A concept for integrated care pathways for atopic dermatitis-A GA2LEN ADCARE initiative

被引：2

作者：

Zuberbier, Torsten ^{[1
,2
]}

Abdul Latiff, Amir ^{[3
]}

Aggelidis, Xenofon ^{[4
]}

Augustin, Matthias ^{[5
,6
]}

Balan, Radu-Gheorghe ^{[7
]}

Bangert, Christine ^{[8
]}

Beck, Lisa ^{[9
]}

Bieber, Thomas ^{[10
,11
]}

Bernstein, Jonathan A. ^{[12
]}

Bertolin Colilla, Marta ^{[13
]}

Berardi, Alejandro ^{[14
]}

Bedbrook, Anna ^{[15
]}

Bindslev-Jensen, Carsten ^{[16
]}

Bousquet, Jean ^{[17
]}

de Bruin-Weller, Marjolein ^{[18
]}

Bruscky, Dayanne ^{[19
]}

Buyuktiryaki, Betul ^{[20
]}

Canonica, Giorgio Walter ^{[21
]}

Castro, Carla ^{[22
]}

Chanturidze, Natia ^{[23
]}

Chong-Neto, Herberto Jose ^{[17
]}

Chu, Chia-Yu ^{[24
]}

Chularojanamontri, Leena ^{[25
]}

Cork, Michael ^{[26
]}

Criado, Roberta F. J. ^{[27
,28
]}

Barredo, Laia Curto ^{[29
]}

Custovic, Adnan ^{[30
]}

Darsow, Ulf ^{[31
]}

Emurlai, Arben ^{[32
]}

de Pablo, Ana ^{[33
]}

Del Giacco, Stefano ^{[34
]}

Girolomoni, Giampiero ^{[35
]}

Deleva Jovanova, Tanja ^{[36
]}

Deleuran, Mette ^{[37
]}

Douladiris, Nikolaos ^{[4
]}

Duarte, Bruno ^{[38
]}

Dubakiene, Ruta ^{[39
]}

Eller, Esben ^{[16
]}

Engel-Yeger, Batya ^{[40
]}

Ensina, Luis Felipe ^{[41
]}

Rosario Filho, Nelson ^{[17
]}

Flohr, Carsten ^{[42
]}

Fomina, Daria ^{[43
]}

Francuzik, Wojciech ^{[44
,45
,46
]}

Galimberti, Maria Laura ^{[47
]}

Gimenez-Arnau, Ana M. ^{[48
]}

Godse, Kiran ^{[49
]}

Mortz, Charlotte Gotthard ^{[16
]}

Gotua, Maia ^{[23
]}

Hide, Michihiro ^{[50
]}

机构：

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

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

[3] Pantai Hosp Kuala Lumpur, Kuala Lumpur, Malaysia

[4] Natl & Kapodistrian Univ Athens, Univ Gen Hosp Attikon, Dept Dermatol & Venereol 2, Allergy Unit, Athens, Greece

[5] Univ Med Ctr Hamburg Eppendorf, Hamburg, Germany

[6] Inst Hlth Serv Res Dermatol & Nursing, Hamburg, Germany

[7] Inst Reg Gastroenterol & Hepatol, Cluj Napoca, Romania

[8] Med Univ Vienna, Dept Dermatol, Vienna, Austria

[9] Univ Rochester Med Ctr, Rochester, NY USA

[10] Univ Hosp Bonn, Bonn, Germany

[11] Christine Kuhne Ctr Allergy Res & Educ, Davos, Switzerland

[12] Univ Cincinnati, Coll Med, Cincinnati, OH USA

[13] Hosp Mar, Barcelona, Spain

[14] Inst Asma Alergia & Enfermedades Resp, Corrientes, Argentina

[15] Fdn Partenariale FMC VIA LR, MACVIA France, Montpellier, France

[16] Univ Southern Denmark, Odense Univ Hosp, Odense Res Ctr Anaphylaxis ORCA, Dept Dermatol & Allergy Ctr, Odense, Denmark

[17] Complexo Hosp Clin Fed Univ Parana, Div Allergy & Immunol, Curitiba, Parana, Brazil

[18] Univ Med Ctr Utrecht, Natl Expertise Ctr Atop Dermatitis, Dept Dermatol Allergol, Utrecht, Netherlands

[19] Univ Fed Pernambuco, Recife, PE, Brazil

[20] Koc Univ Hosp, Div Pediat Allergy, Istanbul, Turkiye

[21] IRCCS Humanitas Res Hosp, Personalized Med Asthma & Allergy, Milan, Italy

[22] Univ Austral, Hosp Univ Austral, Dept Dermatol, Buenos Aires, DF, Argentina

[23] Ctr Allergy & Immunol, Tbilisi, Georgia

[24] Natl Taiwan Univ Hosp, Dept Dermatol, Taipei, Taiwan

[25] Mahidol Univ, Siriraj Hosp, Dept Dermatol, Fac Med, Bangkok, Thailand

[26] Univ Sheffield, Sheffield Dermatol Res, IICD, Sheffield, S Yorkshire, England

[27] Alergoskin Alergia & Dermatol, Santo Andre, SP, Brazil

[28] Ctr Univ FMABC, Dept Dermatol, Santo Andre, SP, Brazil

[29] Hosp Mar, Parc Salut Mar, Barcelona, Spain

[30] Imperial Coll, Natl Heart & Lung Inst, London, England

[31] Tech Univ Munich, Dept Dermatol & Allergy Biederstein, Munich, Germany

[32] Clin Hosp Tetovo, Tetovo, North Macedonia

[33] Hosp Univ Austral, Pilar, Argentina

[34] Univ Cagliari, Allergy & Clin Immunol, Sardinia, Italy

[35] Univ Verona, Dept Med, Sect Dermatol, Verona, Italy

[36] Hlth Ctr Skoplje, Skoplje, North Macedonia

[37] Aarhus Univ Hosp, Dept Dermatol, Aarhus, Denmark

[38] Ctr Univ Lisboa Cent, Hosp Santo Antonio Capuchos, Lisbon, Portugal

[39] Vilnius Univ, Fac Med, Clin Chest Dis, Dept Immunol & Allergol, Vilnius, Lithuania

[40] Univ Haifa, Fac Social Welf & Hlth Sci, Occupat Therapy Dept, Haifa, Israel

[41] CPAlpha Clin Res Ctr, Barueri, SP, Brazil

[42] St Thomas Hosp, St Johns Inst Dermatol, London, England

[43] Clin State Hosp 52, Ctr Allergy & Immunol, Moscow, Russia

[44] Charite Univ Med Berlin, Dept Dermatol Venereol & Allergol, Div Allergy & Immunol, Berlin, Germany

[45] Free Univ Berlin, Berlin, Germany

[46] Humboldt Univ, Berlin, Germany

[47] Hosp Italiano Buenos Aires, Buenos Aires, DF, Argentina

[48] Univ Autonoma & Univ Pompeu Fabra, Hosp Mar, Dept Dermatol, IMIM, Barcelona, Spain

[49] DY Patil Univ, Navi Mumbai, Maharashtra, India

[50] Hiroshima Univ Hosp, Dept Dermatol, Hiroshima, Japan

来源：

CLINICAL AND TRANSLATIONAL ALLERGY | 2023年 / 13卷 / 09期

关键词：

atopic dermatitis; eczema; guidance; ICP; integrated care pathways; multidisciplinary; prevention; treatment; TOPICAL CORTICOSTEROID PHOBIA; EUROPEAN GUIDELINES; ALLERGIC RHINITIS; DOUBLE-BLIND; ECZEMA; ADULTS; COMORBIDITIES; CHILDREN; PREVALENCE; EMOLLIENT;

D O I：

10.1002/clt2.12299

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

Introduction: The integrated care pathways for atopic dermatitis (AD-ICPs) aim to bridge the gap between existing AD treatment evidence-based guidelines and expert opinion based on daily practice by offering a structured multidisciplinary plan for patient management of AD. ICPs have the potential to enhance guideline recommendations by combining interventions and aspects from different guidelines, integrating quality assurance, and describing co-ordination of care. Most importantly, patients can enter the ICPs at any level depending on AD severity, resources available in their country, and economic factors such as differences in insurance reimbursement systems.Methods: The GA(2)LEN ADCARE network and partners as well as all stakeholders, abbreviated as the AD-ICPs working group, were involved in the discussion and preparation of the AD ICPs during a series of subgroup workshops and meetings in years 2020 and 2021, after which the document was circulated within all GAL(2)EN ADCARE centres.Results: The AD-ICPs outline the diagnostic procedures, possible co-morbidities, different available treatment options including differential approaches for the pediatric population, and the role of the pharmacists and other stakeholders, as well as remaining unmet needs in the management of AD.Conclusion: The AD-ICPs provide a multidisciplinary plan for improved diagnosis, treatment, and patient feedback in AD management, as well as addressing critical unmet needs, including improved access to care, training specialists, implementation of educational programs, assessment on the impact of climate change, and fostering a personalised treatment approach. By focusing on these key areas, the initiative aims to pave the way for a brighter future in the management of AD.

引用

页数：23

共 12 条

[1] GA2LEN ADCARE - RESPONDING TO THE NEED FOR ONGOING EDUCATION IN ATOPIC DERMATITIS FOR HEALTHCARE PROVIDERS GLOBALLY AND CURRENTLY IN SOUTH AFRICA
van Hofman, Ingrid
Stevanovic, Katarina
Meesch, Cathrin
Muraro, Antonella
Papadopoulos, Nikolaos G.
Maurer, Marcus
Bindslev-Jensen, Carsten
Peter, Jonny
Canonica, Giorgio Walter
Zuberbier, Torsten
CURRENT ALLERGY & CLINICAL IMMUNOLOGY, 2022, 35 (02) : 78 - 81
[2] Problematic severe asthma in children, not one problem but many: a GA2LEN initiative
Hedlin, G.
Bush, A.
Carlsen, K. Lodrup
Wennergren, G.
de Benedictis, F. M.
Melen, E.
Paton, J.
Wilson, N.
Carlsen, K-H.
EUROPEAN RESPIRATORY JOURNAL, 2010, 36 (01) : 196 - 201
[3] European birth cohort studies on asthma and atopic diseases:: II.: Comparison of outcomes and exposures -: a GA2LEN initiative
Keil, T.
Kulig, M.
Simpson, A.
Custovic, A.
Wickman, M.
Kull, I.
Carlsen, K. C. Lodrup
Carlsen, K. H.
Smit, H. A.
Wijga, A. H.
Schmid, S.
Von Berg, A.
Bollrath, C.
Eller, E.
Bindslev-Jensen, C.
Halken, S.
Host, A.
Heinrich, J.
Fantini, M. P.
Brunekreef, B.
Kraemer, U.
Willich, S. N.
Wahn, U.
Lau, S.
ALLERGY, 2006, 61 (09) : 1104 - 1111
[4] Pet ownership in eight European birth cohorts -: results of a GA2LEN initiative
Roll, S.
Keil, T.
Eller, E.
Bindslev-Jensen, C.
Kraemer, U.
Chen, C.
von Berg, A.
Smit, H.
Wijga, A.
Carlsen, K. Loedrup
Carlsen, K.
Wickman, M.
Kull, I.
Mommers, M.
Thijs, C.
Forastiero, F.
Porta, D.
Fantini, M.
Bravi, F.
van Steen, K.
Willich, S.
Wahn, U.
Lau, S.
Heinrich, J.
ALLERGY, 2007, 62 : 67 - 67
[5] European birth cohort studies on asthma and atopic diseases:: I.: Comparison of study designs -: a GA2LEN initiative
Keil, T
Kulig, M
Simpson, A
Custovic, A
Wickman, M
Kull, I
Carlsen, KCL
Carlsen, KH
Smit, HA
Wijga, AH
Schmid, S
Berg, A
Bollrath, C
Eller, E
Bindslev-Jensen, C
Halken, S
Host, A
Heinrich, J
Porta, D
Forastiere, F
Brunekreef, B
Krämer, U
Willich, SN
Wahn, U
Lau, S
ALLERGY, 2006, 61 (02) : 221 - 228
[6] Eczematous reactions to food in atopic eczema:: position paper of the EAACI and GA2LEN
Werfel, T.
Ballmer-Weber, B.
Eigenmann, P. A.
Niggemann, B.
Rance, F.
Turjanmaa, K.
Worm, M.
ALLERGY, 2007, 62 (07) : 723 - 728
[7] Comparison of European birth cohort studies on asthma and allergic diseases - A GA2LEN initiative
Keil, T.
Kulig, M.
Simpson, A.
Custovic, A.
Wickman, M.
Kull, I.
Carlsen, K. C. Lodrup
Carlsen, K. H.
Smit, H. A.
Wijga, A. H.
Schmid, S.
Von Berg, A.
Bollrath, C.
Eller, E.
Bindslev-Jensen, C.
Halken, S.
Host, A.
Heinrich, J.
Porta, D.
Forastiere, F.
Brunekreef, B.
Kraemer, U.
Willich, S. N.
Wahn, U.
Lau, S.
EUROPEAN JOURNAL OF EPIDEMIOLOGY, 2006, 21 : 145 - 146
[8] Meta-analysis of determinants for pet ownership in 12 European birth cohorts on asthma and allergies:: a GA2LEN initiative
Eller, E.
Roll, S.
Chen, C. -M.
Herbarth, O.
Wichmann, H. -E.
von Berg, A.
Kraemer, U.
Mommers, M.
Thijs, C.
Wijga, A.
Brunekreef, B.
Fantini, M. P.
Bravi, F.
Forastiere, F.
Porta, D.
Sunyer, J.
Torrent, M.
Host, A.
Halken, S.
Carlsen, K. C. Lodrup
Carlsen, K. -H.
Wickman, M.
Kull, I.
Wahn, U.
Willich, S. N.
Lau, S.
Keil, T.
Heinrich, J.
ALLERGY, 2008, 63 (11) : 1491 - 1498
[9] Atopic multimorbidity in asthma, association to allergy, inflammatory markers and other factors, results from the Swedish GA2LEN study
Blondal, V
Sundbom, F.
Malinovschi, A.
Janson, C.
ALLERGY, 2020, 75 : 390 - 390
[10] Developing integrated care pathways for atopic dermatitis-Challenges and unmet needs
Zuberbier, Torsten A.
Beck, Lisa
Bedbrook, Anna
de Bruin-Weller, Marjolein
Bousquet, Jean
Cork, Michael
Douladiris, Nikolaos
Katoh, Norito G.
Mortz, Charlotte
Werfel, Thomas
Wojciech, Francuzik
Wollenberg, Andreas
Siemens, Kristina
Stevanovic, Katarina
Worm, Margitta
AD-ICPs Working Group
CLINICAL AND TRANSLATIONAL ALLERGY, 2023, 13 (03)

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