Article open access publication

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

Clinical and Translational Allergy, Springer Nature, ISSN 2045-7022

Volume 9, 1, 2019

DOI:10.1186/s13601-019-0279-2, Dimensions: pub.1120943088, PMC: PMC6734297, PMID: 31516692,

Authors

Bousquet, J. Jean * (1) (2) (3) (4)
Hellings, Peter W. (2) (8) (9)
Anto, Josep M. (13) (14) (15) (16)
Cruz, Alvaro A. (29) (30)
Fonseca, Joao A. (28) (32)
Gaga, Mina (33)
Mullol, Joaquin (44) (45)
Basagana, Xavier (13) (14) (15) (16)
Blain, Hubert (71) (72)
Bonini, Mateo (73) (74)
Bouchard, Jacques (76) (77)
Cvetkosvki, Biljana (21) (22) (23)
Dantas, Carina (100) (101)
Dedeu, Antoni (104) (105)
Eller, Esben (68) (69)
Gotua, Maia (120)
Joos, Guy (25)
Jutel, Marek (128)
Keil, Thomas (4) (131)
Kritikos, Vicky (21) (22) (23)
Kull, Inger (135) (136)
Mair, Alpana (144)
Malva, Joao (101) (142)
Melén, Eric (135) (136)
Mohammad, Yousser (159) (160)
Mösges, Ralf (164) (165)
Murray, Ruth (168) (169)
Neffen, Hugo (173) (174)
Neou, Angelo (176)
Ohta, Ken (179)
Okubo, Kimi (180)
Pépin, Jean-Louis (1) (186)
Pereira, Ana-Maria (28) (187)
Paulino, Ema (189)
Plavec, Davor (191) (192)
Price, David (194) (195)
Reitsma, Sietze (2) (9)
Romano, Antonino (74) (197)
Sova, Milan (206)
To, Teresa (210)
Valenta, Rudolph (212) (213) (214)
Viegi, Giovanni (219) (220)
Wang, De Y. (223)
Wong, Gary (226)
Zar, Heahter J. (64) (231)
Zhang, Luo (234)

* Corresponding author

Affiliations

Organisations

  1. (1) French Institute of Health and Medical Research, grid.7429.8
  2. (2) European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA), Brussels, Belgium
  3. (3) MACVIA-France, Fondation Partenariale FMC VIA-LR, CHU, 34295, Montpellier Cedex 5, France
  4. (4) Charité, grid.6363.0
  5. (5) McMaster University, grid.25073.33
  6. (6) Division of Allergy, Immunology, and Transplantation (DAIT), National Institute of Allergy and Infectious Diseases, NIH, Bethesda, USA
  7. (7) National Institute for Health and Welfare, grid.14758.3f
  8. (8) Universitair Ziekenhuis Leuven, grid.410569.f
  9. (9) Academic Medical Center, grid.5650.6
  10. (10) Berlin Institute of Health, grid.484013.a
  11. (11) Transylvania University of Brașov, grid.5120.6
  12. (12) Department of Allergy and Immunology, Hospital Quirónsalud Bizkaia, Erandio, Spain
  13. (13) Hospital Del Mar, grid.411142.3
  14. (14) Institute of Health Carlos III, grid.413448.e
  15. (15) Pompeu Fabra University, grid.5612.0
  16. (16) ISGlobAL, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain
  17. (17) Ghent University Hospital, grid.410566.0
  18. (18) Johannes Gutenberg University of Mainz, grid.5802.f
  19. (19) Hospital Civil de Guadalajara Dr Juan I Menchaca, Guadalarara, Mexico
  20. (20) iQ4U Consultants Ltd, London, UK
  21. (21) Sydney Local Health District, Glebe, NSW, Australia
  22. (22) Woolcock Emphysema Centre, Sydney, Australia
  23. (23) Woolcock Institute of Medical Research, grid.417229.b
  24. (24) La Rochelle, France
  25. (25) Laval University, grid.23856.3a
  26. (26) EIT Health France, Paris, France
  27. (27) Leiden University Medical Center, grid.10419.3d
  28. (28) University of Porto, grid.5808.5
  29. (29) Federal University of Bahia, grid.8399.b
  30. (30) WHO GARD Planning Group, Salvador, Brazil
  31. (31) Medical Consulting Czarlewski, Levallois, France
  32. (32) Medida, Lda Porto, Portugal
  33. (33) ERS President 2017-2018, Athens Chest Hospital, 7th Resp Med Dept and Asthma Center, Athens, Greece
  34. (34) University of Helsinki, grid.7737.4
  35. (35) Division for Health Innovation, Campania Region and Federico II University Hospital Naples (R &D and DISMET), Naples, Italy
  36. (36) Center for Rhinology and Allergology, Wiesbaden, Germany
  37. (37) Medical University of Lodz, grid.8267.b
  38. (38) Vilnius University, grid.6441.7
  39. (39) Ho Chi Minh City Medicine and Pharmacy University, grid.413054.7
  40. (40) Center of Excellence in Asthma and Allergy, Médica Sur Clinical Foundation and Hospital, México City, Mexico
  41. (41) KYomed INNOV, Montpellier, France
  42. (42) University of Beira Interior, grid.7427.6
  43. (43) University of Naples Federico II, grid.4691.a
  44. (44) Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, CIBERES, University of Barcelona, Barcelona, Spain
  45. (45) Hospital Clinic of Barcelona, grid.410458.c
  46. (46) Chiba University Hospital, grid.411321.4
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  49. (49) Institut Pasteur, grid.428999.7
  50. (50) Conseil Général de l’Economie Ministère de l’Economie, de l’Industrie et du Numérique, Paris, France
  51. (51) University of Edinburgh, grid.4305.2
  52. (52) Hôpital Cochin, grid.411784.f
  53. (53) Medical University of Graz, grid.11598.34
  54. (54) Association Asthme et Allergie, Paris, France
  55. (55) Medical University of Warsaw, grid.13339.3b
  56. (56) International Primary Care Respiratory Group IPCRG, Aberdeen, Scotland, UK
  57. (57) University of Crete, grid.8127.c
  58. (58) University of Turku, grid.1374.1
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  66. (66) Hôpital Broca, grid.413802.c
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  77. (77) Medicine Department, Hôpital de la Malbaie, Quebec city, QC, Canada
  78. (78) Department of Clinical Pharmacy of Lithuanian, University of Health, Kaunas, Lithuania
  79. (79) Institute of Lung Health, Respiratory Biomedical Unit, University Hospitals of Leicester NHS Trust, Leicestershire, UK
  80. (80) University of Leicester, grid.9918.9
  81. (81) University Medical Center of the Johannes Gutenberg University Mainz, grid.410607.4
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  83. (83) Humanitas Research Hospital, grid.417728.f
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  87. (87) ASA-Advanced Solutions Accelerator, Clapiers, France
  88. (88) University of South Florida, grid.170693.a
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  90. (90) SLaai, Sociedad Latinoamericana de Allergia, Asma e Immunologia, Barranquilla, Colombia
  91. (91) Universidad Simón Bolívar, grid.441873.d
  92. (92) Grigol Robakidze University, grid.443975.8
  93. (93) Eskişehir Osmangazi University, grid.164274.2
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  101. (101) Ageing@Coimbra EIP-AHA Reference Site, Coimbra, Portugal
  102. (102) Saints Cyril and Methodius University of Skopje, grid.7858.2
  103. (103) Sleep Unit, Department of Neurology, Hôpital Gui-de-Chauliac Montpellier, Inserm U1061, Montpellier, France
  104. (104) Agència de Qualitat i Avaluació Sanitàries de Catalunya, grid.413521.0
  105. (105) EUREGHA, European Regional and Local Health Association, Brussels, Belgium
  106. (106) University of Salerno, grid.11780.3f
  107. (107) Hôpital Foch, grid.414106.6
  108. (108) Farmacie Dei Golfi Group, Massa Lubrense, Italy
  109. (109) Saint Louis University, grid.262962.b
  110. (110) National Sagamihara Hospital, grid.415689.7
  111. (111) Ain Shams University, grid.7269.a
  112. (112) Global Allergy and Asthma Platform GAAPP, Vienna, Austria
  113. (113) Division of Allergy, Department of Pediatric Medicine, The Bambino Gesù Children’s Research Hospital Holy See, Rome, Italy
  114. (114) Reims, France
  115. (115) Istanbul University Cerrahpaşa, grid.506076.2
  116. (116) University Hospital of Zurich, grid.412004.3
  117. (117) National Center for Disease Control and Public Health, grid.429654.8
  118. (118) Allergy & Asthma Unit, Hospital San Bernardo Salta, Salta, Argentina
  119. (119) Universidad Autónoma de Nuevo León, grid.411455.0
  120. (120) Center of Allergy and Immunology, Georgian Association of Allergology and Clinical Immunology, Tbilisi, Georgia
  121. (121) Erasmus University Rotterdam, grid.6906.9
  122. (122) University of Chile, grid.443909.3
  123. (123) 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
  124. (124) University College Cork, grid.7872.a
  125. (125) Université Paris-Sud; Service de Pneumologie, Hôpital Bicêtre, Inserm UMR_S999, Le Kremlin Bicêtre, France
  126. (126) Servicio de Alergia e Immunologia, Clinica Santa Isabel, Buenos Aires, Argentina
  127. (127) Hallym University Sacred Heart Hospital, grid.488421.3
  128. (128) Wrocław Medical University, grid.4495.c
  129. (129) Ukrainian Medical Stomatological Academy, grid.416987.5
  130. (130) Hacettepe University, grid.14442.37
  131. (131) University of Würzburg, grid.8379.5
  132. (132) Kurchatov Institute, grid.18919.38
  133. (133) GARD Chairman, Geneva, Switzerland
  134. (134) Allergy & Asthma Center Westend, Berlin, Germany
  135. (135) Karolinska Institute, grid.4714.6
  136. (136) Stockholm South General Hospital, grid.416648.9
  137. (137) Mattone Internazionale Program, Veneto Region, Italy
  138. (138) University of Tennessee Health Science Center, grid.267301.1
  139. (139) Scottish Centre for Respiratory Research, Cardiovascular & Diabetes Medicine, Medical Research Institute, Ninewells Hospital, University of Dundee, Dundee, UK
  140. (140) Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway
  141. (141) Oslo University Hospital, grid.55325.34
  142. (142) University of Coimbra, grid.8051.c
  143. (143) Centre Hospitalier Universitaire de Liège, grid.411374.4
  144. (144) Scottish Government, grid.421126.2
  145. (145) Rashid Hospital, grid.415691.e
  146. (146) Department of Medicine (RCSI), Bon Secours Hospital, Glasnevin, Dublin, Ireland
  147. (147) Kronikgune, grid.424267.1
  148. (148) University of Mississippi Medical Center, grid.410721.1
  149. (149) Tobacco Control Research Centre, Iranian Anti Tobacco Association, Tehran, Iran
  150. (150) Argentine Association of Allergy and Clinical Immunology, Buenos Aires, Argentina
  151. (151) University of Lisbon, grid.9983.b
  152. (152) Allergy and Asthma Medical Group and Research Center, grid.413627.5
  153. (153) Physiology & Experimental Medicine of the Heart and Muscles, grid.503383.e
  154. (154) Croatian Pulmonary Society, Zagreb, Croatia
  155. (155) National Institute of Pneumology M Nasta, Bucharest, Romania
  156. (156) Clinic for Pulmonary Diseases, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Serbian Association for Asthma and COPD, Belgrade, Serbia
  157. (157) Regione Piemonte, Turin, Italy
  158. (158) Universidad de las Américas, grid.440989.8
  159. (159) Syrian Private University, grid.449576.d
  160. (160) Tishreen University, grid.412741.5
  161. (161) Faculty of Medicine and Surgery, University of Medicine, La Valette, Malta
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  163. (163) Companhia União Fabril, grid.421304.0
  164. (164) CRI-Clinical Research International Ltd, Hamburg, Germany
  165. (165) University of Cologne, grid.6190.e
  166. (166) Danish Commitee for Health Education, Copenhagen East, Denmark
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  170. (170) Johns Hopkins University, grid.21107.35
  171. (171) Consortium of Pharmacies and Services COSAFER, Salerno, Italy
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Description

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.

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