ARIA 2016: Care pathways implementing emerging technologies for predictive medicine in rhinitis and asthma across the life cycle

被引:101
作者
Bousquet, J. [1 ,2 ,3 ,313 ]
Hellings, P. W. [4 ]
Agache, I. [5 ]
Bedbrook, A. [2 ]
Bachert, C. [6 ]
Bergmann, K. C. [7 ,8 ]
Bewick, M. [9 ]
Bindslev-Jensen, C. [10 ]
Bosnic-Anticevitch, S. [11 ]
Bucca, C. [12 ]
Caimmi, D. P. [13 ]
Camargos, P. A. M. [14 ]
Canonica, G. W. [15 ]
Casale, T. [16 ]
Chavannes, N. H. [17 ]
Cruz, A. A. [18 ,19 ]
De Carlo, G. [20 ]
Dahl, R. [18 ]
Demoly, P. [13 ,21 ,22 ]
Devillier, P. [23 ]
Fonseca, J. [24 ,26 ]
Fokkens, W. J. [27 ]
Guldemond, N. A. [28 ]
Haahtela, T. [29 ]
Illario, M. [30 ]
Just, J. [31 ]
Keil, T. [32 ,33 ]
Klimek, L. [34 ]
Kuna, P. [35 ]
Larenas-Linnemann, D. [36 ]
Morais-Almeida, M. [37 ]
Mullol, J. [38 ]
Murray, R. [39 ]
Naclerio, R. [40 ]
O'Hehir, R. E. [41 ,42 ]
Papadopoulos, N. G. [43 ,44 ]
Pawankar, R. [45 ]
Potter, P. [46 ]
Ryan, D. [47 ,48 ]
Samolinski, B. [49 ]
Schunemann, H. J. [50 ]
Sheikh, A. [51 ]
Simons, F. E. R. [52 ]
Stellato, C. [53 ]
Todo-Bom, A. [54 ]
Tomazic, P. V. [55 ]
Valiulis, A. [56 ,57 ,58 ]
Valovirta, E. [59 ,60 ]
Ventura, M. T. [61 ]
Wickman, M. [62 ,63 ]
机构
[1] Montpellier Univ Hosp, Montpellier, France
[2] European Innovat Partnership Act & Hlth Ageing Re, MAlad Chron Vleillissement Actif France, MACVIA France, Montpellier, France
[3] INSERM, Ageing & Chron Dis Epidemiol & Publ Hlth Approach, U1168, F-94800 Villejuif, France
[4] Katholieke Univ Leuven, Dept Microbiol & Immunol, Clin Immunol Lab, Louvain, Belgium
[5] Transylvania Univ Brasov, Brasov, Romania
[6] Ghent Univ Hosp, ENT Dept, Upper Airways Res Lab, Ghent, Belgium
[7] Charite, Dept Dermatol & Allergy, Allergy Ctr Charite, Berlin, Germany
[8] Global Allergy & Asthma European Network, Berlin, Germany
[9] iQ4U Consultants Ltd, London, England
[10] Odense Univ Hosp, Dept Dermatol, Odense, Denmark
[11] Odense Univ Hosp, Allergy Ctr, Odense, Denmark
[12] Univ Sydney & Sydney Local Hlth Dist, Woolcock Inst Med Res, Glebe, NSW, Australia
[13] Hosp City Hlth & Sci Torino, Univ Pneumol Unit AOU Molinette, Turin, Italy
[14] Montpellier Univ Hosp, Dept Resp Dis, Montpellier, France
[15] Univ Fed Minas Gerais, Dept Pediat, Sch Med, Belo Horizonte, MG, Brazil
[16] Humanitas Univ, Asthma & Allergy Clin, Milan, Italy
[17] Univ S Florida, Div Allergy Immunol, Tampa, FL USA
[18] Leiden Univ, Med Ctr, Dept Publ Hlth & Primary Care, Leiden, Netherlands
[19] Univ Fed Bahia, ProAR Nucleo Excelencia Asma, Salvador, BA, Brazil
[20] GARD Execut Comm, Salvador, BA, Brazil
[21] EFA European Federat Allergy & Airways Dis Patien, Brussels, Belgium
[22] INSERM, EPAR U707, Paris, France
[23] Univ Paris 06, EPAR UMR S UPMC, Paris, France
[24] Suresnes Univ Versailles, Hop Foch, Lab Pharmacol Resp UPRES EA220, St Quentin en Yvelines, France
[25] Univ Porto, Ctr Res Hlth Technol & Informat Syst CINTESIS, Porto, Portugal
[26] Inst CUF Porto, Allergy Unit, Porto, Portugal
[27] Hosp CUF Porto, Porto, Portugal
[28] Univ Porto, Fac Med, Hlth Informat & Decis Sci Dept CIDES, Rua Dr Placido da Costa S-N, P-4200450 Porto, Portugal
[29] Acad Med Ctr, Dept Otorhinolaryngol, Amsterdam, Netherlands
[30] Erasmus Univ, Inst Hlth Policy & Management IBMG, Rotterdam, Netherlands
[31] Helsinki Univ Hosp, Skin & Allergy Hosp, Helsinki, Finland
[32] Univ Naples Federico II, Hosp Naples R&D & DISMET, Naples, Italy
[33] Univ Paris 06, UPMC,Equipe EPAR, Sorbonne Univ,Dept Allergol,Inst Pierre Louis Epi, Hopital Enfants Armand Trousseau,AP HP,Ctr Asthme, F-75013 Paris, France
[34] Charite, Inst Social Med Epidemiol & Hlth Econ, Berlin, Germany
[35] Univ Wurzburg, Inst Clin Epidemiol & Biometry, Wurzburg, Germany
[36] Ctr Rhinol & Allergol, Wiesbaden, Germany
[37] Med Univ Lodz, Barlicki Univ Hosp, Div Internal Med Asthma & Allergy, Lodz, Poland
[38] Univ Barcelona, CIBERES, IDIBAPS, Hosp Clin,ENT Dept,Clin & Expt Resp Immunoallergy, Barcelona, Catalonia, Spain
[39] Univ Chicago, Med Ctr, Sect Otolaryngol Head & Neck Surg, Chicago, IL 60637 USA
[40] Univ Chicago, Pritzker Sch Med, Chicago, IL 60637 USA
[41] Monash Univ, Alfred Hosp, Dept Allergy Immunol & Resp Med, Melbourne, Vic, Australia
[42] Monash Univ, Cent Clin Sch, Melbourne, Vic, Australia
[43] Monash Univ, Dept Immunol, Melbourne, Vic, Australia
[44] Univ Manchester, Royal Manchester Childrens Hosp, Inst Human Dev, Ctr Pediat & Child Hlth, Manchester, Lancs, England
[45] Univ Athens, Athens Gen Childrens Hosp P&A Kyriakou, Pediat Clin 2, Dept Allergy, Athens, Greece
[46] Nippon Med Sch, Dept Pediat, Tokyo, Japan
[47] Univ Cape Town, Lung Inst, Allergy Diagnost & Clin Res Unit, Cape Town, South Africa
[48] Woodbrook Med Ctr, Loughborough, Leics, England
[49] Univ Edinburgh, Allergy & Resp Res Grp, Edinburgh, Midlothian, Scotland
[50] Med Univ Warsaw, Dept Prevent Environm Hazards & Allergol, Warsaw, Poland
关键词
ARIA; Rhinitis; ICT; EIP on AHA; Mobile technology; AIRWAYS ICPs; EUROPEAN INNOVATION PARTNERSHIP; VISUAL ANALOG SCALE; QUALITY-OF-LIFE; PERSISTENT ALLERGIC RHINITIS; CLINICAL-PRACTICE; IMPACT; HEALTH; CLASSIFICATION; PREVALENCE; EFFICACY;
D O I
10.1186/s13601-016-0137-4
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
The Allergic Rhinitis and its Impact on Asthma (ARIA) initiative commenced during a World Health Organization workshop in 1999. The initial goals were (1) to propose a new allergic rhinitis classification, (2) to promote the concept of multi-morbidity in asthma and rhinitis and (3) to develop guidelines with all stakeholders that could be used globally for all countries and populations. ARIA-disseminated and implemented in over 70 countries globally-is now focusing on the implementation of emerging technologies for individualized and predictive medicine. MASK [MACVIA (Contre les Maladies Chroniques pour un Vieillissement Actif)-ARIA Sentinel NetworK] uses mobile technology to develop care pathways for the management of rhinitis and asthma by a multi-disciplinary group and by patients themselves. An app (Android and iOS) is available in 20 countries and 15 languages. It uses a visual analogue scale to assess symptom control and work productivity as well as a clinical decision support system. It is associated with an inter-operable tablet for physicians and other health care professionals. The scaling up strategy uses the recommendations of the European Innovation Partnership on Active and Healthy Ageing. The aim of the novel ARIA approach is to provide an active and healthy life to rhinitis sufferers, whatever their age, sex or socio-economic status, in order to reduce health and social inequalities incurred by the disease.
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