TY - CHAP M1 - Book, Section TI - How to Interpret and Use a Clinical Practice Guideline or Recommendation A1 - Brignardello-Petersen, Romina A1 - Carrasco-Labra, Alonso A1 - Guyatt, Gordon H. A2 - Guyatt, Gordon A2 - Rennie, Drummond A2 - Meade, Maureen O. A2 - Cook, Deborah J. Y1 - 2015 N1 - T2 - Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed AB - CLINICAL SCENARIOA family physician is seeing a 25-year-old woman with seasonal allergic rhinitis. This year, her nasal and ocular symptoms are severe enough that she is seeking medical care. After the physician and patient discuss the treatment options, the physician initiates single therapy with an intranasal corticosteroid but is aware of an alternative treatment, an intranasal H1 antihistamine.To inform her decision, the physician searches for an evidence-based recommendation and finds the following: “In patients with seasonal allergic rhinitis, we suggest an intranasal corticosteroid rather than an intranasal antihistamine (conditional recommendation, moderate certainty of evidence).”1The physician explains to the patient that a conditional recommendation means that the therapy is likely to be the best choice, but because of the patient’s particular situation, it may not be. The physician prescribes an intranasal corticosteroid but explains that she will follow up with the patient with a telephone call after she reads further about this recommendation. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - jamaevidence.mhmedical.com/content.aspx?aid=1191942955 ER -