@article{3185616,
    title = "Next-generation ARIA care pathways for rhinitis and asthma: a model for
multimorbid chronic diseases",
    author = "Bousquet, J. Jean and Schunemann, Holger J. and Togias, Alkis and and Erhola, Marina and Hellings, Peter W. and Zuberbier, Torsten and Agache, and Ioana and Ansotegui, Ignacio J. and Anto, Josep M. and Bachert, Claus and and Becker, Sven and Bedolla-Barajas, Martin and Bewick, Michael and and Bosnic-Anticevich, Sinthia and Bosse, Isabelle and Boulet, Louis P. and and Bourrez, Jean Marc and Brusselle, Guy and Chavannes, Niels and Costa, and Elisio and Cruz, Alvaro A. and Czarlewski, Wienczyslawa and Fokkens, and Wytske J. and Fonseca, Joao A. and Gaga, Mina and Haahtela, Tari and and Illario, Maddalena and Klimek, Ludger and Kuna, Piotr and Kvedariene, and Violeta and Le, L. T. T. and Larenas-Linnemann, Desiree and Laune, and Daniel and Lourenco, Olga M. and Menditto, Enrica and Mullo, Joaquin and and Okamoto, Yashitaka and Papadopoulos, Nikos and Nhan Pham-Thi and Picard, and Robert and Pinnock, Hilary and Roche, Nicolas and Roller-Wirnsberger, and Regina E. and Rolland, Christine and Samolinski, Boleslaw and Sheikh, and Aziz and Toppila-Salmi, Sanna and Tsiligianni, Ioanna and Valiulis, and Arunas and Valovirta, Erkka and Vasankari, Tuula and Ventura, and Maria-Teresa and Walker, Samantha and Williams, Sian and Akdis, Cezmi A. and and Annesi-Maesano, Isabella and Arnavielhe, Sylvie and Basagana, Xavier and and Bateman, Eric and Bedbrook, Anna and Bennoor, K. S. and Benveniste, and Samuel and Bergmann, Karl C. and Bia, Slawomir and Billo, Nils and and Bindslev-Jensen, Carsten and Bjermer, Leif and Blain, Hubert and Bonini, and Mateo and Bonniaud, Philippe and Bouchard, Jacques and Briedis, Vitalis and and Brightling, Christofer E. and Brozek, Jan and Buhl, Roland and and Buonaiuto, Roland and Canonica, Giorgo W. and Cardona, Victoria and and Carriazo, Ana M. and Carr, Warner and Cartier, Christine and Casale, and Thomas and Cecchi, Lorenzo and Cepeda Sarabia, Alfonso M. and and Chkhartishvili, Eka and Chu, Derek K. and Cingi, Cemal and Colgan, and Elaine and de Sousa, Jaime Correia and Courbis, Anne Lise and Custovic, and Adnan and Cvetkosvki, Biljana and D'Amato, Gennaro and da Silva, Jane and and Dantas, Carina and Dokic, Dejand and Dauvilliers, Yves and Dedeu, and Antoni and De Feo, Giulia and Devillier, Philippe and Di Capua, Stefania and and Dykewickz, Marc and Dubakiene, Ruta and Ebisawa, Motohiro and and El-Gamal, Yaya and Eller, Esben and Emuzyte, Regina and Farrell, John and and Fink-Wagner, Antjie and Fiocchi, Alessandro and Fontaine, Jean F. and and Gemicioglu, Bilun and Schmid-Grendelmeir, Peter and Gamkrelidze, and Amiran and Garcia-Aymerich, Judith and Gomez, Maximiliano and Gonzalez and Diaz, Sandra and Gotua, Maia and Guldemond, Nick A. and Guzman, and Maria-Antonieta and Hajjam, Jawad and Hourihane, John O'B and Humbert, and Marc and Iaccarino, Guido and Ierodiakonou, Despo and Ivancevich, Juan and C. and Joos, Guy and Jung, Ki-Suck and Jutel, Marek and Kaidashev, Igor and and Kalayci, Omer and Kardas, Przemyslaw and Keil, Thomas and Khaitov, and Mussa and Khaltaev, Nikolai and Kleine-Tebbe, Jorg and Kowalski, Marek and L. and Kritikos, Vicky and Kull, Inger and Leonardini, Lisa and and Lieberman, Philip and Lipworth, Brian and Carlsen, Karin C. Lodrup and and Loureiro, Claudia C. and Louis, Renaud and Mair, Alpana and Marien, Gert and and Mahboub, Bassam and Malva, Joao and Manning, Patrick and Keenoy, and Esteban De Manuel and Marshall, Gallen D. and Masjedi, Mohamed R. and and Maspero, Jorge F. and Mathieu-Dupas, Eve and Matricardi, Poalo M. and and Melen, Eric and Melo-Gomes, Elisabete and Meltzer, Eli O. and Mercier, and Jacques and Miculinic, Neven and Mihaltan, Florin and Milenkovic, and Branislava and Moda, Giuliana and Mogica-Martinezl, Maria-Dolores and and Mohammad, Yousser and Montefort, Steve and Monti, Ricardo and and Morais-Almeida, Mario and Moesges, Raft and Munter, Lars and Muraro, and Antonella and Murray, Ruth and Naclerio, Robert and Napoli, Luigi and and Namazova-Baranova, Leila and Neffen, Hugo and Nekam, Kristoff and Neou, and Angelo and Novellino, Enrico and Nyembue, Dieudonne and O'Hehir, Robin and and Ohta, Ken and Okubo, Kimi and Onorato, Gabrielle and Ouedraogo, and Solange and Pali-Schoell, Isabella and Palkonen, Susanna and Panzner, and Peter and Park, Hae-Sim and Pepin, Jean-Louis and Pereira, Ana-Maria and and Pfaar, Oliver and Paulino, Ema and Phillips, Jim and Plavec, Davor and and Popov, Ted A. and Portejoie, Fabienne and Price, David and Prokopakis, and Emmanuel P. and Pugin, Benoit and Raciborski, Filip and and Rajabian-Soderlund, Rojin and Reitsma, Sietze and Rodo, Xavier and and Romano, Antonino and Rosario, Nelson and Rottem, Menahenm and Ryan, and Dermot and Salimaki, Johanna and Sanchez-Borges, Mario M. and Sisul, and Juan-Carlos and Sole, Dirceu and Somekh, David and Sooronbaev, Talant and and Sova, Milan and Spranger, Otto and Stellato, Cristina and Stelmach, and Rafael and Ulrik, Charlotte Suppli and Thibaudon, Michel and To, Teresa and and Todo-Bom, Ana and Tomazic, V, Peter and Valero, Antonio A. and and Valenta, Rudolph and Valentin-Rostan, Marylin and van der Kleij, Rianne and and Vandenplas, Olivier and Vezzani, Giorgio and Viart, Frederic and and Vieg, Giovanni and Wallace, Dana and Wagenmann, Martin and Wang, De Y. and and Waserman, Susan and Wickman, Magnus and Williams, Dennis M. and and Wong, Gary and Wroczynski, Piotr and Yiallouros, Panayiotis K. and and Yorgancioglu, Arzu and Yusuf, Osman M. and Zar, Heahter J. and Zeng, and Stephane and Zernotti, Mario and Zhang, Luo and Zhong, Nan S. and and Zidarn, Mihaela and ARIA Study Grp and MASK Study Grp",
    journal = "Clinical and Translational Allergy",
    year = "2019",
    volume = "9",
    number = "1",
    publisher = "Wiley",
    doi = "10.1186/s13601-019-0279-2",
    keywords = "Health care transformation; Care pathways; Rhinitis; ARIA; MASK; POLLAR",
    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."
}