TY - JOUR

T1 - Next-generation ARIA care pathways for rhinitis and asthma

T2 - 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 - Damato, 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 - Gemicioǧlu, Bilun

AU - Schmid-Grendelmeir, Peter

AU - Gamkrelidze, Amiran

AU - Garcia-Aymerich, Judith

AU - Gomez, Maximiliano

AU - Diaz, Sandra González

AU - Gotua, Maia

AU - Guldemond, Nick A.

AU - Guzmán, Maria Antonieta

AU - Hajjam, Jawad

AU - O'Hourihane, John B.

AU - Humbert, Marc

AU - Iaccarino, Guido

AU - Ierodiakonou, Despo

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 - 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 - 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 - Ulrik, Charlotte Suppli

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

PY - 2019/9/9

Y1 - 2019/9/9

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 Rhi-nitis, 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.

AB - 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 Rhi-nitis, 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.

KW - ARIA

KW - Care pathways

KW - Health care transformation

KW - MASK

KW - POLLAR

KW - Rhinitis

UR - http://www.scopus.com/inward/record.url?scp=85072991649&partnerID=8YFLogxK

U2 - 10.1186/s13601-019-0279-2

DO - 10.1186/s13601-019-0279-2

M3 - Review

C2 - 31516692

AN - SCOPUS:85072991649

VL - 9

JO - Clinical and Translational Allergy

JF - Clinical and Translational Allergy

SN - 2045-7022

M1 - 44

ER -