Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases.

Bousquet, JJ; Schünemann, HJ; Togias, A; Erhola, M; Hellings, PW; Zuberbier, T; Agache, I; Ansotegui, IJ; Anto, JM; Bachert, C; Becker, S; Bedolla-Barajas, M; Bewick, M; Bosnic-Anticevich, S; Bosse, I; Boulet, LP; Bourrez, JM; Brusselle, G; Chavannes, N; Costa, E; Cruz, AA; Czarlewski, W; Fokkens, WJ; Fonseca, JA; Gaga, M; Haahtela, T; Illario, M; Klimek, L; Kuna, P; Kvedariene, V; Le, LTT; Larenas-Linnemann, D; Laune, D; Lourenço, OM; Menditto, E; Mullol, J; Okamoto, Y; Papadopoulos, N; Pham-Thi, N; Picard, R; Pinnock, H; Roche, N; Roller-Wirnsberger, RE; Rolland, C; Samolinski, B; Sheikh, A; Toppila-Salmi, S; Tsiligianni, I; Valiulis, A; Valovirta, E; Vasankari, T; Ventura, M-T; Walker, S; Williams, S; Akdis, CA; Annesi-Maesano, I; Arnavielhe, S; Basagana, X; Bateman, E; Bedbrook, A; Bennoor, KS; Benveniste, S; Bergmann, KC; Bialek, S; Billo, N; Bindslev-Jensen, C; Bjermer, L; Blain, H; Bonini, M; Bonniaud, P; Bouchard, J; Briedis, V; Brightling, CE; Brozek, J; Buhl, R; Buonaiuto, R; Canonica, GW; Cardona, V; Carriazo, AM; Carr, W; Cartier, C; Casale, T; Cecchi, L; Cepeda Sarabia, AM; Chkhartishvili, E; Chu, DK; Cingi, C; Colgan, E; de Sousa, JC; Courbis, AL; Custovic, A; Cvetkosvki, B; D'Amato, G; da Silva, J; Dantas, C; Dokic, D; Dauvilliers, Y; Dedeu, A; De Feo, G; Devillier, P; Di Capua, S; Dykewickz, M; Dubakiene, R; Ebisawa, M; El-Gamal, Y; Eller, E; Emuzyte, R; Farrell, J; Fink-Wagner, A; Fiocchi, A; Fontaine, JF; Gemicioğlu, B; Schmid-Grendelmeir, P; Gamkrelidze, A; Garcia-Aymerich, J; Gomez, M; González Diaz, S; Gotua, M; Guldemond, NA; Guzmán, M-A; Hajjam, J; O'B Hourihane, J; Humbert, M; Iaccarino, G; Ierodiakonou, D; Ivancevich, JC; Joos, G; Jung, K-S; Jutel, M; Kaidashev, I; Kalayci, O; Kardas, P; Keil, T; Khaitov, M; Khaltaev, N; Kleine-Tebbe, J; Kowalski, ML; Kritikos, V; Kull, I; Leonardini, L; Lieberman, P; Lipworth, B; Lodrup Carlsen, KC; Loureiro, CC; Louis, R; Mair, A; Marien, G; Mahboub, B; Malva, J; Manning, P; De Manuel Keenoy, E; Marshall, GD; Masjedi, MR; Maspero, JF; Mathieu-Dupas, E; Matricardi, PM; Melén, E; Melo-Gomes, E; Meltzer, EO; Mercier, J; Miculinic, N; Mihaltan, F; Milenkovic, B; Moda, G; Mogica-Martinez, M-D; Mohammad, Y; Montefort, S; Monti, R; Morais-Almeida, M; Mösges, R; Münter, L; Muraro, A; Murray, R; Naclerio, R; Napoli, L; Namazova-Baranova, L; Neffen, H; Nekam, K; Neou, A; Novellino, E; Nyembue, D; O'Hehir, R; Ohta, K; Okubo, K; Onorato, G; Ouedraogo, S; Pali-Schöll, I; Palkonen, S; Panzner, P; Park, H-S; Pépin, J-L; Pereira, A-M; Pfaar, O; Paulino, E; Phillips, J; Plavec, D; Popov, TA; Portejoie, F; Price, D; Prokopakis, EP; Pugin, B; Raciborski, F; Rajabian-Söderlund, R; Reitsma, S; Rodo, X; Romano, A; Rosario, N; Rottem, M; Ryan, D; Salimäki, J; Sanchez-Borges, MM; Sisul, J-C; Solé, D; Somekh, D; Sooronbaev, T; Sova, M; Spranger, O; Stellato, C; Stelmach, R; Suppli Ulrik, C; Thibaudon, M; To, T; Todo-Bom, A; Tomazic, PV; Valero, AA; Valenta, R; Valentin-Rostan, M; van der Kleij, R; Vandenplas, O; Vezzani, G; Viart, F; Viegi, G; Wallace, D; Wagenmann, M; Wang, DY; Waserman, S; Wickman, M; Williams, DM; Wong, G; Wroczynski, P; Yiallouros, PK; Yorgancioglu, A; Yusuf, OM; Zar, HJ; Zeng, S; Zernotti, M; Zhang, L; Zhong, NS; Zidarn, M; Group, ARIA Study; Group, MASK Study

Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases.

journal contribution

posted on 2019-10-02, 09:21 authored by JJ Bousquet, HJ Schünemann, A Togias, M Erhola, PW Hellings, T Zuberbier, I Agache, IJ Ansotegui, JM Anto, C Bachert, S Becker, M Bedolla-Barajas, M Bewick, S Bosnic-Anticevich, I Bosse, LP Boulet, JM Bourrez, G Brusselle, N Chavannes, E Costa, AA Cruz, W Czarlewski, WJ Fokkens, JA Fonseca, M Gaga, T Haahtela, M Illario, L Klimek, P Kuna, V Kvedariene, LTT Le, D Larenas-Linnemann, D Laune, OM Lourenço, E Menditto, J Mullol, Y Okamoto, N Papadopoulos, N Pham-Thi, R Picard, H Pinnock, N Roche, RE Roller-Wirnsberger, C Rolland, B Samolinski, A Sheikh, S Toppila-Salmi, I Tsiligianni, A Valiulis, E Valovirta, T Vasankari, M-T Ventura, S Walker, S Williams, CA Akdis, I Annesi-Maesano, S Arnavielhe, X Basagana, E Bateman, A Bedbrook, KS Bennoor, S Benveniste, KC Bergmann, S Bialek, N Billo, C Bindslev-Jensen, L Bjermer, H Blain, M Bonini, P Bonniaud, J Bouchard, V Briedis, CE Brightling, J Brozek, R Buhl, R Buonaiuto, GW Canonica, V Cardona, AM Carriazo, W Carr, C Cartier, T Casale, L Cecchi, AM Cepeda Sarabia, E Chkhartishvili, DK Chu, C Cingi, E Colgan, JC de Sousa, AL Courbis, A Custovic, B Cvetkosvki, G D'Amato, J da Silva, C Dantas, D Dokic, Y Dauvilliers, A Dedeu, G De Feo, P Devillier, S Di Capua, M Dykewickz, R Dubakiene, M Ebisawa, Y El-Gamal, E Eller, R Emuzyte, J Farrell, A Fink-Wagner, A Fiocchi, JF Fontaine, B Gemicioğlu, P Schmid-Grendelmeir, A Gamkrelidze, J Garcia-Aymerich, M Gomez, S González Diaz, M Gotua, NA Guldemond, M-A Guzmán, J Hajjam, J O'B Hourihane, M Humbert, G Iaccarino, D Ierodiakonou, JC Ivancevich, G Joos, K-S Jung, M Jutel, I Kaidashev, O Kalayci, P Kardas, T Keil, M Khaitov, N Khaltaev, J Kleine-Tebbe, ML Kowalski, V Kritikos, I Kull, L Leonardini, P Lieberman, B Lipworth, KC Lodrup Carlsen, CC Loureiro, R Louis, A Mair, G Marien, B Mahboub, J Malva, P Manning, E De Manuel Keenoy, GD Marshall, MR Masjedi, JF Maspero, E Mathieu-Dupas, PM Matricardi, E Melén, E Melo-Gomes, EO Meltzer, J Mercier, N Miculinic, F Mihaltan, B Milenkovic, G Moda, M-D Mogica-Martinez, Y Mohammad, S Montefort, R Monti, M Morais-Almeida, R Mösges, L Münter, A Muraro, R Murray, R Naclerio, L Napoli, L Namazova-Baranova, H Neffen, K Nekam, A Neou, E Novellino, D Nyembue, R O'Hehir, K Ohta, K Okubo, G Onorato, S Ouedraogo, I Pali-Schöll, S Palkonen, P Panzner, H-S Park, J-L Pépin, A-M Pereira, O Pfaar, E Paulino, J Phillips, D Plavec, TA Popov, F Portejoie, D Price, EP Prokopakis, B Pugin, F Raciborski, R Rajabian-Söderlund, S Reitsma, X Rodo, A Romano, N Rosario, M Rottem, D Ryan, J Salimäki, MM Sanchez-Borges, J-C Sisul, D Solé, D Somekh, T Sooronbaev, M Sova, O Spranger, C Stellato, R Stelmach, C Suppli Ulrik, M Thibaudon, T To, A Todo-Bom, PV Tomazic, AA Valero, R Valenta, M Valentin-Rostan, R van der Kleij, O Vandenplas, G Vezzani, F Viart, G Viegi, D Wallace, M Wagenmann, DY Wang, S Waserman, M Wickman, DM Williams, G Wong, P Wroczynski, PK Yiallouros, A Yorgancioglu, OM Yusuf, HJ Zar, S Zeng, M Zernotti, L Zhang, NS Zhong, M Zidarn, ARIA Study Group, MASK Study Group

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.

Funding

Partly funded by POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health), and ARIA.

History

Citation

Clinical and Translational Allergy, 2019, 9, Article number: 44

Author affiliation

/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Infection, Immunity and Inflammation

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VoR (Version of Record)

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Clinical and Translational Allergy

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BMC (part of Springer Nature) for European Academy of Allergy and Clinical Immunology

issn

2045-7022

Acceptance date

2019-07-29

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2019

Available date

2019-10-02

Publisher DOI

https://doi.org/10.1186/s13601-019-0279-2

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https://ctajournal.biomedcentral.com/articles/10.1186/s13601-019-0279-2

Notes

Additional fle 1. The MASK Study Group

Language

en

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https://leicester.figshare.com/account/articles/10213544

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ARIA Care pathways Health care transformation MASK POLLAR Rhinitis

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Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases.

Funding

Partly funded by POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health), and ARIA.

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