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

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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 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 Sante 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
Health care transformation, Care pathways, Rhinitis, ARIA, MASK, POLLAR, EUROPEAN INNOVATION PARTNERSHIP, CHRONIC RESPIRATORY-DISEASES, SEASONAL ALLERGIC RHINITIS, SELF-MANAGEMENT, BUDESONIDE-FORMOTEROL, PATIENT-CARE, HEALTH, IMPACT, INTERMITTENT, GUIDELINES

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MLA
Bousquet, J. Jean, et al. “Next-Generation ARIA Care Pathways for Rhinitis and Asthma : A Model for Multimorbid Chronic Diseases.” CLINICAL AND TRANSLATIONAL ALLERGY, vol. 9, no. 1, 2019.
APA
Bousquet, J. J., Schunemann, H. J., Togias, A., Erhola, M., Hellings, P. W., Zuberbier, T., … Zidarn, M. (2019). Next-generation ARIA care pathways for rhinitis and asthma : a model for multimorbid chronic diseases. CLINICAL AND TRANSLATIONAL ALLERGY, 9(1).
Chicago author-date
Bousquet, J Jean, Holger J Schunemann, Alkis Togias, Marina Erhola, Peter W Hellings, Torsten Zuberbier, Ioana Agache, et al. 2019. “Next-Generation ARIA Care Pathways for Rhinitis and Asthma : A Model for Multimorbid Chronic Diseases.” CLINICAL AND TRANSLATIONAL ALLERGY 9 (1).
Chicago author-date (all authors)
Bousquet, J Jean, Holger J Schunemann, 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, LTT Le, Desiree Larenas-Linnemann, Daniel Laune, Olga M Lourenco, Enrica Menditto, Joaquin Mullo, Yashitaka Okamoto, Nikos Papadopoulos, Pham-Thi Nhan, 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, KS Bennoor, Samuel Benveniste, Karl C Bergmann, Slawomir Bia, 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 D’Amato, 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 Gemicioglu, Peter Schmid-Grendelmeir, Amiran Gamkrelidze, Judith Garcia-Aymerich, Maximiliano Gomez, Sandra Gonzalez Diaz, Maia Gotua, Nick A Guldemond, Maria-Antonieta Guzman, Jawad Hajjam, John O’B 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, Gallen D Marshall, Mohamed R Masjedi, Jorge F Maspero, Eve Mathieu-Dupas, Poalo M Matricardi, Eric Melen, Elisabete Melo-Gomes, Eli O Meltzer, Jacques Mercier, Neven Miculinic, Florin Mihaltan, Branislava Milenkovic, Giuliana Moda, Maria-Dolores Mogica-Martinezl, Yousser Mohammad, Steve Montefort, Ricardo Monti, Mario Morais-Almeida, Raft Moesges, Lars Munter, Antonella Muraro, Ruth Murray, Robert Naclerio, Luigi Napoli, Leila Namazova-Baranova, Hugo Neffen, Kristoff Nekam, Angelo Neou, Enrico Novellino, Dieudonne Nyembue, Robin O’Hehir, Ken Ohta, Kimi Okubo, Gabrielle Onorato, Solange Ouedraogo, Isabella Pali-Schoell, Susanna Palkonen, Peter Panzner, Hae-Sim Park, Jean-Louis Pepin, 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-Soderlund, Sietze Reitsma, Xavier Rodo, Antonino Romano, Nelson Rosario, Menahenm Rottem, Dermot Ryan, Johanna Salimaki, Mario M Sanchez-Borges, Juan-Carlos Sisul, Dirceu Sole, David Somekh, Talant Sooronbaev, Milan Sova, Otto Spranger, Cristina Stellato, Rafael Stelmach, Charlotte Suppli Ulrik, Michel Thibaudon, Teresa To, Ana Todo-Bom, V Tomazic, Peter, Antonio A Valero, Rudolph Valenta, Marylin Valentin-Rostan, Rianne van der Kleij, Olivier Vandenplas, Giorgio Vezzani, Frederic Viart, Giovanni Vieg, 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, Stephane Zeng, Mario Zernotti, Luo Zhang, Nan S Zhong, and Mihaela Zidarn. 2019. “Next-Generation ARIA Care Pathways for Rhinitis and Asthma : A Model for Multimorbid Chronic Diseases.” CLINICAL AND TRANSLATIONAL ALLERGY 9 (1).
Vancouver
1.
Bousquet JJ, Schunemann HJ, Togias A, Erhola M, Hellings PW, Zuberbier T, et al. Next-generation ARIA care pathways for rhinitis and asthma : a model for multimorbid chronic diseases. CLINICAL AND TRANSLATIONAL ALLERGY. 2019;9(1).
IEEE
[1]
J. J. Bousquet et al., “Next-generation ARIA care pathways for rhinitis and asthma : a model for multimorbid chronic diseases,” CLINICAL AND TRANSLATIONAL ALLERGY, vol. 9, no. 1, 2019.
@article{8632643,
  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 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 Sante 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.},
  articleno    = {44},
  author       = {Bousquet, J Jean and Schunemann, Holger J and Togias, Alkis and Erhola, Marina and Hellings, Peter W and Zuberbier, Torsten and Agache, Ioana and Ansotegui, Ignacio J and Anto, Josep M and Bachert, Claus and Becker, Sven and Bedolla-Barajas, Martin and Bewick, Michael and Bosnic-Anticevich, Sinthia and Bosse, Isabelle and Boulet, Louis P and Bourrez, Jean Marc and Brusselle, Guy and Chavannes, Niels and Costa, Elisio and Cruz, Alvaro A and Czarlewski, Wienczyslawa and Fokkens, Wytske J and Fonseca, Joao A and Gaga, Mina and Haahtela, Tari and Illario, Maddalena and Klimek, Ludger and Kuna, Piotr and Kvedariene, Violeta and Le, LTT and Larenas-Linnemann, Desiree and Laune, Daniel and Lourenco, Olga M and Menditto, Enrica and Mullo, Joaquin and Okamoto, Yashitaka and Papadopoulos, Nikos and Nhan, Pham-Thi and Picard, Robert and Pinnock, Hilary and Roche, Nicolas and Roller-Wirnsberger, Regina E and Rolland, Christine and Samolinski, Boleslaw and Sheikh, Aziz and Toppila-Salmi, Sanna and Tsiligianni, Ioanna and Valiulis, Arunas and Valovirta, Erkka and Vasankari, Tuula and Ventura, Maria-Teresa and Walker, Samantha and Williams, Sian and Akdis, Cezmi A and Annesi-Maesano, Isabella and Arnavielhe, Sylvie and Basagana, Xavier and Bateman, Eric and Bedbrook, Anna and Bennoor, KS and Benveniste, Samuel and Bergmann, Karl C and Bia, Slawomir and Billo, Nils and Bindslev-Jensen, Carsten and Bjermer, Leif and Blain, Hubert and Bonini, Mateo and Bonniaud, Philippe and Bouchard, Jacques and Briedis, Vitalis and Brightling, Christofer E and Brozek, Jan and Buhl, Roland and Buonaiuto, Roland and Canonica, Giorgo W and Cardona, Victoria and Carriazo, Ana M and Carr, Warner and Cartier, Christine and Casale, Thomas and Cecchi, Lorenzo and Cepeda Sarabia, Alfonso M and Chkhartishvili, Eka and Chu, Derek K and Cingi, Cemal and Colgan, Elaine and de Sousa, Jaime Correia and Courbis, Anne Lise and Custovic, Adnan and Cvetkosvki, Biljana and D'Amato, Gennaro and da Silva, Jane and Dantas, Carina and Dokic, Dejand and Dauvilliers, Yves and Dedeu, Antoni and De Feo, Giulia and Devillier, Philippe and Di Capua, Stefania and Dykewickz, Marc and Dubakiene, Ruta and Ebisawa, Motohiro and El-Gamal, Yaya and Eller, Esben and Emuzyte, Regina and Farrell, John and Fink-Wagner, Antjie and Fiocchi, Alessandro and Fontaine, Jean F and Gemicioglu, Bilun and Schmid-Grendelmeir, Peter and Gamkrelidze, Amiran and Garcia-Aymerich, Judith and Gomez, Maximiliano and Gonzalez Diaz, Sandra and Gotua, Maia and Guldemond, Nick A and Guzman, Maria-Antonieta and Hajjam, Jawad and Hourihane, John O'B and Humbert, Marc and Iaccarino, Guido and Ierodiakonou, Despo and Ivancevich, Juan C and Joos, Guy and Jung, Ki-Suck and Jutel, Marek and Kaidashev, Igor and Kalayci, Omer and Kardas, Przemyslaw and Keil, Thomas and Khaitov, Mussa and Khaltaev, Nikolai and Kleine-Tebbe, Jorg and Kowalski, Marek L and Kritikos, Vicky and Kull, Inger and Leonardini, Lisa and Lieberman, Philip and Lipworth, Brian and Lodrup Carlsen, Karin C and Loureiro, Claudia C and Louis, Renaud and Mair, Alpana and Marien, Gert and Mahboub, Bassam and Malva, Joao and Manning, Patrick and Keenoy, Esteban De Manuel and Marshall, Gallen D and Masjedi, Mohamed R and Maspero, Jorge F and Mathieu-Dupas, Eve and Matricardi, Poalo M and Melen, Eric and Melo-Gomes, Elisabete and Meltzer, Eli O and Mercier, Jacques and Miculinic, Neven and Mihaltan, Florin and Milenkovic, Branislava and Moda, Giuliana and Mogica-Martinezl, Maria-Dolores and Mohammad, Yousser and Montefort, Steve and Monti, Ricardo and Morais-Almeida, Mario and Moesges, Raft and Munter, Lars and Muraro, Antonella and Murray, Ruth and Naclerio, Robert and Napoli, Luigi and Namazova-Baranova, Leila and Neffen, Hugo and Nekam, Kristoff and Neou, Angelo and Novellino, Enrico and Nyembue, Dieudonne and O'Hehir, Robin and Ohta, Ken and Okubo, Kimi and Onorato, Gabrielle and Ouedraogo, Solange and Pali-Schoell, Isabella and Palkonen, Susanna and Panzner, Peter and Park, Hae-Sim and Pepin, Jean-Louis and Pereira, Ana-Maria and Pfaar, Oliver and Paulino, Ema and Phillips, Jim and Plavec, Davor and Popov, Ted A and Portejoie, Fabienne and Price, David and Prokopakis, Emmanuel P and Pugin, Benoit and Raciborski, Filip and Rajabian-Soderlund, Rojin and Reitsma, Sietze and Rodo, Xavier and Romano, Antonino and Rosario, Nelson and Rottem, Menahenm and Ryan, Dermot and Salimaki, Johanna and Sanchez-Borges, Mario M and Sisul, Juan-Carlos and Sole, Dirceu and Somekh, David and Sooronbaev, Talant and Sova, Milan and Spranger, Otto and Stellato, Cristina and Stelmach, Rafael and Ulrik, Charlotte Suppli and Thibaudon, Michel and To, Teresa and Todo-Bom, Ana and Tomazic, Peter, V and Valero, Antonio A and Valenta, Rudolph and Valentin-Rostan, Marylin and van der Kleij, Rianne and Vandenplas, Olivier and Vezzani, Giorgio and Viart, Frederic and Vieg, Giovanni and Wallace, Dana and Wagenmann, Martin and Wang, De Y and Waserman, Susan and Wickman, Magnus and Williams, Dennis M and Wong, Gary and Wroczynski, Piotr and Yiallouros, Panayiotis K and Yorgancioglu, Arzu and Yusuf, Osman M and Zar, Heahter J and Zeng, Stephane and Zernotti, Mario and Zhang, Luo and Zhong, Nan S and Zidarn, Mihaela},
  issn         = {2045-7022},
  journal      = {CLINICAL AND TRANSLATIONAL ALLERGY},
  keywords     = {Health care transformation,Care pathways,Rhinitis,ARIA,MASK,POLLAR,EUROPEAN INNOVATION PARTNERSHIP,CHRONIC RESPIRATORY-DISEASES,SEASONAL ALLERGIC RHINITIS,SELF-MANAGEMENT,BUDESONIDE-FORMOTEROL,PATIENT-CARE,HEALTH,IMPACT,INTERMITTENT,GUIDELINES},
  language     = {eng},
  number       = {1},
  pages        = {15},
  title        = {Next-generation ARIA care pathways for rhinitis and asthma : a model for multimorbid chronic diseases},
  url          = {http://dx.doi.org/10.1186/s13601-019-0279-2},
  volume       = {9},
  year         = {2019},
}

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