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

Allergologie Select Pub Date : 2019-12-30 eCollection Date: 2019-01-01 DOI:10.5414/ALX02120E
Ludger Klimek, Claus Bachert, Oliver Pfaar, Sven Becker, Thomas Bieber, Randolph Brehler, Roland Buhl, Ingrid Casper, Adam Chaker, Wolfgang Czech, Jörg Fischer, Thomas Fuchs, Michael Gerstlauer, Karl Hörmann, Thilo Jakob, Kirsten Jung, Matthias V Kopp, Vera Mahler, Hans Merk, Norbert Mülleneisen, Katja Nemat, Uta Rabe, Johannes Ring, Joachim Saloga, Wolfgang Schlenter, Carsten Schmidt-Weber, Holger Seyfarth, Annette Sperl, Thomas Spindler, Petra Staubach, Sebastian Strieth, Regina Treudler, Christian Vogelberg, Andrea Wallrafen, Wolfgang Wehrmann, Holger Wrede, Torsten Zuberbier, Anna Bedbrook, Giorgio W Canonica, Victoria Cardona, Thomas B Casale, Wienczylawa Czarlewski, Wytske J Fokkens, Eckard Hamelmann, Marek Jutel, Désirée Larenas-Linnemann, Joaquim Mullol, Nikolaos G Papadopoulos, Sanna Toppila-Salmi, Thomas Werfel, Jean Bousquet
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引用次数: 0

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 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.

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ARIA指南2019:在德国卫生系统中治疗过敏性鼻炎。
背景:世界范围内受过敏影响的患者数量正在增加。由此产生的过敏性疾病给卫生保健和社会系统带来了巨大的成本。需要综合护理途径来实现国家卫生系统内的全面护理。ARIA(变应性鼻炎及其对哮喘的影响)倡议制定了过敏性呼吸道疾病的国际适用指南。方法:ARIA改善对过敏和慢性呼吸系统疾病患者的护理。与过敏和呼吸疾病领域的其他国际倡议、国家协会和患者组织合作,开发了现实生活中的综合护理途径,用于数字化辅助、综合、个性化治疗过敏性鼻炎(AR)合并哮喘。在目前的工作中,这些综合护理途径已经适应了德国的情况和卫生系统。结果:目前的ICP(综合护理路径)指南涵盖了伴有和不伴有哮喘的AR患者护理的关键领域。它包括患者和其他医疗保健提供者的观点。讨论:一个全面的ICP指南可以比传统的指南模型更好地反映现实生活中的护理。
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