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

Author:

Klimek Ludger,Bachert Claus,Pfaar Oliver,Becker Sven,Bieber Thomas,Brehler Randolf,Buhl Roland,Casper Ingrid,Chaker Adam,Czech Wolfgang,Fischer Jörg,Fuchs Thomas,Gerstlauer Michael,Hörmann Karl,Jakob Thilo,Jung Kirsten,Kopp Matthias V.,Mahler Vera,Merk Hans,Mülleneisen Norbert,Nemat Katja,Rabe Uta,Ring Johannes,Saloga Joachim,Schlenter Wolfgang,Schmidt-Weber Carsten,Seyfarth Holger,Sperl Annette,Spindler Thomas,Staubach Petra,Strieth Sebastian,Treudler Regina,Vogelberg Christian,Wallrafen Andrea,Wehrmann Wolfgang,Wrede Holger,Zuberbier Torsten,Bedbrook Anna,Canonica Giorgio W.,Cardona Victoria,Casale Thomas B.,Czarlewski Wienczylawa,Fokkens Wytske J.,Hamelmann Eckard,Hellings Peter W.,Jutel Marek,Larenas-Linnemann Désirée,Mullol Joaquim,Papadopoulos Nikolaos G.,Toppila-Salmi Sanna,Werfel Thomas,Bousquet Jean

Abstract

Abstract 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 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 The present ICP (integrated care pathways) 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 A comprehensive ICP guideline can reflect real-life care better than traditional guideline models.

Publisher

Springer Science and Business Media LLC

Subject

Immunology and Allergy

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