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

Autor:	Klimek L; Center of Rhinology and Allergology, Wiesbaden, Germany., Bachert C; Upper Airways Research Laboratory and Department of Oto-Rhino-Laryngology, Ghent University and Ghent, University Hospital, Ghent, Belgium, Division of ENT Diseases, CLINTEC, Karolinska Institute, University of Stockholm, Stockholm, Sweden., Pfaar O; Department of Otorhinolaryngology, Head and Neck, Surgery, Section of Rhinology and Allergy, University, Hospital Marburg, Philipps-Universität Marburg,Marburg, Germany., Becker S; Department of Otolaryngology, Head and Neck Surgery, University of Tübingen, Tübingen, Germany., Bieber T; Department of Dermatology and Allergy, University of Bonn, Bonn, Germany, Christine Kühne-Center for Allergy Research and Education (CK-CARE) Davos-Augsburg-Bonn-St Gallen-Zürich, St. Gallen, Switzerland., Brehler R; Department of Allergy, Occupational Dermatology and Environmental Medicine, Universitätsklinikum Münster, Münster, Germany., Buhl R; Pulmonary Department,Mainz University Hospital,Mainz, Germany., Casper I; Center of Rhinology and Allergology, Wiesbaden, Germany., Chaker A; Department of Otolaryngology and Center for Allergy and Environment (ZAUM), Klinikum rechts der Isar, Technical University of Munich and Helmholtz Center Munich, Munich, Germany., Czech W; Department of Dermatology, University of Freiburg, Freiburg, Germany., Fischer J; Department of Dermatology, Eberhard Karls University, Tübingen, Tübingen, Germany., Fuchs T; Department of Dermatology, Venereology, and Allergology, University Medical Center, Georg August University, Göttingen, Germany., Gerstlauer M; Pediatric Pneumology and Allergology Unit, Medical University of Augsburg, Augsburg, Germany., Hörmann K; Department of Otorhinolaryngology, Mannheim University Hospital, Mannheim, Germany., Jakob T; Department of Dermatology and Allergology, University Medical Center Gießen and Marburg, Campus Gießen, Justus-Liebig-University, Gießen, Germany., Jung K; Group Practice for Dermatology, Erfurt, Germany., Kopp MV; Clinic of Pediatric and Adolescent Medicine, Airway Research Center North (ARCN), Member of the German Lung Center (DZL), Lübeck University, Lübeck, Germany., Mahler V; Medical Faculty, Friedrich-Alexander-University (FAU) Erlangen-Nürnberg, Germany., Merk H; Department of Dermatology and Allergology, University Hospital, RWTH Aachen University, Aachen, Germany., Mülleneisen N; Asthma and Allergy Centre, Leverkusen, Germany., Nemat K; Department of Pediatrics, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany., Rabe U; Department of Allergology, Johanniter-Krankenhaus im Fläming Treuenbrietzen GmbH, Treuenbrietzen, Germany., Ring J; Department and Outpatient Clinic for Dermatology and Allergology am Biederstein, Technical University of Munich, Munich, Germany and Christine Kühne Center for Allergy Research and Education (CK-Care), Davos, Switzerland., Saloga J; Department of Dermatology, University Medical Center Mainz,Mainz, Germany., Schlenter W; Former Head ENT - Department, Katharina-Kasper-Kliniken, Marienkrankenhaus, c/o University Hospital, Frankfurt, Germany., Schmidt-Weber C; Center for Allergy and Environment (ZAUM), Member of the German Center of Lung Research (DZL) and the Inflammation and Immunology Helmholtz Initiative, Technical University of Munich and Helmholtz Center Munich, Munich, Germany., Seyfarth H; Pharmacy Association in Hesse, Offenbach, Germany., Sperl A; Center of Rhinology and Allergology, Wiesbaden, Germany., Spindler T; Allergy Campus Davos, Hochgebirgsklinik Davos dpt. Pediatrics, Davos, Switzerland., Staubach P; Department of Dermatology, University Medical Center Mainz,Mainz, Germany., Strieth S; Department of Otolaryngology, University Medical Center Mainz, Mainz, Germany., Treudler R; Department of Dermatology, Venereology and Allergology, LICA - Leipzig Comprehensive Allergy Center, University of Leipzig, Leipzig, Germany., Vogelberg C; Department of Pediatric Pneumology and Allergology, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany., Wallrafen A; German Allergy and Asthma Association, Mönchengladbach, Germany., Wehrmann W; Dermatology Group Practice,Münster, Germany., Wrede H; Herford, North Rhine-Westphalia, Germany., Zuberbier T; Department of Dermatology and Allergy, Allergie-Centrum - Charité, Charité - Universitätsmedizin, Berlin, Berlin, Germany., Bedbrook A; MACVIA-France, Montpellier, France., Canonica GW; Allergy Section, Allergy and Respiratory Diseases, DIMI, University of Genoa, Genoa, Italy., Cardona V; Department of Internal Medicine, Hospital Universitari Vall d'Hebron, Barcelona, Spain., Casale TB; Division of Allergy and Immunology, University of South Florida, Tampa, FL, USA., Czarlewski W; Medical Consulting Czarlewski, Levallois, France., Fokkens WJ; Department Otorhinolaryngologie, Academic Medical Centers, Amsterdam, The Netherlands., Hamelmann E; Children's Center, Protestant Hospital Bethel, University Bielefeld, Bielefeld Germany., Jutel M; Department of Clinical Immunology, Wroclaw Medical University, Wroclaw, Poland and ALL-MED Medical Research Institute, Wroclaw, Poland., Larenas-Linnemann D; HospitalMédica Sur, México City, Mexico., Mullol J; Unitat de Rinologia i Clínica de l'Olfacte, Servei d'ORL, Hospital Clínic, Clinical and Experimental Respiratory Immunoallergy, IDIBAPS, University of Barcelona, Barcelona, Spain., Papadopoulos NG; Department of Allergy, 2., Toppila-Salmi S; Pediatric Clinic, University of Athens, Athens, Greece., Werfel T; Haartman Institute, University of Helsinki, Helsinki, Finland., Bousquet J; Department of Dermatology and Allergy, Allergie-Centrum - Charité, Charité - Universitätsmedizin, Berlin, Berlin, Germany.; MACVIA-France, Montpellier, France.; Division of Immunodermatology and Allergy Research, Department of Dermatology and Allergy, Hannover Medical School, Hannover, Germany.; University Hospital, Montpellier, 49 INSERM, Unit 1168, Paris, France.
Jazyk:	angličtina
Zdroj:	Allergologie select [Allergol Select] 2019 Dec 30; Vol. 3 (1), pp. 22-50. Date of Electronic Publication: 2019 Dec 30 (Print Publication: 2019).
DOI:	10.5414/ALX02120E
Abstrakt:	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 pathway) 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. (© Dustri-Verlag Dr. K. Feistle.)
Databáze:	MEDLINE
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