZeneca, GlaxoSmithKline, Amgen, Genentech, Novartis, TEVA, Mylan, Sanofi, and Boehringer Ingelheim; and is a speaker/moderator for the ACAAI. S. A. Tilles has consultant arrangements with SRXA, Sunovion, and Hyrox; has received research support from Astellas, Amphastar, MedImmune, Cephalon, Genentech, Merck, TEVA, Sunovion, Boehringer Ingelheim, Novartis, Array, Rigel, and AstraZeneca; is Associate Editor of AllergyWatch, Annals of Allergy, and the Joint Task Force for Practice Parameters; and is on the Executive Committee for the Seattle Food Allergy Consortium. D. Wallace is a speaker for the ACAAI, TEVA, and Mylan; is an advisor for Sanofi and Sunovion; is on the executive committee for the ACAAI; and is on the Board of Directors for the World Allergy Organization. The rest of the editors, contributors, and reviewers declare that they have no relevant conflicts of interest.
PY - 2013/6
Y1 - 2013/6
N2 - These parameters were developed by the Joint Task Force on Practice Parameters (JTFPP), representing the American Academy of Allergy, Asthma & Immunology (AAAAI); the American College of Allergy, Asthma & Immunology (ACAAI); and the Joint Council of Allergy, Asthma and Immunology. The AAAAI and the ACAAI have jointly accepted responsibility for establishing "A focused parameter update: Hereditary angioedema, acquired C1 inhibitor deficiency, and angiotensin-converting enzyme inhibitor-associated angioedema." This is a complete and comprehensive document at the current time. The medical environment is a changing environment, and not all recommendations will be appropriate for all patients. Because this document incorporated the efforts of many participants, no single individual, including those who served on the JTFPP, is authorized to provide an official AAAAI or ACAAI interpretation of these practice parameters. Any request for information about or an interpretation of these practice parameters by the AAAAI or ACAAI should be directed to the Executive Offices of the AAAAI, the ACAAI, and the Joint Council of Allergy, Asthma and Immunology. The Joint Task Force on Practice Parameters understands that the cost of diagnostic tests and therapeutic agents is an important concern that might appropriately influence the work-up and treatment chosen for a given patient. The JTFPP recognizes that the emphasis of our primary recommendations regarding a medication might vary, for example, depending on third-party payer issues and product patent expiration dates. However, because the cost of a given test or agent is so widely variable and there is a paucity of pharmacoeconomic data, the JTFPP generally does not consider cost when formulating practice parameter recommendations. In some instances the cost benefit of an intervention is considered relevant, and commentary might be provided. These parameters are not designed for use by pharmaceutical companies in drug promotion. The Joint Task Force is committed to ensuring that the practice parameters are based on the best scientific evidence that is free of commercial bias. To this end, the parameter development process includes multiple layers of rigorous review. These layers include the Workgroup convened to draft the parameter, the Task Force Reviewers, and peer review by members of each sponsoring society. Although the Task Force has the final responsibility for the content of the documents submitted for publication, each reviewer comment will be discussed, and reviewers will receive written responses to comments when appropriate. To preserve the greatest transparency regarding potential conflicts of interest, all members of the Joint Task Force and the Practice Parameters Workgroups will complete a standard potential conflict of interest disclosure form, which will be available for external review by the sponsoring organization and any other interested individual. In addition, before confirming the selection of a Workgroup chairperson, the Joint Task Force will discuss and resolve all relevant potential conflicts of interest associated with this selection. Finally, all members of parameter workgroups will be provided a written statement regarding the importance of ensuring that the parameter development process is free of commercial bias.
AB - These parameters were developed by the Joint Task Force on Practice Parameters (JTFPP), representing the American Academy of Allergy, Asthma & Immunology (AAAAI); the American College of Allergy, Asthma & Immunology (ACAAI); and the Joint Council of Allergy, Asthma and Immunology. The AAAAI and the ACAAI have jointly accepted responsibility for establishing "A focused parameter update: Hereditary angioedema, acquired C1 inhibitor deficiency, and angiotensin-converting enzyme inhibitor-associated angioedema." This is a complete and comprehensive document at the current time. The medical environment is a changing environment, and not all recommendations will be appropriate for all patients. Because this document incorporated the efforts of many participants, no single individual, including those who served on the JTFPP, is authorized to provide an official AAAAI or ACAAI interpretation of these practice parameters. Any request for information about or an interpretation of these practice parameters by the AAAAI or ACAAI should be directed to the Executive Offices of the AAAAI, the ACAAI, and the Joint Council of Allergy, Asthma and Immunology. The Joint Task Force on Practice Parameters understands that the cost of diagnostic tests and therapeutic agents is an important concern that might appropriately influence the work-up and treatment chosen for a given patient. The JTFPP recognizes that the emphasis of our primary recommendations regarding a medication might vary, for example, depending on third-party payer issues and product patent expiration dates. However, because the cost of a given test or agent is so widely variable and there is a paucity of pharmacoeconomic data, the JTFPP generally does not consider cost when formulating practice parameter recommendations. In some instances the cost benefit of an intervention is considered relevant, and commentary might be provided. These parameters are not designed for use by pharmaceutical companies in drug promotion. The Joint Task Force is committed to ensuring that the practice parameters are based on the best scientific evidence that is free of commercial bias. To this end, the parameter development process includes multiple layers of rigorous review. These layers include the Workgroup convened to draft the parameter, the Task Force Reviewers, and peer review by members of each sponsoring society. Although the Task Force has the final responsibility for the content of the documents submitted for publication, each reviewer comment will be discussed, and reviewers will receive written responses to comments when appropriate. To preserve the greatest transparency regarding potential conflicts of interest, all members of the Joint Task Force and the Practice Parameters Workgroups will complete a standard potential conflict of interest disclosure form, which will be available for external review by the sponsoring organization and any other interested individual. In addition, before confirming the selection of a Workgroup chairperson, the Joint Task Force will discuss and resolve all relevant potential conflicts of interest associated with this selection. Finally, all members of parameter workgroups will be provided a written statement regarding the importance of ensuring that the parameter development process is free of commercial bias.
KW - Angiotensin-converting enzyme inhibitor
KW - C1 inhibitor deficiency
KW - acquired C1 inhibitor deficiency
KW - angioedema
KW - angiotensin receptor blocker
KW - bradykinin
KW - hereditary angioedema
UR - http://www.scopus.com/inward/record.url?scp=84878543706&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84878543706&partnerID=8YFLogxK
U2 - 10.1016/j.jaci.2013.03.034
DO - 10.1016/j.jaci.2013.03.034
M3 - Article
C2 - 23726531
AN - SCOPUS:84878543706
SN - 0091-6749
VL - 131
SP - 1491-1493.e25
JO - Journal of Allergy and Clinical Immunology
JF - Journal of Allergy and Clinical Immunology
IS - 6
ER -