ARIA 2019: An Integrated Care Pathway for Allergic Rhinitis in Portugal

Detalhes bibliográficos
Autor(a) principal: Fonseca, J
Data de Publicação: 2021
Outros Autores: 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
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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spelling 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
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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
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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