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

J. Jean Bousquet , Holger Schünemann , Alkis Togias , Marina Erhola , Peter Hellings , Torsten Zuberbier , Ioana Agache , Ignacio Ansotegui , Josep Anto , Claus Bachert , Sven Becker , Martin Bedolla-Barajas , Michael Bewick , Sinthia Bosnic-Anticevich , Isabelle Bosse , Louis Boulet , Jean Marc Bourrez , Guy Brusselle , Niels Chavannes , Elisio Costa , Alvaro Cruz , Wienczyslawa Czarlewski , Wytske Fokkens , Joao Fonseca , Mina Gaga , Tari Haahtela , Maddalena Illario , Ludger Klimek , Piotr Kuna , Violeta Kvedariene , L. Le , Desiree Larenas-Linnemann , Daniel Laune , Olga Lourenço , Enrica Menditto , Joaquin Mullol , Yashitaka Okamoto , Nikos Papadopoulos , Nhân Pham-Thi , Robert Picard , Hilary Pinnock , Nicolas Roche , Regina 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 Akdis , Isabella Annesi-Maesano , Sylvie Arnavielhe , Xavier Basagana , Eric Bateman , Anna Bedbrook , K. Bennoor , Samuel Benveniste , Karl Bergmann , Slawomir Bialek , Nils Billo , Carsten Bindslev-Jensen , Leif Bjermer , Hubert Blain , Mateo Bonini , Philippe Bonniaud , Jacques Bouchard , Vitalis Briedis , Christofer Brightling , Jan Brozek , Roland Buhl , Roland Buonaiuto , Giorgo Canonica , Victoria Cardona , Ana Carriazo , Warner Carr , Christine Cartier , Thomas Casale , Lorenzo Cecchi , Alfonso Cepeda Sarabia , Eka Chkhartishvili , Derek 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 (1, 2) , Stefania Di Capua , Marc Dykewickz , Ruta Dubakiene , Motohiro Ebisawa , Yaya El-Gamal , Esben Eller , Regina Emuzyte , John Farrell , Antjie Fink-Wagner , Alessandro Fiocchi , Jean Fontaine , Bilun Gemicioğlu , Peter Schmid-Grendelmeir , Amiran Gamkrelidze , Judith Garcia-Aymerich , Maximiliano Gomez , Sandra González Diaz , Maia Gotua , Nick Guldemond , Maria-Antonieta Guzmán , Jawad Hajjam , John O’b Hourihane , Marc Humbert , Guido Iaccarino , Despo Ierodiakonou , Maddalena Illario , Juan Ivancevich , Guy Joos , Ki-Suck Jung , Marek Jutel , Igor Kaidashev , Omer Kalayci , Przemyslaw Kardas , Thomas Keil , Mussa Khaitov , Nikolai Khaltaev , Jorg Kleine-Tebbe , Marek Kowalski , Vicky Kritikos , Inger Kull , Lisa Leonardini , Philip Lieberman , Brian Lipworth , Karin Lodrup Carlsen , Claudia Loureiro , Renaud Louis , Alpana Mair , Gert Marien , Bassam Mahboub , Joao Malva , Patrick Manning , Esteban de Manuel Keenoy , Gailen Marshall , Mohamed Masjedi , Jorge Maspero , Eve Mathieu-Dupas , Poalo Matricardi , Eric Melén , Elisabete Melo-Gomes , Eli Meltzer , Enrica Menditto , 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 , Robert Picard , Davor Plavec , Ted Popov , Fabienne Portejoie , David Price , Emmanuel Prokopakis , Benoit Pugin , Filip Raciborski , Rojin Rajabian-Söderlund , Sietze Reitsma , Xavier Rodo , Antonino Romano , Nelson Rosario , Menahenm Rottem , Dermot Ryan , Johanna Salimäki , Mario 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 Tomazic , Antonio Valero , Rudolph Valenta , Marylin Valentin-Rostan , Rianne van der Kleij , Olivier Vandenplas , Giorgio Vezzani , Frédéric Viart , Giovanni Viegi , Dana Wallace , Martin Wagenmann , De Wang , Susan Waserman , Magnus Wickman , Dennis Williams , Gary Wong , Piotr Wroczynski , Panayiotis Yiallouros , Arzu Yorgancioglu , Osman Yusuf , Heahter Zar , Stéphane Zeng , Mario Zernotti , Luo Zhang , Nan Zhong , Mihaela Zidarn

1 VIM (UR 0892) - Virologie et Immunologie Moléculaires
2 Hôpital Foch [Suresnes]

AbstractBackgroundIn 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 bodyAs 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.ConclusionIn 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.

Domaines: Sciences du Vivant [q-bio]; Sciences de l'Homme et Société

J. Jean Bousquet, Holger Schünemann, Alkis Togias, Marina Erhola, Peter Hellings, et al.. Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases. Clinical and Translational Allergy, 2019, 9 (1), ⟨10.1186/s13601-019-0279-2⟩. ⟨hal-04265132⟩