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

Detalhes bibliográficos
Autor(a) principal: Fonseca, João
Data de Publicação: 2021
Outros Autores: Taveira-Gomes, Tiago, Pereira, Ana Margarida, Branco-Ferreira, Manuel, Carreiro-Martins, Pedro, Alves-Correia, Magna, Correia de Sousa, Jaime, Costa, Elísio, Lourenço, Olga, Morais-Almeida, Mário, Morête, Ana, Regateiro, Frederico, Todo Bom, Ana, Bachert, Claus, Pfaar, Oliver, Wallace, Dana, Bedbrook, Anna, Czarlewski, Wienczyslawa, Bousquet, Jean
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777
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 Phase4 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 CareIntegratedPortugalRhinitisAllergicAsmaGuia de Prática ClínicaPortugalPrestação Integrada de Cuidados de SaúdeRinite AlérgicaThe 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 Phase4 Change Management strategy.A iniciativa Allergic Rhinitis and Its Impact on Asthma (ARIA) teve início há mais de 20 anos e tem elaborado e disseminado orientações baseadas em evidência, e desenvolvido projetos na área da rinite alérgica. Esta iniciativa está atualmente focada em proporcionar orientações centradas no doente que contribuam para um percurso integrado entre os vários níveis de cuidados e que tirem partido de soluções digitais, tendo sido recomendada a introdução na prática clínica de percursos assistenciais integrados. Neste artigo descrevemos a adaptação para Portugal do documento ARIA Integrated Care Pathways. Após breve revisão sobre a epidemiologia e o impacto da rinite alérgica em Portugal e das atividades realizadas em Portugal no âmbito da iniciativa ARIA, é descrito o conjunto alargado de conhecimento utilizado para o desenvolvimento das recomendações para o tratamento farmacológico da rinite alérgica, recomendações essas baseadas na metodologia GRADE, evidência do mundo real adquirida por tecnologia móvel (mHealth) e resultante de estudos de câmara de exposição alergénica. Em seguida, são resumidos os percursos assistenciais integrados para imunoterapia com alergénios produzidas em 2019. Considera-se a imunoterapia com alergénios um exemplo de medicina de precisão e em que a utilização de tecnologias mHealth permitirá melhorar a estratificação para seleção dos doentes e monitorização da resposta. Estas recomendações foram consideradas como ‘boas práticas’ dos cuidados integrados centrados no doente apoiados por sistemas digitais da DG Santé (Direção Geral de Saúde e de Segurança Alimentar da União Europeia) e representam a estratégia de gestão da mudança da fase 4 do ARIA.Ordem dos Médicos2021-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfimage/pngapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documenthttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777oai:ojs.www.actamedicaportuguesa.com:article/13777Acta Médica Portuguesa; Vol. 34 No. 2 (2021): February; 144-157Acta Médica Portuguesa; Vol. 34 N.º 2 (2021): Fevereiro; 144-1571646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/6215https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/12428https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/12429https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/12430https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/12431https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/12898https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/12957Direitos de Autor (c) 2020 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessFonseca, JoãoTaveira-Gomes, TiagoPereira, Ana MargaridaBranco-Ferreira, ManuelCarreiro-Martins, PedroAlves-Correia, MagnaCorreia de Sousa, JaimeCosta, ElísioLourenço, OlgaMorais-Almeida, MárioMorête, AnaRegateiro, FredericoTodo Bom, AnaBachert, ClausPfaar, OliverWallace, DanaBedbrook, AnnaCzarlewski, WienczyslawaBousquet, Jean2022-12-20T11:07:00Zoai:ojs.www.actamedicaportuguesa.com:article/13777Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:23.787206Repositório 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, João
Asthma
Clinical Practice Guideline
Delivery of Health Care
Integrated
Portugal
Rhinitis
Allergic
Asma
Guia de Prática Clínica
Portugal
Prestação Integrada de Cuidados de Saúde
Rinite Alérgica
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, João
author_facet Fonseca, João
Taveira-Gomes, Tiago
Pereira, Ana Margarida
Branco-Ferreira, Manuel
Carreiro-Martins, Pedro
Alves-Correia, Magna
Correia de Sousa, Jaime
Costa, Elísio
Lourenço, Olga
Morais-Almeida, Mário
Morête, Ana
Regateiro, Frederico
Todo Bom, Ana
Bachert, Claus
Pfaar, Oliver
Wallace, Dana
Bedbrook, Anna
Czarlewski, Wienczyslawa
Bousquet, Jean
author_role author
author2 Taveira-Gomes, Tiago
Pereira, Ana Margarida
Branco-Ferreira, Manuel
Carreiro-Martins, Pedro
Alves-Correia, Magna
Correia de Sousa, Jaime
Costa, Elísio
Lourenço, Olga
Morais-Almeida, Mário
Morête, Ana
Regateiro, Frederico
Todo Bom, Ana
Bachert, Claus
Pfaar, Oliver
Wallace, Dana
Bedbrook, Anna
Czarlewski, Wienczyslawa
Bousquet, Jean
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Fonseca, João
Taveira-Gomes, Tiago
Pereira, Ana Margarida
Branco-Ferreira, Manuel
Carreiro-Martins, Pedro
Alves-Correia, Magna
Correia de Sousa, Jaime
Costa, Elísio
Lourenço, Olga
Morais-Almeida, Mário
Morête, Ana
Regateiro, Frederico
Todo Bom, Ana
Bachert, Claus
Pfaar, Oliver
Wallace, Dana
Bedbrook, Anna
Czarlewski, Wienczyslawa
Bousquet, Jean
dc.subject.por.fl_str_mv Asthma
Clinical Practice Guideline
Delivery of Health Care
Integrated
Portugal
Rhinitis
Allergic
Asma
Guia de Prática Clínica
Portugal
Prestação Integrada de Cuidados de Saúde
Rinite Alérgica
topic Asthma
Clinical Practice Guideline
Delivery of Health Care
Integrated
Portugal
Rhinitis
Allergic
Asma
Guia de Prática Clínica
Portugal
Prestação Integrada de Cuidados de Saúde
Rinite Alérgica
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 Phase4 Change Management strategy.
publishDate 2021
dc.date.none.fl_str_mv 2021-02-01
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url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/6215
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/12428
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/12429
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/12430
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/12431
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/12898
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13777/12957
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2020 Acta Médica Portuguesa
info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 34 No. 2 (2021): February; 144-157
Acta Médica Portuguesa; Vol. 34 N.º 2 (2021): Fevereiro; 144-157
1646-0758
0870-399X
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