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

J. Jean Bousquet; Holger J. Schünemann; Alkis Togias; Marina Erhola; Peter W. Hellings; Torsten Zuberbier; Ioana Agache; Ignacio J. Ansotegui; Josep M. Anto; Claus Bachert; Sven Becker; Martin Bedolla-Barajas; Michael Bewick; Sinthia Bosnic-Anticevich; Isabelle Bosse; Louis P. Boulet; Jean Marc Bourrez; Guy Brusselle; Niels Chavannes; Elisio Costa; Alvaro A. Cruz; Wienczyslawa Czarlewski; Wytske J. Fokkens; Joao A. Fonseca; Mina Gaga; Tari Haahtela; Maddalena Illario; Ludger Klimek; Piotr Kuna; Violeta Kvedariene; L. T.T. Le; Desiree Larenas-Linnemann; Daniel Laune; Olga M. Lourenço; Enrica Menditto; Joaquin Mullol; Yashitaka Okamoto; Nikos Papadopoulos; Nhân Pham-Thi; Robert Picard; Hilary Pinnock; Nicolas Roche; Regina E. Roller-Wirnsberger; Christine Rolland; Boleslaw Samolinski; Aziz Sheikh; Sanna Toppila-Salmi; Ioanna Tsiligianni; Arunas Valiulis; Erkka Valovirta; Tuula Vasankari; Maria Teresa Ventura; Samantha Walker; Sian Williams; Cezmi A. Akdis; Isabella Annesi-Maesano; Sylvie Arnavielhe; Xavier Basagana; Eric Bateman; Anna Bedbrook; K. S. Bennoor; Samuel Benveniste; Karl C. Bergmann; Slawomir Bialek; Nils Billo; Carsten Bindslev-Jensen; Leif Bjermer; Hubert Blain; Mateo Bonini; Philippe Bonniaud; Jacques Bouchard; Vitalis Briedis; Christofer E. Brightling; Jan Brozek; Roland Buhl; Roland Buonaiuto; Giorgo W. Canonica; Victoria Cardona; Ana M. Carriazo; Warner Carr; Christine Cartier; Thomas Casale; Lorenzo Cecchi; Alfonso M. Cepeda Sarabia; Eka Chkhartishvili; Derek K. Chu; Cemal Cingi; Elaine Colgan; Jaime Correia De Sousa; Anne Lise Courbis; Adnan Custovic; Biljana Cvetkosvki; Gennaro Damato; Jane Da Silva; Carina Dantas; Dejand Dokic; Yves Dauvilliers; Antoni Dedeu; Giulia De Feo; Philippe Devillier; Stefania Di Capua; Marc Dykewickz; Ruta Dubakiene; Motohiro Ebisawa; Yaya El-Gamal; Esben Eller; Regina Emuzyte; John Farrell; Antjie Fink-Wagner; Alessandro Fiocchi; Jean F. Fontaine; Bilun Gemicioǧlu; Peter Schmid-Grendelmeir; Amiran Gamkrelidze; Judith Garcia-Aymerich; Maximiliano Gomez; Sandra González Diaz; Maia Gotua; Nick A. Guldemond; Maria Antonieta Guzmán; Jawad Hajjam; John B. O'Hourihane; Marc Humbert; Guido Iaccarino; Despo Ierodiakonou; Juan C. Ivancevich; Guy Joos; Ki Suck Jung; Marek Jutel; Igor Kaidashev; Omer Kalayci; Przemyslaw Kardas; Thomas Keil; Mussa Khaitov; Nikolai Khaltaev; Jorg Kleine-Tebbe; Marek L. Kowalski; Vicky Kritikos; Inger Kull; Lisa Leonardini; Philip Lieberman; Brian Lipworth; Karin C. Lodrup Carlsen; Claudia C. Loureiro; Renaud Louis; Alpana Mair; Gert Marien; Bassam Mahboub; Joao Malva; Patrick Manning; Esteban De Manuel Keenoy; Gailen D. Marshall; Mohamed R. Masjedi; Jorge F. Maspero; Eve Mathieu-Dupas; Poalo M. Matricardi; Eric Melén; Elisabete Melo-Gomes; Eli O. Meltzer; Jacques Mercier; Neven Miculinic; Florin Mihaltan; Branislava Milenkovic; Giuliana Moda; Maria Dolores Mogica-Martinez; Yousser Mohammad; Steve Montefort; Ricardo Monti; Mario Morais-Almeida; Ralf Mösges; Lars Münter; Antonella Muraro; Ruth Murray; Robert Naclerio; Luigi Napoli; Leila Namazova-Baranova; Hugo Neffen; Kristoff Nekam; Angelo Neou; Enrico Novellino; Dieudonné Nyembue; Robin O'Hehir; Ken Ohta; Kimi Okubo; Gabrielle Onorato; Solange Ouedraogo; Isabella Pali-Schöll; Susanna Palkonen; Peter Panzner; Hae Sim Park; Jean Louis Pépin; Ana Maria Pereira; Oliver Pfaar; Ema Paulino; Jim Phillips; Davor Plavec; Ted A. Popov; Fabienne Portejoie; David Price; Emmanuel P. Prokopakis; Benoit Pugin; Filip Raciborski; Rojin Rajabian-Söderlund; Sietze Reitsma; Xavier Rodo; Antonino Romano; Nelson Rosario; Menahenm Rottem; Dermot Ryan; Johanna Salimäki; Mario M. Sanchez-Borges; Juan Carlos Sisul; Dirceu Solé; David Somekh; Talant Sooronbaev; Milan Sova; Otto Spranger; Cristina Stellato; Rafael Stelmach; Charlotte Suppli Ulrik; Michel Thibaudon; Teresa To; Ana Todo-Bom; Peter V. Tomazic; Antonio A. Valero; Rudolph Valenta; Marylin Valentin-Rostan; Rianne Van Der Kleij; Olivier Vandenplas; Giorgio Vezzani; Frédéric Viart; Giovanni Viegi; Dana Wallace; Martin Wagenmann; De Y. Wang; Susan Waserman; Magnus Wickman; Dennis M. Williams; Gary Wong; Piotr Wroczynski; Panayiotis K. Yiallouros; Arzu Yorgancioglu; Osman M. Yusuf; Heahter J. Zar; Stéphane Zeng; Mario Zernotti; Luo Zhang; Nan S. Zhong; Mihaela Zidarn

doi:10.1186/s13601-019-0279-2

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

J. Jean Bousquet, Holger J. Schünemann, Alkis Togias, Marina Erhola, Peter W. Hellings, Torsten Zuberbier, Ioana Agache, Ignacio J. Ansotegui, Josep M. Anto, Claus Bachert, Sven Becker, Martin Bedolla-Barajas, Michael Bewick, Sinthia Bosnic-Anticevich, Isabelle Bosse, Louis P. Boulet, Jean Marc Bourrez, Guy Brusselle, Niels Chavannes, Elisio CostaAlvaro A. Cruz, Wienczyslawa Czarlewski, Wytske J. Fokkens, Joao A. Fonseca, Mina Gaga, Tari Haahtela, Maddalena Illario, Ludger Klimek, Piotr Kuna, Violeta Kvedariene, L. T.T. Le, Desiree Larenas-Linnemann, Daniel Laune, Olga M. Lourenço, Enrica Menditto, Joaquin Mullol, Yashitaka Okamoto, Nikos Papadopoulos, Nhân Pham-Thi, Robert Picard, Hilary Pinnock, Nicolas Roche, Regina E. Roller-Wirnsberger, Christine Rolland, Boleslaw Samolinski, Aziz Sheikh, Sanna Toppila-Salmi, Ioanna Tsiligianni, Arunas Valiulis, Erkka Valovirta, Tuula Vasankari, Maria Teresa Ventura, Samantha Walker, Sian Williams, Cezmi A. Akdis, Isabella Annesi-Maesano, Sylvie Arnavielhe, Xavier Basagana, Eric Bateman, Anna Bedbrook, K. S. Bennoor, Samuel Benveniste, Karl C. Bergmann, Slawomir Bialek, Nils Billo, Carsten Bindslev-Jensen, Leif Bjermer, Hubert Blain, Mateo Bonini, Philippe Bonniaud, Jacques Bouchard, Vitalis Briedis, Christofer E. Brightling, Jan Brozek, Roland Buhl, Roland Buonaiuto, Giorgo W. Canonica, Victoria Cardona, Ana M. Carriazo, Warner Carr, Christine Cartier, Thomas Casale, Lorenzo Cecchi, Alfonso M. Cepeda Sarabia, Eka Chkhartishvili, Derek K. Chu, Cemal Cingi, Elaine Colgan, Jaime Correia De Sousa, Anne Lise Courbis, Adnan Custovic, Biljana Cvetkosvki, Gennaro Damato, Jane Da Silva, Carina Dantas, Dejand Dokic, Yves Dauvilliers, Antoni Dedeu, Giulia De Feo, Philippe Devillier, Stefania Di Capua, Marc Dykewickz, Ruta Dubakiene, Motohiro Ebisawa, Yaya El-Gamal, Esben Eller, Regina Emuzyte, John Farrell, Antjie Fink-Wagner, Alessandro Fiocchi, Jean F. Fontaine, Bilun Gemicioǧlu, Peter Schmid-Grendelmeir, Amiran Gamkrelidze, Judith Garcia-Aymerich, Maximiliano Gomez, Sandra González Diaz, Maia Gotua, Nick A. Guldemond, Maria Antonieta Guzmán, Jawad Hajjam, John B. O'Hourihane, Marc Humbert, Guido Iaccarino, Despo Ierodiakonou, Juan C. Ivancevich, Guy Joos, Ki Suck Jung, Marek Jutel, Igor Kaidashev, Omer Kalayci, Przemyslaw Kardas, Thomas Keil, Mussa Khaitov, Nikolai Khaltaev, Jorg Kleine-Tebbe, Marek L. Kowalski, Vicky Kritikos, Inger Kull, Lisa Leonardini, Philip Lieberman, Brian Lipworth, Karin C. Lodrup Carlsen, Claudia C. Loureiro, Renaud Louis, Alpana Mair, Gert Marien, Bassam Mahboub, Joao Malva, Patrick Manning, Esteban De Manuel Keenoy, Gailen D. Marshall, Mohamed R. Masjedi, Jorge F. Maspero, Eve Mathieu-Dupas, Poalo M. Matricardi, Eric Melén, Elisabete Melo-Gomes, Eli O. Meltzer, Jacques Mercier, Neven Miculinic, Florin Mihaltan, Branislava Milenkovic, Giuliana Moda, Maria Dolores Mogica-Martinez, Yousser Mohammad, Steve Montefort, Ricardo Monti, Mario Morais-Almeida, Ralf Mösges, Lars Münter, Antonella Muraro, Ruth Murray, Robert Naclerio, Luigi Napoli, Leila Namazova-Baranova, Hugo Neffen, Kristoff Nekam, Angelo Neou, Enrico Novellino, Dieudonné Nyembue, Robin O'Hehir, Ken Ohta, Kimi Okubo, Gabrielle Onorato, Solange Ouedraogo, Isabella Pali-Schöll, Susanna Palkonen, Peter Panzner, Hae Sim Park, Jean Louis Pépin, Ana Maria Pereira, Oliver Pfaar, Ema Paulino, Jim Phillips, Davor Plavec, Ted A. Popov, Fabienne Portejoie, David Price, Emmanuel P. Prokopakis, Benoit Pugin, Filip Raciborski, Rojin Rajabian-Söderlund, Sietze Reitsma, Xavier Rodo, Antonino Romano, Nelson Rosario, Menahenm Rottem, Dermot Ryan, Johanna Salimäki, Mario M. Sanchez-Borges, Juan Carlos Sisul, Dirceu Solé, David Somekh, Talant Sooronbaev, Milan Sova, Otto Spranger, Cristina Stellato, Rafael Stelmach, Charlotte Suppli Ulrik, Michel Thibaudon, Teresa To, Ana Todo-Bom, Peter V. Tomazic, Antonio A. Valero, Rudolph Valenta, Marylin Valentin-Rostan, Rianne Van Der Kleij, Olivier Vandenplas, Giorgio Vezzani, Frédéric Viart, Giovanni Viegi, Dana Wallace, Martin Wagenmann, De Y. Wang, Susan Waserman, Magnus Wickman, Dennis M. Williams, Gary Wong, Piotr Wroczynski, Panayiotis K. Yiallouros, Arzu Yorgancioglu, Osman M. Yusuf, Heahter J. Zar, Stéphane Zeng, Mario Zernotti, Luo Zhang, Nan S. Zhong, Mihaela Zidarn

Research output: Contribution to journal › Article › peer-review

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 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.

Original language	English
Journal	Clinical and Translational Allergy
Volume	9
Issue number	1
DOIs	https://doi.org/10.1186/s13601-019-0279-2
Publication status	Published - Jan 1 2019

Keywords

ARIA
Care pathways
Health care transformation
MASK
POLLAR
Rhinitis

Access to Document

10.1186/s13601-019-0279-2

Cite this

Bousquet, J. J., Schünemann, H. J., Togias, A., Erhola, M., Hellings, P. W., Zuberbier, T., Agache, I., Ansotegui, I. J., Anto, J. M., Bachert, C., Becker, S., Bedolla-Barajas, M., Bewick, M., Bosnic-Anticevich, S., Bosse, I., Boulet, L. P., Bourrez, J. M., Brusselle, G., Chavannes, N., ... Zidarn, M. (2019). Next-generation ARIA care pathways for rhinitis and asthma: A model for multimorbid chronic diseases. Clinical and Translational Allergy, 9(1). https://doi.org/10.1186/s13601-019-0279-2

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, MT, 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, Damato, 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, Gemicioǧlu, B, Schmid-Grendelmeir, P, Gamkrelidze, A, Garcia-Aymerich, J, Gomez, M, Diaz, SG, Gotua, M, Guldemond, NA, Guzmán, MA, Hajjam, J, O'Hourihane, JB, Humbert, M, Iaccarino, G, Ierodiakonou, D, Ivancevich, JC, Joos, G, Jung, KS, 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, MD, 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, HS, Pépin, JL, Pereira, AM, 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, JC, Solé, D, Somekh, D, Sooronbaev, T, Sova, M, Spranger, O, Stellato, C, Stelmach, R, Ulrik, CS, 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 2019, 'Next-generation ARIA care pathways for rhinitis and asthma: A model for multimorbid chronic diseases', Clinical and Translational Allergy, vol. 9, no. 1. https://doi.org/10.1186/s13601-019-0279-2

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title = "Next-generation ARIA care pathways for rhinitis and asthma: A model for multimorbid chronic diseases",

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 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 Sant{\'e} 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.",

keywords = "ARIA, Care pathways, Health care transformation, MASK, POLLAR, Rhinitis",

author = "Bousquet, {J. Jean} and Sch{\"u}nemann, {Holger J.} and Alkis Togias and Marina Erhola and Hellings, {Peter W.} and Torsten Zuberbier and Ioana Agache and Ansotegui, {Ignacio J.} and Anto, {Josep M.} and Claus Bachert and Sven Becker and Martin Bedolla-Barajas and Michael Bewick and Sinthia Bosnic-Anticevich and Isabelle Bosse and Boulet, {Louis P.} and Bourrez, {Jean Marc} and Guy Brusselle and Niels Chavannes and Elisio Costa and Cruz, {Alvaro A.} and Wienczyslawa Czarlewski and Fokkens, {Wytske J.} and Fonseca, {Joao A.} and Mina Gaga and Tari Haahtela and Maddalena Illario and Ludger Klimek and Piotr Kuna and Violeta Kvedariene and Le, {L. T.T.} and Desiree Larenas-Linnemann and Daniel Laune and Louren{\c c}o, {Olga M.} and Enrica Menditto and Joaquin Mullol and Yashitaka Okamoto and Nikos Papadopoulos and Nh{\^a}n Pham-Thi and Robert Picard and Hilary Pinnock and Nicolas Roche and Roller-Wirnsberger, {Regina E.} and Christine Rolland and Boleslaw Samolinski and Aziz Sheikh and Sanna Toppila-Salmi and Ioanna Tsiligianni and Arunas Valiulis and Erkka Valovirta and Tuula Vasankari and Ventura, {Maria Teresa} and Samantha Walker and Sian Williams and Akdis, {Cezmi A.} and Isabella Annesi-Maesano and Sylvie Arnavielhe and Xavier Basagana and Eric Bateman and Anna Bedbrook and Bennoor, {K. S.} and Samuel Benveniste and Bergmann, {Karl C.} and Slawomir Bialek and Nils Billo and Carsten Bindslev-Jensen and Leif Bjermer and Hubert Blain and Mateo Bonini and Philippe Bonniaud and Jacques Bouchard and Vitalis Briedis and Brightling, {Christofer E.} and Jan Brozek and Roland Buhl and Roland Buonaiuto and Canonica, {Giorgo W.} and Victoria Cardona and Carriazo, {Ana M.} and Warner Carr and Christine Cartier and Thomas Casale and Lorenzo Cecchi and {Cepeda Sarabia}, {Alfonso M.} and Eka Chkhartishvili and Chu, {Derek K.} and Cemal Cingi and Elaine Colgan and {De Sousa}, {Jaime Correia} and Courbis, {Anne Lise} and Adnan Custovic and Biljana Cvetkosvki and Gennaro Damato and {Da Silva}, Jane and Carina Dantas and Dejand Dokic and Yves Dauvilliers and Antoni Dedeu and {De Feo}, Giulia and Philippe Devillier and {Di Capua}, Stefania and Marc Dykewickz and Ruta Dubakiene and Motohiro Ebisawa and Yaya El-Gamal and Esben Eller and Regina Emuzyte and John Farrell and Antjie Fink-Wagner and Alessandro Fiocchi and Fontaine, {Jean F.} and Bilun Gemicioǧlu and Peter Schmid-Grendelmeir and Amiran Gamkrelidze and Judith Garcia-Aymerich and Maximiliano Gomez and Diaz, {Sandra Gonz{\'a}lez} and Maia Gotua and Guldemond, {Nick A.} and Guzm{\'a}n, {Maria Antonieta} and Jawad Hajjam and O'Hourihane, {John B.} and Marc Humbert and Guido Iaccarino and Despo Ierodiakonou and Ivancevich, {Juan C.} and Guy Joos and Jung, {Ki Suck} and Marek Jutel and Igor Kaidashev and Omer Kalayci and Przemyslaw Kardas and Thomas Keil and Mussa Khaitov and Nikolai Khaltaev and Jorg Kleine-Tebbe and Kowalski, {Marek L.} and Vicky Kritikos and Inger Kull and Lisa Leonardini and Philip Lieberman and Brian Lipworth and {Lodrup Carlsen}, {Karin C.} and Loureiro, {Claudia C.} and Renaud Louis and Alpana Mair and Gert Marien and Bassam Mahboub and Joao Malva and Patrick Manning and {De Manuel Keenoy}, Esteban and Marshall, {Gailen D.} and Masjedi, {Mohamed R.} and Maspero, {Jorge F.} and Eve Mathieu-Dupas and Matricardi, {Poalo M.} and Eric Mel{\'e}n and Elisabete Melo-Gomes and Meltzer, {Eli O.} and Jacques Mercier and Neven Miculinic and Florin Mihaltan and Branislava Milenkovic and Giuliana Moda and Mogica-Martinez, {Maria Dolores} and Yousser Mohammad and Steve Montefort and Ricardo Monti and Mario Morais-Almeida and Ralf M{\"o}sges and Lars M{\"u}nter and Antonella Muraro and Ruth Murray and Robert Naclerio and Luigi Napoli and Leila Namazova-Baranova and Hugo Neffen and Kristoff Nekam and Angelo Neou and Enrico Novellino and Dieudonn{\'e} Nyembue and Robin O'Hehir and Ken Ohta and Kimi Okubo and Gabrielle Onorato and Solange Ouedraogo and Isabella Pali-Sch{\"o}ll and Susanna Palkonen and Peter Panzner and Park, {Hae Sim} and P{\'e}pin, {Jean Louis} and Pereira, {Ana Maria} and Oliver Pfaar and Ema Paulino and Jim Phillips and Davor Plavec and Popov, {Ted A.} and Fabienne Portejoie and David Price and Prokopakis, {Emmanuel P.} and Benoit Pugin and Filip Raciborski and Rojin Rajabian-S{\"o}derlund and Sietze Reitsma and Xavier Rodo and Antonino Romano and Nelson Rosario and Menahenm Rottem and Dermot Ryan and Johanna Salim{\"a}ki and Sanchez-Borges, {Mario M.} and Sisul, {Juan Carlos} and Dirceu Sol{\'e} and David Somekh and Talant Sooronbaev and Milan Sova and Otto Spranger and Cristina Stellato and Rafael Stelmach and Ulrik, {Charlotte Suppli} and Michel Thibaudon and Teresa To and Ana Todo-Bom and Tomazic, {Peter V.} and Valero, {Antonio A.} and Rudolph Valenta and Marylin Valentin-Rostan and {Van Der Kleij}, Rianne and Olivier Vandenplas and Giorgio Vezzani and Fr{\'e}d{\'e}ric Viart and Giovanni Viegi and Dana Wallace and Martin Wagenmann and Wang, {De Y.} and Susan Waserman and Magnus Wickman and Williams, {Dennis M.} and Gary Wong and Piotr Wroczynski and Yiallouros, {Panayiotis K.} and Arzu Yorgancioglu and Yusuf, {Osman M.} and Zar, {Heahter J.} and St{\'e}phane Zeng and Mario Zernotti and Luo Zhang and Zhong, {Nan S.} and Mihaela Zidarn",

year = "2019",

month = jan,

day = "1",

doi = "10.1186/s13601-019-0279-2",

language = "English",

volume = "9",

journal = "Clinical and Translational Allergy",

issn = "2045-7022",

publisher = "BioMed Central",

number = "1",

}

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

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PY - 2019/1/1

Y1 - 2019/1/1

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

U2 - 10.1186/s13601-019-0279-2

DO - 10.1186/s13601-019-0279-2

M3 - Article

SN - 2045-7022

VL - 9

JO - Clinical and Translational Allergy

JF - Clinical and Translational Allergy

IS - 1

ER -

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

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