{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T16:27:18Z","timestamp":1785860838907,"version":"3.56.0"},"reference-count":82,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Forum Allergy Rhinol"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Allergic rhinitis (AR) and chronic rhinosinusitis (CRS) frequently co\u2010occur with shared symptomatology, such that evaluating both entities concurrently yet discretely is of help. Previously validated options, however, may require more than 45 questions and introduce redundant content at each administration. We thus assessed whether a novel AR\u2010specific instrument, which has synergy with the Sino\u2010Nasal Outcome Test (SNOT\u201022\/26\/29) used in CRS, is valid for research and clinical care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who prospectively completed the proposed AR\u2010specific and SNOT instrument variations, the Mini\u2010Rhinoconjunctivitis Quality of Life Questionnaire (MiniRQLQ), and a general health assessment were included. Factor analysis was performed on 3566 consecutive responses, and 598 patients had allergy testing. Discriminant validity was assessed among patients with positive and negative allergy test results. Convergent validity was assessed using the MiniRQLQ and general health scores. Intra\u2010rater reliability and responsiveness to change were quantified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The AR\u2010specific test supported concurrent yet discrete evaluation of AR and CRS with 26 questions (instead of 46 from SNOT\u201022+MiniRQLQ) and no repetition (SNOT22+RCAT\/RQLQ repeat query content, e.g., patients asked about sneezing twice). The AR instrument discriminated between patients with positive or negative allergy tests (difference in means 1.22 [95% CI: 0.36\u20132.09]). Convergence with MiniRQLQ (Spearman's rho: 0.346\u20130.736) and PROMIS (Spearman's rho: \u22120.118 to \u22120.264) was observed. Intra\u2010rater reliability (Cohen kappa: 0.802\u22120.829; Spearman's rho: 0.918\u22120.935) and responsiveness to change (difference in means \u22120.28 [95% CI: \u22120.52 to \u22120.05]) were demonstrated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This synergistic approach offers a novel, concise, efficient, and validated method to assess AR and CRS concurrently yet discretely.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>This allergic rhinitis instrument offers a novel, concise, efficient, and validated method to assess AR and chronic rhinosinusitis (CRS) discretely yet concurrently with the Sino\u2010Nasal Outcome Test, while reducing redundancy and response burden.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>The allergic rhinitis\u2010specific items demonstrate internal consistency, discriminant and convergent validity, strong intra\u2010rater reliability, and responsiveness to clinical change.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Five\u2010, six\u2010, and seven\u2010item versions can function as AR\u2010specific assessments that can be used independently or alongside other Sino\u2010Nasal Outcome Test domains.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  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