Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.14279/19121
Title: Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases
Authors: Bousquet, Jean J. 
Schünemann, Holger J. 
Togias, Alkis G. 
Erhola, Marina 
Hellings, Peter William 
Zuberbier, Torsten 
Agache, Ioana O. 
Ansotegui, Ignacio Javier 
Antó, Josep María 
Bachert, Claus 
Becker, Sven 
Novellino, Enrico 
Nyembue, Dieudonné T. 
O'Hehir, Robin 
Ohta, Ken 
Okubo, Kimihiro 
Onorato, Gabrielle 
Ouedraogo, Solange 
Pali-Schöll, Isabella 
Palkonen, Susanna 
Costa, Elísio 
Di Capua, Stefania 
Panzner, Peter 
Park, Hae Sim 
Pépin, Jean-Louis 
Pereira, Ana Maria 
Pfaar, Oliver 
Paulino, Ema 
Phillips, Jim 
Picard, Robert 
Plavec, Davor 
Popov, Ted A 
Dykewickz, Marc 
Cruz, Álvaro Augusto 
Portejoie, Fabienne 
Price, David B. 
Prokopakis, Emmanuel P 
Pugin, Benoit 
Raciborski, Filip 
Rajabian-Soderlund, Rojin 
Reitsma, Sietze 
Rodo, Xavier 
Romano, Antonino 
Dubakiene, Ruta 
Rosário, Nélson Augusto 
Czarlewski, Wienczyslawa 
Rottem, Menahenm 
Ryan, Dermot P. 
Salimäki, Johanna 
Sańchez-Borges, Mario A. 
Sisul, Juan Carlos 
Solé, Dirceu 
Somekh, David 
Sooronbaev, Talant M. 
Ebisawa, Motohiro 
Sova, Milan 
Spranger, Otto 
Fokkens, Wytske J 
Stellato, Cristina 
Stelmach, Rafael 
Suppli Ulrik, Charlotte 
Thibaudon, Michel 
To, Teresa 
Todo-Bom, Ana Maria 
Tomazic, Peter Valentin 
El-Gamal, Yaya 
Valero, Antonio Luís 
Valenta, Rudolph 
Valentin-Rostan, Marylin 
Fonseca, João Almeida 
van der Kleij, Rianne 
Vandenplas, Olivier 
Vezzani, Giorgio 
Viart, Frédéric 
Viegi, Giovanni 
Wallace, Dana 
Eller, Esben 
Wagenmann, Martin 
Wang, Deyun 
Waserman, Susan 
Wickman, Magnus C. 
Gaga, Mina 
Williams, Dennis M. 
Wong, Gary 
Wroczyński, Piotr 
Yiallouros, Panayiotis K. 
Yorgancıoğlu, Arzu 
Ėmužytė, Regina 
Yusuf, Osman Mohammad 
Zar, Heahter J. 
Zeng, Stéphane 
Zernotti, Mario Emilio 
Zhang, Luo 
Haahtela, Tari M.K. 
Zhong, Nan S 
Zidarn, Mihaela 
Illario, Maddalena 
Klimek, Ludger 
Farrell, John 
Kuna, Piotr 
Kvedariene, Violeta 
Le, Lan Thi Tuyet 
Larenas-Linnemann, Désirée E.S. 
Laune, Daniel 
Lourenço, Olga M. 
Menditto, Enrica 
Mullol, Joaquin 
Okamoto, Yashitaka 
Papadopoulos, Nikos G. 
Fink-Wagner, Antjie 
Pham-Thi, Nhân 
Picard, Robert 
Pinnock, Hilary 
Roche, Nicolas 
Roller-Wirnsberger, Regina Elisabeth 
Rolland, Christine 
Samołiński, Bolesław K. 
Sheikh, Aziz 
Toppila-Salmi, Sanna 
Tsiligianni, Ioanna 
Fiocchi, Alessandro 
Valiulis, Arunas 
Valovirta, Erkka Juhani 
Vasankari, Tuula M. 
Ventura, Maria-Teresa 
Walker, Samantha M. 
Williams, Siân 
Akdiş, Cezmi A. 
Annesi-Maesano, Isabella 
Arnavielhe, Sylvie 
Basagana, Xavier 
Bedolla-Barajas, Martin 
Bateman, Eric D. 
Bedbrook, Anna 
Bennoor, Kazi Saifuddin 
Benveniste, Samuel 
Bergmann, Karl Christian 
Bialek, Slawomir 
Billo, Nils 
Bindslev-Jensen, Carsten 
Bjermer, Leif H. 
Blain, Hubert 
Fontaine, Jean-François 
Bonini, Matteo 
Bonniaud, Philippe 
Bouchard, Jacques 
Briedis, Vitalis 
Brightling, Christopher Edward E. 
Brozek, Jan L. 
Buhl, Roland 
Buonaiuto, Roland 
Canonica, Giorgio Walter 
Cardona, Victoria 
Gemıcıoğlu, Bilun 
Carriazo, Ana Maria 
Carr, Warner W. 
Cartier, Christine 
Casale, Thomas B. 
Cecchi, Lorenzo 
Cepeda Sarabia, Alfonso Mario 
Chkhartishvili, Eka 
Chu, Derek K. 
Cingi, Cemal 
Colgan, Elaine 
Schmid-Grendelmeir, Peter 
De Sousa, Jaime Correia 
Courbis, Anne Lise 
Custovic, Adnan 
Cvetkosvki, Biljana 
D'Amato, Gennaro 
Da Silva, Jane 
Dantas, Carina 
Dokic, Dejand 
Dauvilliers, Yves 
Dedeu, Antoni 
Gamkrelidze, Amiran G. 
De Feo, Giulia 
Devillier, Philippe 
Garcia-Aymerich, Judith 
Gomez, Maximiliano 
Diaz, Sandra González 
Gotua, Maia A. 
Guldemond, Nick A. 
Guzmán, María Antonieta 
Bewick, Michael 
Hajjam, Jawad 
O'B Hourihane, John 
Humbert, Marc 
Iaccarino, Guido 
Ierodiakonou, Despo 
Illario, Maddalena 
Ivancevich, Juan Carlos 
Joos, Guy F.P. 
Jung, Ki Suck 
Jutel, Marek 
Bosnic-Anticevich, Sinthia 
Kaidashev, Igor 
Kalaycì, Ömer 
Kardas, Przemysław 
Keil, Thomas 
Khaitov, Mussa 
Khaltaev, Nikolaï G. 
Kleine-Tebbe, Jorg 
Kowalski, Marek Leszek 
Kritikos, Vicky S. 
Kull, Inger 
Bosse, Isabelle 
Leonardini, Lisa 
Lieberman, Philip 
Lipworth, Brian Jonathon 
Lødrup Carlsen, Karin C. 
Loureiro, Claudia C. 
Louis, Renaud E. 
Mair, Alpana 
Marien, Gert 
Mahboub, Bassam H. 
Malva, João Oliveira O. 
Boulet, Louis Philippe 
Manning, Patrick J. 
De Manuel-Keenoy, Esteban 
Marshall, Gailen D. 
Masjedi, Mohamed R. 
Maspero, Jorge F. 
Mathieu-Dupas, Eve 
Matricardi, Poalo M. 
Melén, Eric 
Melo-Gomes, Elisabete 
Meltzer, Eli O. 
Bourrez, Jean Marc 
Menditto, Enrica 
Mercier, Jacques G. 
Miculinić, Neven 
Mihǎlţan, Florin Dumitru 
Milenković, Branislava A. 
Moda, Giuliana 
Mogica-Martinez, Maria-Dolores 
Mohammad, Yousser 
Montefort, Steve 
Monti, Ricardo 
Brusselle, Guy 
Morais-Almeida, Mário A. 
Mösges, Ralf 
Münter, Lars 
Muraro, Maria Antonella 
Murray, Ruth Brigid 
Naclerio, Robert M. 
Napoli, Luigi 
Namazova-Baranova, Leila 
Neffen, Hugo E. 
Nekam, Kristoff 
Chavannes, Niels H. 
Neou, Angelos 
Major Field of Science: Medical and Health Sciences
Field Category: Clinical Medicine
Keywords: ARIA;Care pathways;Health care transformation;MASK;POLLAR;Rhinitis
Issue Date: 2019
Source: Clinical and Translational Allergy, 2019, vol. 9, no. 1, articl. no. 44
Volume: 9
Issue: 1
Journal: Clinical and Translational Allergy 
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.
URI: https://hdl.handle.net/20.500.14279/19121
ISSN: 2045-7022
DOI: 10.1186/s13601-019-0279-2
Rights: © The Author(s).
Type: Article
Affiliation : Fondation Partenariale FMC VIA-LR 
Villejuif Université 
European Forum for Research and Education in Allergy and Airway Diseases 
Humboldt-Universitat zu Berlin 
Berlin Institute of Health 
McMaster University 
National Institute of Allergy and Infectious Diseases 
National Institute for Health and Welfare 
Univ Hospitals Leuven 
Univ of Amsterdam 
Transilvania University of Brasov 
Center of Allergy and Immunology 
Hospital of the Hospitaller Brothers in Buda 
Die Hautambulanz and Rothhaar study center 
University of Naples Federico II 
University Hospital of Kinshasa 
Monash University 
Nippon Medical School 
Centre Hospitalier Universitaire Pédiatrique Charles de Gaulle 
University of Veterinary Medicine 
IQ4U Consultants Ltd 
Ecole des Mines 
Medical University of Vienna 
EFA European Federation of Allergy and Airways Diseases Patients' Associations 
Pilsen Charles University 
Ajou University 
Université Grenoble Alpes 
CHU de Grenoble 
CUF-Porto Hospital and Institute 
Universidade do Porto 
Maladies Infectieuses et immunitaires 
Philipps-Universität Marburg 
The University of Manchester 
University of Sydney 
Farmacias Holon 
Centre for Empowering Patients and Communities 
Children's Hospital Srebrnjak 
University J.J. Strossmayer 
University Hospital ‘Sv. Ivan Rilski’ 
University of Aberdeen 
Research in Real-Life 
University of Crete 
Karolinska University Hospital 
High Specialty Hospital A. Cardarelli 
Catholic University of Sacred Heart 
Woolcock Emphysema Centre 
IRCCS Oasi Maria SS 
University of Parana 
Emek Medical Center 
The University of Edinburgh 
Association of Finnish Pharmacists 
Trinidad and Clínica El Avila 
Sociedad Paraguaya de Alergia Asma e Inmunología 
Federal University of Sao Paulo 
University Hospital of Federal University of Santa Catarina 
European Health Futures Forum (EHFF) 
Kyrgyzstan National Centre of Cardiology and Internal medicine 
Sydney Local Health District 
University Hospital Olomouc 
Hospital da Clinicas da Faculdade de Medicina da Universidade de Sao Paulo 
University of Copenhagen 
Réseau National de Surveillance Aérobiologique 
Sidkkids Hospitala and Institute of Health Policy 
Medical University of Graz 
University of Barcelona 
Cáritas Diocesana de Coimbra 
NRC Institute of Immunology FMBA of Russia 
Sechenov First Moscow State Medical University 
Leiden University Medical Center 
La Rochelle 
University Medical Center, Rotterdam 
Université Catholique de Louvain 
AUSL di Reggio Emilia 
CNR - National Research Council of Italy 
Nova Southeastern University 
Universitätsklinikum Düsseldorf 
National University of Singapore 
McMaster University 
Uppsala University 
University of North Carolina at Chapel Hill 
Laval University 
Cyprus University of Technology 
Hospital Archbishop Makarios III 
Manisa Celal Bayar University 
The Allergy and Asthma Institute, Pakistan 
Red Cross Children's Hospital 
Medical Faculty Skopje 
University of Cape Town 
Bull DSAS 
Universidad Católica de Córdoba 
Beijing Institute of Otolaryngology 
First Affiliated Hospital of Guangzhou Medical University 
EIT Health France 
University Clinic of Respiratory and Allergic Diseases 
Tokyo National Hospital 
Ghent University Hospital 
Leiden University Medical Center 
Hôpital Gui‐de‐Chauliac Montpellier 
University of Porto 
Federal University of Bahia 
WHO GARD Planning Group 
Medical Consulting Czarlewski 
University of Amsterdam 
MEDIDA 
7th Respiratory Medicine Department and Asthma Centre 
University of Helsinki 
University Hospital Naples 
Center for Rhinology and Allergology 
AQuAS 
Medical University of Lodz 
Vilnius University 
University of Medicine and Pharmacy, Hochiminh City 
Médica Sur Clinical Foundation and Hospital 
KYomed INNOV 
University of Beira Interior 
Federico II University 
Federico II University 
University of Barcelona 
Chiba University Hospital 
European Regional and Local Health Association 
National and Kapodistrian University of Athens 
Pasteur Institute 
Conseil General de l'Economie Ministere de l'Economie 
University of Edinburgh 
Centre Hôpital Cochin 
Medical University of Graz 
Association Asthme et Allergie 
Medical University of Warsaw 
University of Crete 
International Primary Care Respiratory Group IPCRG 
Hospital Quirón Bizkaia 
University of Turku 
Terveystalo Allergy Clinic 
Finnish Lung Association 
University of Bari Aldo Moro 
Asthma UK 
University of Zurich 
INSERM and Sorbonne Université 
University of Cape Town 
National Institute of Diseases of the Chest and Hospital 
National Center of Expertise in Cognitive Stimulation 
University of Salerno 
Warsaw Medical University 
Global Alliance Against Chronic Respiratory Diseases (GARD) 
Odense University Hospital 
Termofscher Scientific 
University Hospital, Lund 
Montpellier University Hospital 
University Montpellier 1 
Universita Cattolica del Sacro Cuore 
Imperial College London 
CHU 
Université Paris-Saclay 
Laval University 
Hôpital de la Malbaie 
University of Health, Kaunas 
University Hospitals of Leicester NHS Trust 
University of Leicester 
Gutenberg-Universität Mainz 
Municipality Pharmacy Sarno 
Humanitas University 
ARADyAL Spanish Research Network 
Regional Ministry of Health of Andalusia 
Farmacie Dei Golfi Group 
Allergy and Asthma Associates of Southern California 
ASA ‐ Advanced Solutions Accelerator 
University of South Florida 
USL Toscana Centro 
Metropolitan University Barranquilla 
Simon Bolivar University 
Asma e Immunologia 
Grigol Robakidze University 
Eskisehir Osmangazi University 
Social Services and Public Safety 
Saint Louis University School of Medicine 
University of Minho 
ICVS/3B's 
Sagamihara National Hospital 
Ain Shams University 
Global Allergy and Asthma Patient Platform 
Bambino Gesù Children's Research Hospital Holy See 
Istanbul University 
University Hospital of Zurich 
Centre for Research in Environmental Epidemiology (CREAL) 
National Center for Disease Control and Public Health of Georgia 
Hospital San Bernardo Salta 
Universidad Autónoma de Nuevo León 
Georgian Association of Allergology and Clinical Immunology 
Erasmus University Rotterdam 
University of Chile 
Centich 
University College Cork 
Université Paris-Sud 
University of Salerno 
Hospital Del Mar Research Institute (IMIM) 
Clinica Santa Isabel 
Hallym University College of Medicine 
Wroclaw Medical University 
Ukrainian Medical Stomatological Academy 
Hacettepe University School of Medicine 
University of Lodz 
Charité-Universitätsmedizin Berlin 
University of Wuerzburg 
National Research Center, Moscow 
GARD 
CIBER Epidemiología y Salud Pública (CIBERESP) 
Allergy & Asthma Center Westend 
Karolinska Institutet 
Sachs’ Children and Youth Hospital 
Mattone Internazionale Program 
University of Tennessee College of Medicine 
University of Dundee 
Oslo University Hospital 
University of Oslo 
University of Coimbra 
GIGA I3 Research Group 
Universitat Pompeu Fabra 
DG for Health and Social Care 
Rashid Hospital 
Bon Secours Hospital 
International Centre of Excellence in Chronicity Research Barakaldo 
University of Mississippi Medical Center 
Iranian Anti Tobacco Association 
Argentine Association of Allergy and Clinical Immunology 
Charité-Universitätsmedizin Berlin 
Karolinska Institutet 
Portuguese National Programme for Respiratory Diseases 
Ghent University Hospital 
Allergy and Asthma Medical Group and Research Center 
University Montpellier 1 
Croatian Pulmonary Society 
National Institute of Pneumology M. Nasta 
University of Belgrade 
Regione Piemonte 
Tishreen University School of Medicine 
Syrian Private University 
University of Medicine 
University of Torino & Mauriziano Hospital 
University of Mainz 
CUF Descobertas Hospital 
University of Cologne 
CRI-Clinical Research International-Ltd 
Danish Committee for Health Education 
Padua General University Hospital 
MedScript Ltd 
OPC 
Johns Hopkins School of Medicine 
Consortium of Pharmacies and Services COSAFER 
Russian Academy of Medical Sciences 
Hospital Civil de Guadalajara Dr Juan I Menchaca 
Immunology and Respiratory Diseases 
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