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Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases.
Clin Transl Allergy 2019; 9:44CT

Abstract

Background

In all societies, the burden and cost of allergic and chronic respiratory diseases are increasing rapidly. Most economies are struggling to deliver modern health care effectively. There is a need to support the transformation of the health care system into integrated care with organizational health literacy.

Main body

As an example for chronic disease care, MASK (Mobile Airways Sentinel NetworK), a new project of the ARIA (Allergic Rhinitis and its Impact on Asthma) initiative, and POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health), in collaboration with professional and patient organizations in the field of allergy and airway diseases, are proposing real-life ICPs centred around the patient with rhinitis, and using mHealth to monitor environmental exposure. Three aspects of care pathways are being developed: (i) Patient participation, health literacy and self-care through technology-assisted "patient activation", (ii) Implementation of care pathways by pharmacists and (iii) Next-generation guidelines assessing the recommendations of GRADE guidelines in rhinitis and asthma using real-world evidence (RWE) obtained through mobile technology. The EU and global political agendas are of great importance in supporting the digital transformation of health and care, and MASK has been recognized by DG Santé as a Good Practice in the field of digitally-enabled, integrated, person-centred care.

Conclusion

In 20 years, ARIA has considerably evolved from the first multimorbidity guideline in respiratory diseases to the digital transformation of health and care with a strong political involvement.

Authors+Show Affiliations

MACVIA-France, Fondation Partenariale FMC VIA-LR, CHU, 34295 Montpellier Cedex 5, France. 2INSERM U 1168, VIMA: Ageing and Chronic Diseases Epidemiological and Public Health Approaches, Villejuif Université Versailles St-Quentin-en-Yvelines, UMR-S 1168, Montigny Le Bretonneux, France. European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA), Brussels, Belgium. 4Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Uniersität zu Berlin, Berlin, Germany.6Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON Canada.7Division of Allergy, Immunology, and Transplantation (DAIT), National Institute of Allergy and Infectious Diseases, NIH, Bethesda, USA.8National Institute for Health and Welfare, Helsinki, Finland.European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA), Brussels, Belgium. 9Dept of Otorhinolaryngology, Univ Hospitals Leuven, Louvain, Belgium. 10Academic Medical Center, Univ of Amsterdam, Amsterdam, The Netherlands.4Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Uniersität zu Berlin, Berlin, Germany. 5Department of Dermatology and Allergy Member of GA2LEN, Comprehensive Allergy-Centre, Berlin Institute of Health, Berlin, Germany.11Faculty of Medicine, Transylvania University, Brasov, Romania.Department of Allergy and Immunology, Hospital Quirónsalud Bizkaia, Erandio, Spain.ISGlobAL, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain. 14IMIM (Hospital del Mar Research Institute), Barcelona, Spain. 15CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain. 16Universitat Pompeu Fabra (UPF), Barcelona, Spain.17Upper Airways Research Laboratory, ENT Dept, Ghent University Hospital, Ghent, Belgium.18Dept of Otolaryngology, Head and Neck Surgery, University of Mainz, Mainz, Germany.19Hospital Civil de Guadalajara Dr Juan I Menchaca, Guadalarara, Mexico.iQ4U Consultants Ltd, London, UK.21Woolcock Institute of Medical Research, University of Sydney, Sydney, Australia. Woolcock Emphysema Centre, Sydney, Australia. Sydney Local Health District, Glebe, NSW Australia.La Rochelle, France.25Quebec Heart and Lung Institute, Laval University, Quebec City, QC Canada.EIT Health France, Paris, France.27Dept of Respiratory Medicine, Ghent University Hospital, Ghent, Belgium.28Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.29UCIBIO, REQUINTE, Faculty of Pharmacy and Competence Center on Active and Healthy Ageing of University of Porto (Porto4Ageing), Porto, Portugal.30ProAR-Nucleo de Excelencia em Asma, Federal University of Bahia, Bahia, Brazil. WHO GARD Planning Group, Salvador, Brazil.Medical Consulting Czarlewski, Levallois, France.European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA), Brussels, Belgium. 33Department of Otorhinolaryngology, Amsterdam University Medical Centres, AMC, Amsterdam, The Netherlands.34CINTESIS, Center for Research in Health Technology and Information Systems, Faculdade de Medicina da Universidade do Porto, Porto, Portugal. Medida, Lda Porto, Portugal.ERS President 2017-2018, Athens Chest Hospital, 7th Resp Med Dept and Asthma Center, Athens, Greece.37Skin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.Division for Health Innovation, Campania Region and Federico II University Hospital Naples (R &D and DISMET), Naples, Italy.Center for Rhinology and Allergology, Wiesbaden, Germany.40Division of Internal Medicine, Asthma and Allergy, Barlicki University Hospital, Medical University of Lodz, Łódź, Poland.41Faculty of Medicine, Vilnius University, Vilnius, Lithuania.42University of Medicine and Pharmacy, Hochiminh City, Vietnam.Center of Excellence in Asthma and Allergy, Médica Sur Clinical Foundation and Hospital, México City, Mexico.KYomed INNOV, Montpellier, France.45Faculty of Health Sciences and CICS-UBI, Health Sciences Research Centre, University of Beira Interior, Covilhã, Portugal.46CIRFF, Federico II University, Naples, Italy.47Rhinology Unit & Smell Clinic, ENT Department, Hospital Clínic, Barcelona, Spain. 48Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, CIBERES, University of Barcelona, Barcelona, Spain.49Dept of Otorhinolaryngology, Chiba University Hospital, Chiba, Japan.50Division of Infection, Immunity & Respiratory Medicine, Royal Manchester Children's Hospital, University of Manchester, Manchester, UK. 51Allergy Department, 2nd Pediatric Clinic, Athens General Children's Hospital "P&A Kyriakou", University of Athens, Athens, Greece.52Allergy Department, Pasteur Institute, Paris, France.Conseil Général de l'Economie Ministère de l'Economie, de l'Industrie et du Numérique, Paris, France.54The Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK.55Pneumologie et Soins Intensifs Respiratoires, Hôpitaux Universitaires Paris, Centre Hôpital Cochin, Paris, France.56Department of Internal Medicine, Medical University of Graz, Graz, Austria.Association Asthme et Allergie, Paris, France.58Department of Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, Warsaw, Poland.54The Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK.37Skin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.59Health Planning Unit, Department of Social Medicine, Faculty of Medicine, University of Crete, Crete, Greece. International Primary Care Respiratory Group IPCRG, Aberdeen, Scotland UK.61Institute of Clinical Medicine & Institute of Health Sciences, Vilnius University Faculty of Medicine, Vilnius, Lithuania.62Department of Lung Diseases and Clinical Immunology, University of Turku and Terveystalo Allergy Clinic, Turku, Finland.63FILHA, Finnish Lung Association, Helsinki, Finland.64Unit of Geriatric Immunoallergology, University of Bari Medical School, Bari, Italy.65Asthma UK, Mansell Street, London, UK.62Department of Lung Diseases and Clinical Immunology, University of Turku and Terveystalo Allergy Clinic, Turku, Finland.66Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland.67Epidemiology of Allergic and Respiratory Diseases, Department Institute Pierre Louis of Epidemiology and Public Health, INSERM and Sorbonne Université, Medical School Saint Antoine, Paris, France.KYomed INNOV, Montpellier, France.ISGlobAL, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain. 14IMIM (Hospital del Mar Research Institute), Barcelona, Spain. 15CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain. 16Universitat Pompeu Fabra (UPF), Barcelona, Spain.68Department of Medicine, University of Cape Town, Cape Town, South Africa.MACVIA-France, Fondation Partenariale FMC VIA-LR, CHU, 34295 Montpellier Cedex 5, France.Dept of Respiratory Medicine, National Institute of Diseases of the Chest and Hospital, Dhaka, Bangladesh.70National Center of Expertise in Cognitive Stimulation (CEN STIMCO), Broca Hospital, Paris, France.4Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Uniersität zu Berlin, Berlin, Germany. 5Department of Dermatology and Allergy Member of GA2LEN, Comprehensive Allergy-Centre, Berlin Institute of Health, Berlin, Germany.71Department of Biochemistry and Clinical Chemistry, Faculty of Pharmacy with the Division of Laboratory Medicine, Warsaw Medical University, Warsaw, Poland.Global Alliance against Chronic Respiratory Diseases (WHO GARD), Joensuu, Finland.Department of Dermatology and Allergy Centre, Odense University Hospital, Odense Research Center for Anaphylaxis (ORCA), Odense, Denmark. Termofischer Scientific, Uppsala, Sweden.75Department of Respiratory Medicine and Allergology, University Hospital, Lund, Sweden.76Department of Geriatrics, Montpellier University hospital, Montpellier, France. 77EA 2991 Euromov, University Montpellier, Montpellier, France.78UOC Pneumologia, Istituto di Medicina Interna, F Policlinico Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy. 79National Heart and Lung Institute, Royal Brompton Hospital & Imperial College, London, UK.80CHU, Dijon, France.Clinical Medicine, Laval's University, Quebec City, Canada. Medicine Department, Hôpital de la Malbaie, Quebec city, QC Canada.Department of Clinical Pharmacy of Lithuanian, University of Health, Kaunas, Lithuania.84Institute of Lung Health, Respiratory Biomedical Unit, University Hospitals of Leicester NHS Trust, Leicestershire, UK. 85Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.6Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON Canada.86Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz, Germany.Municipality Pharmacy, Sarno, Italy.88Personalized Medicine Clinic Asthma & Allergy, Humanitas University, Humanitas Research Hospital, Rozzano, Milan, Italy.89Allergy Section, Department of Internal Medicine, Hospital Vall d'Hebron & ARADyAL Research Network, Barcelona, Spain.Regional Ministry of Health of Andalusia, Seville, Spain.Allergy and Asthma Associates of Southern California, Mission Viejo, CA USA.ASA-Advanced Solutions Accelerator, Clapiers, France.93Division of Allergy/Immunology, University of South Florida, Tampa, FL USA.SOS Allergology and Clinical Immunology, USL Toscana Centro, Prato, Italy.Allergy and Immunology Laboratory, Metropolitan University, Simon Bolivar University, Barranquilla, Colombia. SLaai, Sociedad Latinoamericana de Allergia, Asma e Immunologia, Barranquilla, Colombia.97Chachava Clinic, David Tvildiani Medical University-AIETI Medical School, Grigol Robakidze University, Tbilisi, Georgia.European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA), Brussels, Belgium.98Medical Faculty, ENT Department, Eskisehir Osmangazi University, Eskisehir, Turkey.Department of Health, Social Services and Public Safety, Belfast, Northern Ireland UK.100Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal. 101PT Government Associate Laboratory, ICVS/3B's, Braga/Guimarães, Portugal.102Ecole des Mines, Alès, France.103Centre for Respiratory Medicine and Allergy, Institute of Inflammation and Repair, University of Manchester and University Hospital of South Manchester, Manchester, UK.21Woolcock Institute of Medical Research, University of Sydney, Sydney, Australia. Woolcock Emphysema Centre, Sydney, Australia. Sydney Local Health District, Glebe, NSW Australia.104Division of Respiratory and Allergic Diseases, Department of Respiratory Diseases, High Specialty Hospital A.Cardarelli, Naples, Italy.105Allergy Service, University Hospital of Federal University of Santa Catarina (HU-UFSC), Florianópolis, Brazil.Cáritas Diocesana de Coimbra, Coimbra, Portugal. Ageing@Coimbra EIP-AHA Reference Site, Coimbra, Portugal.Medical Faculty Skopje, University Clinic of Pulmonology and Allergy, Skopje, Republic of Macedonia.109Sleep Unit, Department of Neurology, Hôpital Gui-de-Chauliac Montpellier, Inserm U1061, Montpellier, France.110AQuAS, Barcelna, Spain. EUREGHA, European Regional and Local Health Association, Brussels, Belgium.112Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Salerno, Italy.113UPRES EA220, Pôle des Maladies des Voies Respiratoires, Hôpital Foch, Université Paris-Saclay, Suresnes, France.Farmacie Dei Golfi Group, Massa Lubrense, Italy.115Section of Allergy and Immunology, Saint Louis University School of Medicine, Saint Louis, MO USA.116Clinic of Infectious, Chest Diseases, Dermatology and Allergology, Vilnius University, Vilnius, Lithuania.117Clinical Reserch Center for Allergy and Rheumatology, Sagamihara National Hospital, Sagamihara, Japan.118Pediatric Allergy and Immunology Unit, Children's hospital, Ain Shams University, Cairo, Egypt.Department of Dermatology and Allergy Centre, Odense University Hospital, Odense Research Center for Anaphylaxis (ORCA), Odense, Denmark. Termofischer Scientific, Uppsala, Sweden.119Clinic of Children's Diseases, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.101PT Government Associate Laboratory, ICVS/3B's, Braga/Guimarães, Portugal.Global Allergy and Asthma Platform GAAPP, Vienna, Austria.121Division of Allergy, Department of Pediatric Medicine, The Bambino Gesù Children's Research Hospital Holy See, Rome, Italy.Reims, France.123Department of Pulmonary Diseases, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istambul, Turkey.124Allergy Unit, Department of Dermatology, University Hospital of Zurich, Zurich, Switzerland.125National Center for Disease Control and Public Health of Georgia, Tbilisi, Georgia.ISGlobAL, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.Allergy & Asthma Unit, Hospital San Bernardo Salta, Salta, Argentina.127Universidad Autónoma de Nuevo León, San Nicolás de los Garza, Mexico.Center of Allergy and Immunology, Georgian Association of Allergology and Clinical Immunology, Tbilisi, Georgia.129Institute of Health Policy and Management iBMG, Erasmus University, Rotterdam, The Netherlands.130Immunology and Allergy Division, Clinical Hospital, University of Chile, Santiago, Chile.Centich: Centre d'Expertise National des Technologies de l'Information et de la Communication pour l'Autonomie, Gérontopôle Autonomie Longévité des Pays de la Loire, Conseil Régional des Pays de la Loire, Centre d'Expertise Partenariat Européen d'Innovation pour un Vieillissement Actif et en Bonne Santé, Nantes, France.132Department of Paediatrics and Child Health, University College Cork, Cork, Ireland.133Université Paris-Sud; Service de Pneumologie, Hôpital Bicêtre, Inserm UMR_S999, Le Kremlin Bicêtre, France.134Department of Medicine and Surgery, University of Salerno, Baronissi, Italy.59Health Planning Unit, Department of Social Medicine, Faculty of Medicine, University of Crete, Crete, Greece. 62Department of Lung Diseases and Clinical Immunology, University of Turku and Terveystalo Allergy Clinic, Turku, Finland.Medida, Lda Porto, Portugal.Servicio de Alergia e Immunologia, Clinica Santa Isabel, Buenos Aires, Argentina.25Quebec Heart and Lung Institute, Laval University, Quebec City, QC Canada.136Hallym University College of Medicine, Hallym University Sacred Heart Hospital, Anyang, Gyeonggi-do South Korea.137Department of Clinical Immunology, Wrocław Medical University, Wrocław, Poland.138Ukrainian Medical Stomatological Academy, Poltava, Ukraine.139Pediatric Allergy and Asthma Unit, Hacettepe University School of Medicine, Ankara, Turkey.140First Department of Family Medicine, Medical University of Lodz, Łódź, Poland.141Institute of Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Berlin, Germany. 142Institute for Clinical Epidemiology and Biometry, University of Wuerzburg, Würzburg, Germany.National Research Center, Institute of Immunology, Federal Medicobiological Agency, Laboratory of Molecular Immunology, Moscow, Russian Federation.GARD Chairman, Geneva, Switzerland.Allergy & Asthma Center Westend, Berlin, Germany.146Department of Immunology and Allergy, Healthy Ageing Research Center, Medical University of Lodz, Łódź, Poland.21Woolcock Institute of Medical Research, University of Sydney, Sydney, Australia. Woolcock Emphysema Centre, Sydney, Australia. Sydney Local Health District, Glebe, NSW Australia.Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden. 148Sach's Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden.Mattone Internazionale Program, Veneto Region, Italy.150Departments of Internal Medicine and Pediatrics (Divisions of Allergy and Immunology), University of Tennessee College of Medicine, Germantown, TN USA.Scottish Centre for Respiratory Research, Cardiovascular & Diabetes Medicine, Medical Research Institute, Ninewells Hospital, University of Dundee, Dundee, UK.152Department of Paediatrics, Oslo University Hospital, Oslo, Norway. 153Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.154Imunoalergologia, Centro Hospitalar Universitário de Coimbra and Faculty of Medicine, University of Coimbra, Coimbra, Portugal.155Department of Pulmonary Medicine, CHU Sart-Tilman, and GIGA I3 Research Group, Liege, Belgium.156DG for Health and Social Care, Scottish Government, Edinburgh, UK.European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA), Brussels, Belgium.157Department of Pulmonary Medicine, Rashid Hospital, Dubai, UAE.Ageing@Coimbra EIP-AHA Reference Site, Coimbra, Portugal. 158Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, University of Coimbra, Coimbra, Portugal.159Department of Medicine (RCSI), Bon Secours Hospital, Glasnevin, Dublin, Ireland.160Kronikgune, International Centre of Excellence in Chronicity Research Barakaldo, Barakaldo, Bizkaia Spain.161Division of Clinical Immunology and Allergy, Laboratory of Behavioral Immunology Research, The University of Mississippi Medical Center, Jackson, MS USA.Tobacco Control Research Centre, Iranian Anti Tobacco Association, Tehran, Iran.Argentine Association of Allergy and Clinical Immunology, Buenos Aires, Argentina.KYomed INNOV, Montpellier, France.164Department of Pediatric Pneumology and Immunology, AG Molecular Allergology and Immunomodulation, Charité Medical University, Berlin, Germany.148Sach's Children and Youth Hospital, Södersjukhuset, Stockholm, Sweden. 165Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.166PNDR, Portuguese National Programme for Respiratory Diseases, Faculdade de Medicina de Lisboa, Lisbon, Portugal.167Allergy and Asthma Medical Group and Research Center, San Diego, CA USA.46CIRFF, Federico II University, Naples, Italy.168Department of Physiology, CHRU, University Montpellier, Vice President for Research, PhyMedExp, INSERM U1046, CNRS, UMR 9214, Montpellier, France.Croatian Pulmonary Society, Zagreb, Croatia.National Institute of Pneumology M Nasta, Bucharest, Romania.171Clinic for Pulmonary Diseases, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Serbian Association for Asthma and COPD, Belgrade, Serbia.Regione Piemonte, Turin, Italy.Mexico City, Mexico.174National Center for Research in Chronic Respiratory Diseases, Tishreen University School of Medicine, Latakia, Syria. 175Syrian Private University, Damascus, Syria.Faculty of Medicine and Surgery, University of Medicine, La Valette, Malta.177Department of Medical Sciences, Allergy and Clinical Immunology Unit, University of Torino & Mauriziano Hospital, Turin, Italy.Allergy Center, CUF Descobertas Hospital, Lisbon, Portugal.179Institute of Medical Statistics, and Computational Biology, Medical Faculty, University of Cologne, Cologne, Germany. CRI-Clinical Research International-Ltd, Hamburg, Germany.Danish Commitee for Health Education, Copenhagen East, Denmark.182Food Allergy Referral Centre Veneto Region, Department of Women and Child Health, Padua General University Hospital, Padua, Italy.MedScript Ltd, Paraparomu, New Zealand. OPC, Cambridge, UK.185Johns Hopkins School of Medicine, Baltimore, MD USA.Consortium of Pharmacies and Services COSAFER, Salerno, Italy.187Scientific Centre of Children's Health under the Russian Academy of Medical Sciences, Moscow, Russia.Center of Allergy, Immunology and Respiratory Diseases, Santa Fe, Argentina. Center for Allergy and Immunology, Santa Fe, Argentina.Hospital of the Hospitaller Brothers in Buda, Budapest, Hungary.Die Hautambulanz and Rothhaar Study Center, Berlin, Germany.192Department of Pharmacy, University of Naples Federico II, Naples, Italy.ENT Department, University Hospital of Kinshasa, Kinshasa, Congo.194Department of Allergy, Immunology and Respiratory Medicine, Alfred Hospital and Central Clinical School, Monash University, Melbourne, VIC Australia.261National Hospital Organization, Tokyo National Hospital, Tokyo, Japan.195Dept of Otolaryngology, Nippon Medical School, Tokyo, Japan.MACVIA-France, Fondation Partenariale FMC VIA-LR, CHU, 34295 Montpellier Cedex 5, France.Centre Hospitalier Universitaire Pédiatrique Charles de Gaulle, Ouagadougou, Burkina Faso.Dept of Comparative Medicine, Messerli Research Institute of the University of Veterinary Medicine and Medical University, Vienna, Austria.198EFA European Federation of Allergy and Airways Diseases Patients' Associations, Brussels, Belgium.199Department of Immunology and Allergology, Faculty of Medicine and Faculty Hospital in Pilsen, Charles University in Prague, Pilsen, Czech Republic.200Department of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, South Korea.201Laboratoire HP2, Université Grenoble Alpes, Grenoble, France. 202INSERM, U1042 and CHU de Grenoble, Grenoble, France.203Allergy Unit, CUF-Porto Hospital and Institute, Porto, Portugal. 204Center for Research in Health Technologies and Information Systems, CINTESIS, Universidade do Porto, Porto, Portugal.206Department of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany.Farmacias Holon, Lisbon, Portugal.Centre for Empowering Patients and Communities, Faulkland, Somerset, UK.Conseil Général de l'Economie Ministère de l'Economie, de l'Industrie et du Numérique, Paris, France.209Children's Hospital Srebrnjak, Zagreb, Croatia. 210School of Medicine, University J.J. Strossmayer, Osijek, Croatia.University Hospital 'Sv Ivan Rilski', Sofia, Bulgaria.MACVIA-France, Fondation Partenariale FMC VIA-LR, CHU, 34295 Montpellier Cedex 5, France.212Academic Centre of Primary Care, University of Aberdeen, Aberdeen, Scotland UK. Research in Real-Life, Cambridge, UK.214Department of Otorhinolaryngology, University of Crete School of Medicine, Heraklion, Greece.European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA), Brussels, Belgium.58Department of Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, Warsaw, Poland.215Department of Nephrology and Endocrinology, Karolinska University Hospital, Stockholm, Sweden.European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA), Brussels, Belgium. 33Department of Otorhinolaryngology, Amsterdam University Medical Centres, AMC, Amsterdam, The Netherlands.ISGlobAL, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.216Allergy Unit, Presidio Columbus, Catholic University of Sacred Heart, Rome, Italy. 217IRCCS Oasi Maria SS, Troina, Italy.218Hospital de Clinicas, University of Parana, Paraná, Brazil.219Division of Allergy Asthma and Clinical Immunology, Emek Medical Center, Afula, Israel.220Allergy and Respiratory Research Group, The University of Edinburgh, Edinburgh, UK.Association of Finnish Pharmacists, Helsinki, Finland.Allergy and Clinical Immunology Department, Centro Médico-Docente la, Trinidad and Clínica El Avila, Caracas, Venezuela.Sociedad Paraguaya de Alergia Asma e Inmunologia, Asunción, Paraguay.224Division of Allergy, Clinical Immunology and Rheumatology, Department of Pediatrics, Federal University of São Paulo, São Paulo, Brazil.European Health Futures Forum (EHFF), Dromahair, UK.Kyrgyzstan National Centre of Cardiology and Internal Medicine, Euro-Asian Respiratory Society, Bishkek, Kyrgyzstan.227Department of Respiratory Medicine, University Hospital Olomouc, Olomouc, Czech Republic.Global Allergy and Asthma Platform GAAPP, Vienna, Austria.112Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Salerno, Italy.228Pulmonary Division, Heart Institute (InCor), Hospital da Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, Brazil.229Department of Respiratory Medicine, Hvidovre Hospital & University of Copenhagen, Copenhagen, Denmark.RNSA (Réseau National de Surveillance Aérobiologique), Brussieu, France.Sidkkids Hospitala and Institute of Health Policy, Management and Evaluation, Toronto, Canada.154Imunoalergologia, Centro Hospitalar Universitário de Coimbra and Faculty of Medicine, University of Coimbra, Coimbra, Portugal.232Department of ENT, Medical University of Graz, Graz, Austria.233Pneumology and Allergy Department CIBERES and Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, University of Barcelona, Barcelona, Spain.234Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria. 235NRC Institute of Immunology FMBA of Russia, Moscow, Russia. 236Laboratory of Immunopathology, Department of Clinical Immunology and Allergy, Sechenov First Moscow State Medical University, Moscow, Russia.Montevideo, Uruguay.238Department of Public Health & Primary Care, Leiden University Medical Center (LUMC), Leiden, The Netherlands. 239Department of Obstetrics and Gynaecology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.240Department of Chest Medicine, Centre Hospitalier Universitaire UCL Namur, Université Catholique de Louvain, Yvoir, Belgium.241Pulmonary Unit, Department of Medical Specialties, Arcispedale SMaria Nuova/IRCCS, AUSL di Reggio Emilia, Reggio Emilia, Italy.ASA-Advanced Solutions Accelerator, Clapiers, France.242Pulmonary Environmental Epidemiology Unit, CNR Institute of Clinical Physiology, Pisa, Italy. CNR Institute of Biomedicine and Molecular Immunology "A Monroy", Palermo, Italy.244Nova Southeastern University, Fort Lauderdale, FL USA.245Dept of Otorhinolaryngology, HNO-Klinik, Universitätsklinikum Düsseldorf, Düsseldorf, Germany.246Department of Otolaryngology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.247Department of Medicine, Clinical Immunology and Allergy, McMaster University, Hamilton, ON Canada.248Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.249Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, NC USA.205Maladies Infectieuses et immunitaires, CHUL, Quebec City, QC Canada.71Department of Biochemistry and Clinical Chemistry, Faculty of Pharmacy with the Division of Laboratory Medicine, Warsaw Medical University, Warsaw, Poland.250Cyprus International Institute for Environmental & Public Health in Association with Harvard School of Public Health, Cyprus University of Technology, Limassol, Cyprus. Department of Pediatrics, Hospital "Archbishop Makarios III", Nicosia, Cyprus.252Department of Pulmonary Diseases, Celal Bayar University, Faculty of Medicine, Manisa, Turkey.The Allergy and Asthma Institute, Islamabad, Pakistan.254Department of Paediatrics and Child Health, Red Cross Children's Hospital, Cape Town, South Africa. 255MRC Unit on Child & Adolescent Health, University of Cape Town, Cape Town, South Africa.Bull DSAS, Echirolles, France.257Universidad Católica de Córdoba, Córdoba, Argentina.258Department of Otolaryngology Head and Neck Surgery, Beijing TongRen Hospital and Beijing Institute of Otolaryngology, Beijing, China.259State Key Laboratory of Respiratory Diseases, Guangzhou Institute of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.260University Clinic of Respiratory and Allergic Diseases, Golnik, Slovenia.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31516692

Citation

Bousquet, J Jean, et al. "Next-generation ARIA Care Pathways for Rhinitis and Asthma: a Model for Multimorbid Chronic Diseases." Clinical and Translational Allergy, vol. 9, 2019, p. 44.
Bousquet JJ, Schünemann HJ, Togias A, et al. Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases. Clin Transl Allergy. 2019;9:44.
Bousquet, J. J., Schünemann, H. J., Togias, A., Erhola, M., Hellings, P. W., Zuberbier, T., ... Zidarn, M. (2019). Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases. Clinical and Translational Allergy, 9, p. 44. doi:10.1186/s13601-019-0279-2.
Bousquet JJ, et al. Next-generation ARIA Care Pathways for Rhinitis and Asthma: a Model for Multimorbid Chronic Diseases. Clin Transl Allergy. 2019;9:44. PubMed PMID: 31516692.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases. AU - Bousquet,J Jean, AU - Schünemann,Holger J, AU - Togias,Alkis, AU - Erhola,Marina, AU - Hellings,Peter W, AU - Zuberbier,Torsten, AU - Agache,Ioana, AU - Ansotegui,Ignacio J, AU - Anto,Josep M, AU - Bachert,Claus, AU - Becker,Sven, AU - Bedolla-Barajas,Martin, AU - Bewick,Michael, AU - Bosnic-Anticevich,Sinthia, AU - Bosse,Isabelle, AU - Boulet,Louis P, AU - Bourrez,Jean Marc, AU - Brusselle,Guy, AU - Chavannes,Niels, AU - Costa,Elisio, AU - Cruz,Alvaro A, AU - Czarlewski,Wienczyslawa, AU - Fokkens,Wytske J, AU - Fonseca,Joao A, AU - Gaga,Mina, AU - Haahtela,Tari, AU - Illario,Maddalena, AU - Klimek,Ludger, AU - Kuna,Piotr, AU - Kvedariene,Violeta, AU - Le,L T T, AU - Larenas-Linnemann,Desiree, AU - Laune,Daniel, AU - Lourenço,Olga M, AU - Menditto,Enrica, AU - Mullol,Joaquin, AU - Okamoto,Yashitaka, AU - Papadopoulos,Nikos, AU - Pham-Thi,Nhân, AU - Picard,Robert, AU - Pinnock,Hilary, AU - Roche,Nicolas, AU - Roller-Wirnsberger,Regina E, AU - Rolland,Christine, AU - Samolinski,Boleslaw, AU - Sheikh,Aziz, AU - Toppila-Salmi,Sanna, AU - Tsiligianni,Ioanna, AU - Valiulis,Arunas, AU - Valovirta,Erkka, AU - Vasankari,Tuula, AU - Ventura,Maria-Teresa, AU - Walker,Samantha, AU - Williams,Sian, AU - Akdis,Cezmi A, AU - Annesi-Maesano,Isabella, AU - Arnavielhe,Sylvie, AU - Basagana,Xavier, AU - Bateman,Eric, AU - Bedbrook,Anna, AU - Bennoor,K S, AU - Benveniste,Samuel, AU - Bergmann,Karl C, AU - Bialek,Slawomir, AU - Billo,Nils, AU - Bindslev-Jensen,Carsten, AU - Bjermer,Leif, AU - Blain,Hubert, AU - Bonini,Mateo, AU - Bonniaud,Philippe, AU - Bouchard,Jacques, AU - Briedis,Vitalis, AU - Brightling,Christofer E, AU - Brozek,Jan, AU - Buhl,Roland, AU - Buonaiuto,Roland, AU - Canonica,Giorgo W, AU - Cardona,Victoria, AU - Carriazo,Ana M, AU - Carr,Warner, AU - Cartier,Christine, AU - Casale,Thomas, AU - Cecchi,Lorenzo, AU - Cepeda Sarabia,Alfonso M, AU - Chkhartishvili,Eka, AU - Chu,Derek K, AU - Cingi,Cemal, AU - Colgan,Elaine, AU - de Sousa,Jaime Correia, AU - Courbis,Anne Lise, AU - Custovic,Adnan, AU - Cvetkosvki,Biljana, AU - D'Amato,Gennaro, AU - da Silva,Jane, AU - Dantas,Carina, AU - Dokic,Dejand, AU - Dauvilliers,Yves, AU - Dedeu,Antoni, AU - De Feo,Giulia, AU - Devillier,Philippe, AU - Di Capua,Stefania, AU - Dykewickz,Marc, AU - Dubakiene,Ruta, AU - Ebisawa,Motohiro, AU - El-Gamal,Yaya, AU - Eller,Esben, AU - Emuzyte,Regina, AU - Farrell,John, AU - Fink-Wagner,Antjie, AU - Fiocchi,Alessandro, AU - Fontaine,Jean F, AU - Gemicioğlu,Bilun, AU - Schmid-Grendelmeir,Peter, AU - Gamkrelidze,Amiran, AU - Garcia-Aymerich,Judith, AU - Gomez,Maximiliano, AU - González Diaz,Sandra, AU - Gotua,Maia, AU - Guldemond,Nick A, AU - Guzmán,Maria-Antonieta, AU - Hajjam,Jawad, AU - O'B Hourihane,John, AU - Humbert,Marc, AU - Iaccarino,Guido, AU - Ierodiakonou,Despo, AU - Illario,Maddalena, AU - Ivancevich,Juan C, AU - Joos,Guy, AU - Jung,Ki-Suck, AU - Jutel,Marek, AU - Kaidashev,Igor, AU - Kalayci,Omer, AU - Kardas,Przemyslaw, AU - Keil,Thomas, AU - Khaitov,Mussa, AU - Khaltaev,Nikolai, AU - Kleine-Tebbe,Jorg, AU - Kowalski,Marek L, AU - Kritikos,Vicky, AU - Kull,Inger, AU - Leonardini,Lisa, AU - Lieberman,Philip, AU - Lipworth,Brian, AU - Lodrup Carlsen,Karin C, AU - Loureiro,Claudia C, AU - Louis,Renaud, AU - Mair,Alpana, AU - Marien,Gert, AU - Mahboub,Bassam, AU - Malva,Joao, AU - Manning,Patrick, AU - De Manuel Keenoy,Esteban, AU - Marshall,Gailen D, AU - Masjedi,Mohamed R, AU - Maspero,Jorge F, AU - Mathieu-Dupas,Eve, AU - Matricardi,Poalo M, AU - Melén,Eric, AU - Melo-Gomes,Elisabete, AU - Meltzer,Eli O, AU - Menditto,Enrica, AU - Mercier,Jacques, AU - Miculinic,Neven, AU - Mihaltan,Florin, AU - Milenkovic,Branislava, AU - Moda,Giuliana, AU - Mogica-Martinez,Maria-Dolores, AU - Mohammad,Yousser, AU - Montefort,Steve, AU - Monti,Ricardo, AU - Morais-Almeida,Mario, AU - Mösges,Ralf, AU - Münter,Lars, AU - Muraro,Antonella, AU - Murray,Ruth, AU - Naclerio,Robert, AU - Napoli,Luigi, AU - Namazova-Baranova,Leila, AU - Neffen,Hugo, AU - Nekam,Kristoff, AU - Neou,Angelo, AU - Novellino,Enrico, AU - Nyembue,Dieudonné, AU - O'Hehir,Robin, AU - Ohta,Ken, AU - Okubo,Kimi, AU - Onorato,Gabrielle, AU - Ouedraogo,Solange, AU - Pali-Schöll,Isabella, AU - Palkonen,Susanna, AU - Panzner,Peter, AU - Park,Hae-Sim, AU - Pépin,Jean-Louis, AU - Pereira,Ana-Maria, AU - Pfaar,Oliver, AU - Paulino,Ema, AU - Phillips,Jim, AU - Picard,Robert, AU - Plavec,Davor, AU - Popov,Ted A, AU - Portejoie,Fabienne, AU - Price,David, AU - Prokopakis,Emmanuel P, AU - Pugin,Benoit, AU - Raciborski,Filip, AU - Rajabian-Söderlund,Rojin, AU - Reitsma,Sietze, AU - Rodo,Xavier, AU - Romano,Antonino, AU - Rosario,Nelson, AU - Rottem,Menahenm, AU - Ryan,Dermot, AU - Salimäki,Johanna, AU - Sanchez-Borges,Mario M, AU - Sisul,Juan-Carlos, AU - Solé,Dirceu, AU - Somekh,David, AU - Sooronbaev,Talant, AU - Sova,Milan, AU - Spranger,Otto, AU - Stellato,Cristina, AU - Stelmach,Rafael, AU - Suppli Ulrik,Charlotte, AU - Thibaudon,Michel, AU - To,Teresa, AU - Todo-Bom,Ana, AU - Tomazic,Peter V, AU - Valero,Antonio A, AU - Valenta,Rudolph, AU - Valentin-Rostan,Marylin, AU - van der Kleij,Rianne, AU - Vandenplas,Olivier, AU - Vezzani,Giorgio, AU - Viart,Frédéric, AU - Viegi,Giovanni, AU - Wallace,Dana, AU - Wagenmann,Martin, AU - Wang,De Y, AU - Waserman,Susan, AU - Wickman,Magnus, AU - Williams,Dennis M, AU - Wong,Gary, AU - Wroczynski,Piotr, AU - Yiallouros,Panayiotis K, AU - Yorgancioglu,Arzu, AU - Yusuf,Osman M, AU - Zar,Heahter J, AU - Zeng,Stéphane, AU - Zernotti,Mario, AU - Zhang,Luo, AU - Zhong,Nan S, AU - Zidarn,Mihaela, AU - ,, AU - ,, Y1 - 2019/09/09/ PY - 2019/05/15/received PY - 2019/07/29/accepted PY - 2019/9/14/entrez PY - 2019/9/14/pubmed PY - 2019/9/14/medline KW - ARIA KW - Care pathways KW - Health care transformation KW - MASK KW - POLLAR KW - Rhinitis SP - 44 EP - 44 JF - Clinical and translational allergy JO - Clin Transl Allergy VL - 9 N2 - Background: In all societies, the burden and cost of allergic and chronic respiratory diseases are increasing rapidly. Most economies are struggling to deliver modern health care effectively. There is a need to support the transformation of the health care system into integrated care with organizational health literacy. Main body: As an example for chronic disease care, MASK (Mobile Airways Sentinel NetworK), a new project of the ARIA (Allergic Rhinitis and its Impact on Asthma) initiative, and POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health), in collaboration with professional and patient organizations in the field of allergy and airway diseases, are proposing real-life ICPs centred around the patient with rhinitis, and using mHealth to monitor environmental exposure. Three aspects of care pathways are being developed: (i) Patient participation, health literacy and self-care through technology-assisted "patient activation", (ii) Implementation of care pathways by pharmacists and (iii) Next-generation guidelines assessing the recommendations of GRADE guidelines in rhinitis and asthma using real-world evidence (RWE) obtained through mobile technology. The EU and global political agendas are of great importance in supporting the digital transformation of health and care, and MASK has been recognized by DG Santé as a Good Practice in the field of digitally-enabled, integrated, person-centred care. Conclusion: In 20 years, ARIA has considerably evolved from the first multimorbidity guideline in respiratory diseases to the digital transformation of health and care with a strong political involvement. SN - 2045-7022 UR - https://www.unboundmedicine.com/medline/citation/31516692/Next-generation_ARIA_care_pathways_for_rhinitis_and_asthma:_a_model_for_multimorbid_chronic_diseases L2 - https://ctajournal.biomedcentral.com/articles/10.1186/s13601-019-0279-2 DB - PRIME DP - Unbound Medicine ER -