ARIA 2019: An Integrated Care Pathway for Allergic Rhinitis in Portugal
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/3623 |
Resumo: | The Allergic Rhinitis and Its Impact on Asthma (ARIA) initiative started more than 20 years ago and has developed and disseminated evidence-based guidelines and projects in the field of allergic rhinitis. This initiative is currently focused on providing patient-centred guidelines that contribute to an integrated care pathway between the various levels of care and take advantage of digital solutions, and the introduction of integrated care pathways in clinical practice has been recommended. In this article we describe the adaptation for Portugal of the ARIA Integrated Care Pathways document. After a brief review of the epidemiology and impact of allergic rhinitis in Portugal and the activities carried out in Portugal within the ARIA initiative, we describe the broad knowledge base used for the development of recommendations for the pharmacological treatment of allergic rhinitis, and these recommendations are based on the GRADE methodology, real world evidence acquired by mobile technology (mHealth) and resulting from allergenic exposure chamber studies. What follows is a summary of integrated care pathways for allergen immunotherapy produced in 2019. Allergen immunotherapy is considered an example of precision medicine where the use of mHealth technologies will improve stratification for patient selection and response monitoring. These recommendations were considered as best practices of integrated patient-centred care supported by digital systems from Directorate General for Health and Food Safety of the European Union (DG Santé) and represent the ARIA Phase 4 Change Management strategy. |
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ARIA 2019: An Integrated Care Pathway for Allergic Rhinitis in PortugalARIA 2019: Um Percurso Assistencial Integrado para a Rinite Alérgica em PortugalAsthmaClinical Practice GuidelineDelivery of Health CareRhinitis, Allergic.PortugalHDE ALERThe Allergic Rhinitis and Its Impact on Asthma (ARIA) initiative started more than 20 years ago and has developed and disseminated evidence-based guidelines and projects in the field of allergic rhinitis. This initiative is currently focused on providing patient-centred guidelines that contribute to an integrated care pathway between the various levels of care and take advantage of digital solutions, and the introduction of integrated care pathways in clinical practice has been recommended. In this article we describe the adaptation for Portugal of the ARIA Integrated Care Pathways document. After a brief review of the epidemiology and impact of allergic rhinitis in Portugal and the activities carried out in Portugal within the ARIA initiative, we describe the broad knowledge base used for the development of recommendations for the pharmacological treatment of allergic rhinitis, and these recommendations are based on the GRADE methodology, real world evidence acquired by mobile technology (mHealth) and resulting from allergenic exposure chamber studies. What follows is a summary of integrated care pathways for allergen immunotherapy produced in 2019. Allergen immunotherapy is considered an example of precision medicine where the use of mHealth technologies will improve stratification for patient selection and response monitoring. These recommendations were considered as best practices of integrated patient-centred care supported by digital systems from Directorate General for Health and Food Safety of the European Union (DG Santé) and represent the ARIA Phase 4 Change Management strategy.Centro Editor Livreiro da Ordem dos MédicosRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEFonseca, JTaveira-Gomes, TPereira, AMBranco-Ferreira, MCarreiro-Martins, PAlves-Correia, MCorreia de Sousa, JCosta, ELourenço, OMorais-Almeida, MMorête, ARegateiro, FTodo Bom, ABachert, CPfaar, OWallace, DBedbrook, ACzarlewski, WBousquet, J2021-03-22T16:24:11Z2021-02-012021-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/3623porActa Med Port . 2021 Feb 1;34(2):144-15710.20344/amp.13777info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:43:48Zoai:repositorio.chlc.min-saude.pt:10400.17/3623Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:20:55.484876Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
ARIA 2019: An Integrated Care Pathway for Allergic Rhinitis in Portugal ARIA 2019: Um Percurso Assistencial Integrado para a Rinite Alérgica em Portugal |
title |
ARIA 2019: An Integrated Care Pathway for Allergic Rhinitis in Portugal |
spellingShingle |
ARIA 2019: An Integrated Care Pathway for Allergic Rhinitis in Portugal Fonseca, J Asthma Clinical Practice Guideline Delivery of Health Care Rhinitis, Allergic. Portugal HDE ALER |
title_short |
ARIA 2019: An Integrated Care Pathway for Allergic Rhinitis in Portugal |
title_full |
ARIA 2019: An Integrated Care Pathway for Allergic Rhinitis in Portugal |
title_fullStr |
ARIA 2019: An Integrated Care Pathway for Allergic Rhinitis in Portugal |
title_full_unstemmed |
ARIA 2019: An Integrated Care Pathway for Allergic Rhinitis in Portugal |
title_sort |
ARIA 2019: An Integrated Care Pathway for Allergic Rhinitis in Portugal |
author |
Fonseca, J |
author_facet |
Fonseca, J Taveira-Gomes, T Pereira, AM Branco-Ferreira, M Carreiro-Martins, P Alves-Correia, M Correia de Sousa, J Costa, E Lourenço, O Morais-Almeida, M Morête, A Regateiro, F Todo Bom, A Bachert, C Pfaar, O Wallace, D Bedbrook, A Czarlewski, W Bousquet, J |
author_role |
author |
author2 |
Taveira-Gomes, T Pereira, AM Branco-Ferreira, M Carreiro-Martins, P Alves-Correia, M Correia de Sousa, J Costa, E Lourenço, O Morais-Almeida, M Morête, A Regateiro, F Todo Bom, A Bachert, C Pfaar, O Wallace, D Bedbrook, A Czarlewski, W Bousquet, J |
author2_role |
author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Fonseca, J Taveira-Gomes, T Pereira, AM Branco-Ferreira, M Carreiro-Martins, P Alves-Correia, M Correia de Sousa, J Costa, E Lourenço, O Morais-Almeida, M Morête, A Regateiro, F Todo Bom, A Bachert, C Pfaar, O Wallace, D Bedbrook, A Czarlewski, W Bousquet, J |
dc.subject.por.fl_str_mv |
Asthma Clinical Practice Guideline Delivery of Health Care Rhinitis, Allergic. Portugal HDE ALER |
topic |
Asthma Clinical Practice Guideline Delivery of Health Care Rhinitis, Allergic. Portugal HDE ALER |
description |
The Allergic Rhinitis and Its Impact on Asthma (ARIA) initiative started more than 20 years ago and has developed and disseminated evidence-based guidelines and projects in the field of allergic rhinitis. This initiative is currently focused on providing patient-centred guidelines that contribute to an integrated care pathway between the various levels of care and take advantage of digital solutions, and the introduction of integrated care pathways in clinical practice has been recommended. In this article we describe the adaptation for Portugal of the ARIA Integrated Care Pathways document. After a brief review of the epidemiology and impact of allergic rhinitis in Portugal and the activities carried out in Portugal within the ARIA initiative, we describe the broad knowledge base used for the development of recommendations for the pharmacological treatment of allergic rhinitis, and these recommendations are based on the GRADE methodology, real world evidence acquired by mobile technology (mHealth) and resulting from allergenic exposure chamber studies. What follows is a summary of integrated care pathways for allergen immunotherapy produced in 2019. Allergen immunotherapy is considered an example of precision medicine where the use of mHealth technologies will improve stratification for patient selection and response monitoring. These recommendations were considered as best practices of integrated patient-centred care supported by digital systems from Directorate General for Health and Food Safety of the European Union (DG Santé) and represent the ARIA Phase 4 Change Management strategy. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-03-22T16:24:11Z 2021-02-01 2021-02-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/3623 |
url |
http://hdl.handle.net/10400.17/3623 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Acta Med Port . 2021 Feb 1;34(2):144-157 10.20344/amp.13777 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Centro Editor Livreiro da Ordem dos Médicos |
publisher.none.fl_str_mv |
Centro Editor Livreiro da Ordem dos Médicos |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131305708879872 |