Concepts for the Development of Person-Centered, Digitally Enabled, Artificial Intelligence-Assisted ARIA Care Pathways (ARIA 2024)

被引：1

作者：

Bousquet, Jean ^{[1
,2
,3
,4
,5
]}

Schuenemann, Holger J. ^{[4
,6
,7
,8
]}

Sousa-Pinto, Bernardo ^{[9
,10
]}

Zuberbier, Torsten ^{[1
,2
,3
,4
,6
,7
]}

Togias, Alkis ^{[11
]}

Samolinski, Boleslaw ^{[12
]}

Bedbrook, Anna ^{[5
]}

Czarlewski, Wienczyslawa ^{[5
,13
]}

Hofmann-Apitius, Martin ^{[14
]}

Litynska, Justyna ^{[15
,16
]}

Vieira, Rafael Jose ^{[9
,10
]}

Anto, Josep M. ^{[17
,18
,19
]}

Fonseca, Joao A. ^{[9
,10
]}

Brozek, Jan ^{[6
,7
]}

Bognanni, Antonio ^{[20
,21
]}

Brussino, Luisa ^{[22
,23
]}

Canonica, G. Walter ^{[24
,25
]}

Cherrez-Ojeda, Ivan ^{[26
,27
]}

Cruz, Alvaro A. ^{[28
,29
]}

de las Vecillas, Leticia ^{[30
]}

Dykewicz, Mark ^{[31
]}

Gemicioglu, Bilun ^{[32
,33
]}

Giovannini, Mattia ^{[34
,35
]}

Haahtela, Tari ^{[36
,37
]}

Jacobs, Marc ^{[14
]}

Jacomelli, Cristina ^{[38
]}

Klimek, Ludger ^{[39
,40
]}

Kvedariene, Violeta ^{[41
,42
]}

Larenas-Linnemann, Desiree E. ^{[43
]}

Louis, Gilles ^{[44
]}

Lourenco, Olga ^{[45
,46
]}

Leemann, Lucas ^{[47
]}

Morais-Almeida, Mario ^{[48
]}

Neves, Ana Luisa ^{[49
]}

Nadeau, Kari C. ^{[50
,51
]}

Nowak, Artur ^{[15
,16
]}

Palamarchuk, Yuliia ^{[52
]}

Palkonen, Susanna ^{[53
]}

Papadopoulos, Nikolaos G. ^{[54
]}

Parmelli, Elena ^{[24
,25
]}

Pereira, Ana Margarida ^{[9
,55
,56
]}

Pfaar, Oliver ^{[57
]}

Regateiro, Frederico S. ^{[58
,59
,60
,63
,64
]}

Savoure, Marine ^{[61
]}

Taborda-Barata, Luis ^{[62
,63
,64
]}

Toppila-Salmi, Sanna K. ^{[37
,65
,66
,67
]}

Torres, Maria J. ^{[68
]}

Valiulis, Arunas ^{[69
,70
]}

Ventura, Maria Teresa ^{[71
,72
]}

Williams, Sian ^{[73
]}

机构：

[1] Charite Univ Med Berlin, Inst Allergol, Berlin, Germany

[2] Free Univ Berlin, Berlin, Germany

[3] Humboldt Univ, Berlin, Germany

[4] Fraunhofer Inst Translat Med & Pharmacol ITMP, Immunol & Allergol, Berlin, Germany

[5] ARIA, Montpellier, France

[6] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada

[7] McMaster Univ, Dept Med, Hamilton, ON, Canada

[8] Humanitas Univ, Dept Biomed Sci, Milan, Italy

[9] Univ Porto, MEDCIDS Dept Community Med Informat & Hlth Decis, Fac Med, Porto, Portugal

[10] Univ Porto, CINTESIS RISE Hlth Res Network, Fac Med, Porto, Portugal

[11] NIAID, Div Allergy Immunol & Transplantat, NIH, 9000 Rockville Pike, Bethesda, MD 20892 USA

[12] Med Univ Warsaw, Dept Prevent Environm Hazards Allergol & Immunol, Warsaw, Poland

[13] Med Consulting Czarlewski, Levallois Perret, France

[14] Fraunhofer Inst Algorithms & Sci Comp SCAI, Dept Bioinformat, Bonn, Germany

[15] Evidence Prime, Krakow, Poland

[16] Dist Hosp, Gynecol & Obstetrician Polyclin, Bialystok, Poland

[17] Barcelona Inst Global Hlth, ISGlobal, Barcelona, Spain

[18] Univ Pompeu Fabra, Dept Expt Sci, Barcelona, Spain

[19] CIBER Epidemiol & Salud Publ CIBERESP, Dept Epidemiol & Publ Hlth, Barcelona, Spain

[20] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Evidence Allergy Grp, Hamilton, ON, Canada

[21] McMaster Univ, Dept Med, Evidence Allergy Grp, Hamilton, ON, Canada

[22] Univ Torino, Dept Med Sci, Turin, Italy

[23] Mauriziano Hosp, Allergy & Clin Immunol Unit, Turin, Italy

[24] Humanitas Univ, Dept Biomed Sci, Milan, Italy

[25] IRCCS Humanitas Res Hosp, Asthma & Allergy Unit, Milan, Italy

[26] Univ Espiritu Santo, Res Ctr Respiralab, Samborondon, Ecuador

[27] Respiralab Res Grp, Dept Allergol & Pulmonol, Guayaquil, Guayas, Ecuador

[28] Univ Fed Bahia, Fundacao ProAR, Salvador, BA, Brazil

[29] GARD WHO Planning Grp, Salvador, BA, Brazil

[30] Hosp La Paz Inst Hlth Res IdiPAZ, Dept Allergy, Madrid, Spain

[31] St Louis Univ, Sch Med, Sect Allergy & Immunol, St Louis, MO USA

[32] Istanbul Univ Cerrahpasa, Dept Pulm Dis, Cerrahpasa Fac Med, Istanbul, Turkiye

[33] Istanbul Univ Cerrahpasa, Inst Pulmonol & TB, Cerrahpasa Fac Med, Istanbul, Turkiye

[34] Univ Florence, Dept Hlth Sci, Florence, Italy

[35] Meyer Childrens Hosp IRCCS, Allergy Unit, Florence, Italy

[36] Helsinki Univ Hosp, Skin & Allergy Hosp, Helsinki, Finland

[37] Univ Helsinki, Helsinki, Finland

[38] Respiriamo Insieme Assoc, Ctr Asthma & Allergy, Padua, Italy

[39] Univ Med Mainz, Dept Otolaryngol Head & Neck Surg, Mainz, Germany

[40] Ctr Rhinol & Allergol, Allergol & Rhinol Dept, Wiesbaden, Germany

[41] Vilnius Univ, Inst Clin Med, Clin Chest Dis & Allergol, Fac Med, Vilnius, Lithuania

[42] Vilnius Univ, Dept Pathol, Inst Biomed Sci, Fac Med, Vilnius, Lithuania

[43] Med Sur Clin Fdn & Hosp, Ctr Excellence Asthma & Allergy, Mexico City, DF, Mexico

[44] Univ Liege, Dept Publ Hlth, Liege, Belgium

[45] Univ Beira Interior, Hlth Sci Res Ctr, Fac Hlth Sci, Covilha, Portugal

[46] Univ Beira Interior, CICS UBI, Hlth Sci Res Ctr, Covilha, Portugal

[47] Univ Zurich, Dept Polit Sci, Zurich, Switzerland

[48] CUF Descobertas Hosp, Allergy Ctr, Lisbon, Portugal

[49] Imperial Coll, Dept Primary Care & Publ Hlth, Global Digital Hlth Unit, London, England

[50] Harvard TH Chan Sch Publ Hlth, Dept Environm Hlth, Boston, MA USA

来源：

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE | 2024年 / 12卷 / 10期

关键词：

ARIA; Artificial intelligence; Asthma; Evidence-based medicine; Person-centered care; Rhinitis; mHealth; EUROPEAN INNOVATION PARTNERSHIP; SEASONAL ALLERGIC RHINITIS; AIR-POLLUTION; ASTHMA MULTIMORBIDITY; RESPIRATORY-DISEASES; GLOBAL ALLIANCE; MOBILE TECHNOLOGY; GRADING QUALITY; HEALTH LITERACY; PATIENT-CARE;

D O I：

10.1016/j.jaip.2024.06.040

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

The traditional healthcare model is focused on diseases (medicine and natural science) and does not acknowledge patients' resources and abilities to be experts in their own lives based on their lived experiences. Improving healthcare safety, quality, and coordination, as well as quality of life, is an important aim in the care of patients with chronic conditions. Person-centered care needs to ensure that people's values and preferences guide clinical decisions. This paper reviews current knowledge to develop (1) digital care pathways for rhinitis and asthma multimorbidity and (2) digitally enabled, person-centered care.(1) It combines all relevant research evidence, including the so-called real-world evidence, with the ultimate goal to develop digitally enabled, patient-centered care. The paper includes (1) Allergic Rhinitis and its Impact on Asthma (ARIA), a 2-decade journey, (2) Grading of Recommendations, Assessment, Development and Evaluation (GRADE), the evidence-based model of guidelines in airway diseases, (3) mHealth impact on airway diseases, (4) From guidelines to digital care pathways, (5) Embedding Planetary Health, (6) Novel classification of rhinitis and asthma, (7) Embedding real-life data with population-based studies, (8) The ARIA-EAACI (European Academy of Allergy and Clinical Immunology) strategy for the management of airway diseases using digital biomarkers, (9) Artificial intelligence, (10) The development of digitally enabled, ARIA person-centered care, and (11) The political agenda. The ultimate goal is to propose ARIA 2024 guidelines centered around the patient to make them more applicable and sustainable. (c) 2024 The Authors. Published by Elsevier Inc. on behalf of the American Academy of Allergy, Asthma & Immunology. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).

引用

页码：2648 / +

页数：23

共 7 条

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