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

IF 4.6 2区 医学 Q2 ALLERGY Clinical and Translational Allergy Pub Date : 2023-09-14 DOI:10.1002/clt2.12299
Torsten Zuberbier, Amir Abdul Latiff, Xenofon Aggelidis, Matthias Augustin, Radu-Gheorghe Balan, Christine Bangert, Lisa Beck, Thomas Bieber, Jonathan A. Bernstein, Marta Bertolin Colilla, Alejandro Berardi, Anna Bedbrook, Carsten Bindslev-Jensen, Jean Bousquet, Marjolein de Bruin-Weller, Dayanne Bruscky, Betul Buyuktiryaki, Giorgio Walter Canonica, Carla Castro, Natia Chanturidze, Herberto Jose Chong-Neto, Chia-Yu Chu, Leena Chularojanamontri, Michael Cork, Roberta F. J. Criado, Laia Curto Barredo, Adnan Custovic, Ulf Darsow, Arben Emurlai, Ana de Pablo, Stefano Del Giacco, Giampiero Girolomoni, Tanja Deleva Jovanova, Mette Deleuran, Nikolaos Douladiris, Bruno Duarte, Ruta Dubakiene, Esben Eller, Batya Engel-Yeger, Luis Felipe Ensina, Nelson Rosario Filho, Carsten Flohr, Daria Fomina, Wojciech Francuzik, Maria Laura Galimberti, Ana M. Giménez-Arnau, Kiran Godse, Charlotte Gotthard Mortz, Maia Gotua, Michihiro Hide, Wolfram Hoetzenecker, Nicolas Hunzelmann, Alan Irvine, Carolyn Jack, Ioanna Kanavarou, Norito Katoh, Tamar Kinaciyan, Emek Kocatürk, Kanokvalai Kulthanan, Hilde Lapeere, Susanne Lau, Mariana Machado Forti Nastri, Michael Makris, Eli Mansour, Alexander Marsland, Mara Morelo Rocha Felix, Ana Paula Moschione Castro, Eustachio Nettis, J. F. Nicolas, Audrey Nosbaum, Mikaela Odemyr, Niki Papapostolou, Claudio A. S. Parisi, Sushil Paudel, Jonny Peter, Prakash Pokharel, Luis Puig, Tamara Quint, German Dario Ramon, Frederico Regateiro, Giampaolo Ricci, Cristine Rosario, Cansin Sackesen, Peter Schmid-Grendelmeier, Esther Serra-Baldrich, Kristina Siemens, Cathrine Smith, Petra Staubach, Katarina Stevanovic, Özlem Su-Kücük, Gordon Sussman, Simona Tavecchio, Natasa Teovska Mitrevska, Diamant Thaci, Elias Toubi, Claudia Traidl-Hoffmann, Regina Treudler, Zahava Vadasz, Ingrid van Hofman, Maria Teresa Ventura, Zhao Wang, Thomas Werfel, Andreas Wollenberg, Ariana Yang, Yik Weng Yew, Zuotao Zhao, Ricardo Zwiener, Margitta Worm
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Criado,&nbsp;Laia Curto Barredo,&nbsp;Adnan Custovic,&nbsp;Ulf Darsow,&nbsp;Arben Emurlai,&nbsp;Ana de Pablo,&nbsp;Stefano Del Giacco,&nbsp;Giampiero Girolomoni,&nbsp;Tanja Deleva Jovanova,&nbsp;Mette Deleuran,&nbsp;Nikolaos Douladiris,&nbsp;Bruno Duarte,&nbsp;Ruta Dubakiene,&nbsp;Esben Eller,&nbsp;Batya Engel-Yeger,&nbsp;Luis Felipe Ensina,&nbsp;Nelson Rosario Filho,&nbsp;Carsten Flohr,&nbsp;Daria Fomina,&nbsp;Wojciech Francuzik,&nbsp;Maria Laura Galimberti,&nbsp;Ana M. Giménez-Arnau,&nbsp;Kiran Godse,&nbsp;Charlotte Gotthard Mortz,&nbsp;Maia Gotua,&nbsp;Michihiro Hide,&nbsp;Wolfram Hoetzenecker,&nbsp;Nicolas Hunzelmann,&nbsp;Alan Irvine,&nbsp;Carolyn Jack,&nbsp;Ioanna Kanavarou,&nbsp;Norito Katoh,&nbsp;Tamar Kinaciyan,&nbsp;Emek Kocatürk,&nbsp;Kanokvalai Kulthanan,&nbsp;Hilde Lapeere,&nbsp;Susanne Lau,&nbsp;Mariana Machado Forti Nastri,&nbsp;Michael Makris,&nbsp;Eli Mansour,&nbsp;Alexander Marsland,&nbsp;Mara Morelo Rocha Felix,&nbsp;Ana Paula Moschione Castro,&nbsp;Eustachio Nettis,&nbsp;J. F. Nicolas,&nbsp;Audrey Nosbaum,&nbsp;Mikaela Odemyr,&nbsp;Niki Papapostolou,&nbsp;Claudio A. S. 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引用次数: 0

Abstract

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 GA2LEN 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 GAL2EN 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.

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特应性皮炎综合护理途径的概念——GA2LEN ADCARE倡议
引言特应性皮炎的综合护理途径旨在通过提供结构化的多学科AD患者管理计划,弥合现有AD治疗循证指南与基于日常实践的专家意见之间的差距。ICPs有可能通过结合不同指南的干预措施和方面、整合质量保证和描述护理协调来加强指南建议。最重要的是,根据AD的严重程度、所在国家的可用资源以及保险报销制度的差异等经济因素,患者可以进入任何级别的ICP。方法GA2LEN ADCARE网络和合作伙伴以及所有利益相关者,简称AD ICPs工作组,在2020年和2021年的一系列小组研讨会和会议上参与了AD ICPs的讨论和准备,之后,该文件在所有GAL2EN ADCARE中心内分发。结果AD ICPs概述了诊断程序、可能的合并症、不同的可用治疗选择,包括儿科人群的不同方法,以及药剂师和其他利益相关者的作用,以及AD管理中尚未满足的需求。结论AD ICPs为改善AD管理中的诊断、治疗和患者反馈提供了一个多学科计划,并解决了关键的未满足需求,包括改善获得护理的机会、培训专家,实施教育计划,评估气候变化的影响,并培养个性化的治疗方法。通过关注这些关键领域,该倡议旨在为AD管理的更光明未来铺平道路。
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来源期刊
Clinical and Translational Allergy
Clinical and Translational Allergy Immunology and Microbiology-Immunology
CiteScore
7.50
自引率
4.50%
发文量
117
审稿时长
12 weeks
期刊介绍: Clinical and Translational Allergy, one of several journals in the portfolio of the European Academy of Allergy and Clinical Immunology, provides a platform for the dissemination of allergy research and reviews, as well as EAACI position papers, task force reports and guidelines, amongst an international scientific audience. Clinical and Translational Allergy accepts clinical and translational research in the following areas and other related topics: asthma, rhinitis, rhinosinusitis, drug hypersensitivity, allergic conjunctivitis, allergic skin diseases, atopic eczema, urticaria, angioedema, venom hypersensitivity, anaphylaxis, food allergy, immunotherapy, immune modulators and biologics, animal models of allergic disease, immune mechanisms, or any other topic related to allergic disease.
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