ARIA guideline 2019: treatment of allergic rhinitis in the German health system.

allergen-specific immunotherapy allergic asthma allergic diseases health care system integrated care pathway

Journal

Allergologie select
ISSN: 2512-8957
Titre abrégé: Allergol Select
Pays: Germany
ID NLM: 101722686

Informations de publication

Date de publication:
2019
Historique:
received: 23 09 2019
accepted: 04 11 2019
entrez: 17 3 2020
pubmed: 17 3 2020
medline: 17 3 2020
Statut: epublish

Résumé

The number of patients affected by allergies is increasing worldwide. The resulting allergic diseases are leading to significant costs for health care and social systems. Integrated care pathways are needed to enable comprehensive care within the national health systems. The ARIA (Allergic Rhinitis and its Impact on Asthma) initiative develops internationally applicable guidelines for allergic respiratory diseases. ARIA serves to improve the care of patients with allergies and chronic respiratory diseases. In collaboration with other international initiatives, national associations and patient organizations in the field of allergies and respiratory diseases, real-life integrated care pathways have been developed for a digitally assisted, integrative, individualized treatment of allergic rhinitis (AR) with comorbid asthma. In the present work, these integrated care pathways have been adapted to the German situation and health system. The present ICP (integrated care pathway) guideline covers key areas of the care of AR patients with and without asthma. It includes the views of patients and other healthcare providers. A comprehensive ICP guideline can reflect real-life care better than traditional guideline models.

Sections du résumé

BACKGROUND BACKGROUND
The number of patients affected by allergies is increasing worldwide. The resulting allergic diseases are leading to significant costs for health care and social systems. Integrated care pathways are needed to enable comprehensive care within the national health systems. The ARIA (Allergic Rhinitis and its Impact on Asthma) initiative develops internationally applicable guidelines for allergic respiratory diseases.
METHODS METHODS
ARIA serves to improve the care of patients with allergies and chronic respiratory diseases. In collaboration with other international initiatives, national associations and patient organizations in the field of allergies and respiratory diseases, real-life integrated care pathways have been developed for a digitally assisted, integrative, individualized treatment of allergic rhinitis (AR) with comorbid asthma. In the present work, these integrated care pathways have been adapted to the German situation and health system.
RESULTS RESULTS
The present ICP (integrated care pathway) guideline covers key areas of the care of AR patients with and without asthma. It includes the views of patients and other healthcare providers.
DISCUSSION CONCLUSIONS
A comprehensive ICP guideline can reflect real-life care better than traditional guideline models.

Identifiants

DOI: 10.5414/ALX02120E PMID: 32176226 PMC: PMC7066682
pubmed: 32176226
doi: 10.5414/ALX02120E
pmc: PMC7066682
doi:

Types de publication

Journal Article

Langues

eng

Pagination

22-50

Informations de copyright

© Dustri-Verlag Dr. K. Feistle.

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Auteurs

Ludger Klimek (L)

Center of Rhinology and Allergology, Wiesbaden, Germany.

Claus Bachert (C)

Upper Airways Research Laboratory and Department of Oto-Rhino-Laryngology, Ghent University and Ghent, University Hospital, Ghent, Belgium, Division of ENT Diseases, CLINTEC, Karolinska Institute, University of Stockholm, Stockholm, Sweden.

Oliver Pfaar (O)

Department of Otorhinolaryngology, Head and Neck, Surgery, Section of Rhinology and Allergy, University, Hospital Marburg, Philipps-Universität Marburg,Marburg, Germany.

Sven Becker (S)

Department of Otolaryngology, Head and Neck Surgery, University of Tübingen, Tübingen, Germany.

Thomas Bieber (T)

Department of Dermatology and Allergy, University of Bonn, Bonn, Germany, Christine Kühne-Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St Gallen-Zürich, St. Gallen, Switzerland.

Randolph Brehler (R)

Department of Allergy, Occupational Dermatology and Environmental Medicine, Universitätsklinikum Münster, Münster, Germany.

Roland Buhl (R)

Pulmonary Department,Mainz University Hospital,Mainz, Germany.

Ingrid Casper (I)

Center of Rhinology and Allergology, Wiesbaden, Germany.

Adam Chaker (A)

Department of Otolaryngology and Center for Allergy and Environment (ZAUM), Klinikum rechts der Isar, Technical University of Munich and Helmholtz Center Munich, Munich, Germany.

Wolfgang Czech (W)

Department of Dermatology, University of Freiburg, Freiburg, Germany.

Jörg Fischer (J)

Department of Dermatology, Eberhard Karls University, Tübingen, Tübingen, Germany.

Thomas Fuchs (T)

Department of Dermatology, Venereology, and Allergology, University Medical Center, Georg August University, Göttingen, Germany.

Michael Gerstlauer (M)

Pediatric Pneumology and Allergology Unit, Medical University of Augsburg, Augsburg, Germany.

Karl Hörmann (K)

Department of Otorhinolaryngology, Mannheim University Hospital, Mannheim, Germany.

Thilo Jakob (T)

Department of Dermatology and Allergology, University Medical Center Gießen and Marburg, Campus Gießen, Justus-Liebig-University, Gießen, Germany.

Kirsten Jung (K)

Group Practice for Dermatology, Erfurt, Germany.

Matthias V Kopp (MV)

Clinic of Pediatric and Adolescent Medicine, Airway Research Center North (ARCN), Member of the German Lung Center (DZL), Lübeck University, Lübeck, Germany.

Vera Mahler (V)

Medical Faculty, Friedrich-Alexander-University (FAU) Erlangen-Nürnberg, Germany.

Hans Merk (H)

Department of Dermatology and Allergology, University Hospital, RWTH Aachen University, Aachen, Germany.

Norbert Mülleneisen (N)

Asthma and Allergy Centre, Leverkusen, Germany.

Katja Nemat (K)

Department of Pediatrics, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.

Uta Rabe (U)

Department of Allergology, Johanniter-Krankenhaus im Fläming Treuenbrietzen GmbH, Treuenbrietzen, Germany.

Johannes Ring (J)

Department and Outpatient Clinic for Dermatology and Allergology am Biederstein, Technical University of Munich, Munich, Germany and Christine Kühne Center for Allergy Research and Education (CK-Care), Davos, Switzerland.

Joachim Saloga (J)

Department of Dermatology, University Medical Center Mainz,Mainz, Germany.

Wolfgang Schlenter (W)

Former Head ENT - Department, Katharina-Kasper-Kliniken, Marienkrankenhaus, c/o University Hospital, Frankfurt, Germany.

Carsten Schmidt-Weber (C)

Center for Allergy and Environment (ZAUM), Member of the German Center of Lung Research (DZL) and the Inflammation and Immunology Helmholtz Initiative, Technical University of Munich and Helmholtz Center Munich, Munich, Germany.

Holger Seyfarth (H)

Pharmacy Association in Hesse, Offenbach, Germany.

Annette Sperl (A)

Center of Rhinology and Allergology, Wiesbaden, Germany.

Thomas Spindler (T)

Allergy Campus Davos, Hochgebirgsklinik Davos dpt. Pediatrics, Davos, Switzerland.

Petra Staubach (P)

Department of Dermatology, University Medical Center Mainz,Mainz, Germany.

Sebastian Strieth (S)

Department of Otolaryngology, University Medical Center Mainz, Mainz, Germany.

Regina Treudler (R)

Department of Dermatology, Venereology and Allergology, LICA - Leipzig Comprehensive Allergy Center, University of Leipzig, Leipzig, Germany.

Christian Vogelberg (C)

Department of Pediatric Pneumology and Allergology, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.

Andrea Wallrafen (A)

German Allergy and Asthma Association, Mönchengladbach, Germany.

Wolfgang Wehrmann (W)

Dermatology Group Practice,Münster, Germany.

Holger Wrede (H)

Herford, North Rhine-Westphalia, Germany.

Torsten Zuberbier (T)

Department of Dermatology and Allergy, Allergie-Centrum - Charité, Charité - Universitätsmedizin, Berlin, Berlin, Germany.

Anna Bedbrook (A)

MACVIA-France, Montpellier, France.

Giorgio W Canonica (GW)

Allergy Section, Allergy and Respiratory Diseases, DIMI, University of Genoa, Genoa, Italy.

Victoria Cardona (V)

Department of Internal Medicine, Hospital Universitari Vall d'Hebron, Barcelona, Spain.

Thomas B Casale (TB)

Division of Allergy and Immunology, University of South Florida, Tampa, FL, USA.

Wienczylawa Czarlewski (W)

Medical Consulting Czarlewski, Levallois, France.

Wytske J Fokkens (WJ)

Department Otorhinolaryngologie, Academic Medical Centers, Amsterdam, The Netherlands.

Eckard Hamelmann (E)

Children's Center, Protestant Hospital Bethel, University Bielefeld, Bielefeld Germany.

Marek Jutel (M)

Department of Clinical Immunology, Wroclaw Medical University, Wroclaw, Poland and ALL-MED Medical Research Institute, Wroclaw, Poland.

Désirée Larenas-Linnemann (D)

HospitalMédica Sur, México City, Mexico.

Joaquim Mullol (J)

Unitat de Rinologia i Clínica de l'Olfacte, Servei d'ORL, Hospital Clínic, Clinical and Experimental Respiratory Immunoallergy, IDIBAPS, University of Barcelona, Barcelona, Spain.

Nikolaos G Papadopoulos (NG)

Department of Allergy, 2.

Sanna Toppila-Salmi (S)

Pediatric Clinic, University of Athens, Athens, Greece.

Thomas Werfel (T)

Haartman Institute, University of Helsinki, Helsinki, Finland.

Jean Bousquet (J)

Department of Dermatology and Allergy, Allergie-Centrum - Charité, Charité - Universitätsmedizin, Berlin, Berlin, Germany.
MACVIA-France, Montpellier, France.
Division of Immunodermatology and Allergy Research, Department of Dermatology and Allergy, Hannover Medical School, Hannover, Germany.
University Hospital, Montpellier, 49 INSERM, Unit 1168, Paris, France.

Classifications MeSH