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ARIA pharmacy 2018 “Allergic rhinitis care pathways for community pharmacy”: AIRWAYS ICPs initiative (European Innovation Partnership on Active and Healthy Ageing, DG CONNECT and DG Santé) 
POLLAR (Impact of Air POLLution on Asthma and Rhinitis)
GARD Demonstration project

  • Sinthia Bosnic-Anticevich
  • , Elisio Costa
  • , Enrica Menditto
  • , Olga Lourenço
  • , Ettore Novellino
  • , Slawomir Bialek
  • , Vitalis Briedis
  • , Roland Buonaiuto
  • , Henry Chrystyn
  • , Biljana Cvetkovski
  • , Stefania Di Capua
  • , Vicky Kritikos
  • , Alpana Mair
  • , Valentina Orlando
  • , Ema Paulino
  • , Johanna Salimäki
  • , Rojin Söderlund
  • , Rachel Tan
  • , Dennis M. Williams
  • , Piotr Wroczynski
  • Ioana Agache, Ignacio J. Ansotegui, Josep M. Anto, Anna Bedbrook, Claus Bachert, Mike Bewick, Carsten Bindslev-Jensen, Jan L. Brozek, Giorgio Walter Canonica, Victoria Cardona, Warner Carr, Thomas B. Casale, Niels H. Chavannes, Jaime Correia de Sousa, Alvaro A. Cruz, Wienczyslawa Czarlewski, Giuseppe De Carlo, Pascal Demoly, Philippe Devillier, Mark S. Dykewicz, Mina Gaga, Yehia El-Gamal, João Fonseca, Wytske J. Fokkens, Maria Antonieta Guzmán, Tari Haahtela, Peter W. Hellings, Maddalena Illario, Juan Carlos Ivancevich, Jocelyne Just, Igor Kaidashev, Musa Khaitov, Nikolai Khaltaev, Thomas Keil, Ludger Klimek, Marek L. Kowalski, Piotr Kuna, Violeta Kvedariene, Désirée E. Larenas-Linnemann, Daniel Laune, Lan T.T. Le, Karin C. Lodrup Carlsen, Bassam Mahboub, Dieter Maier, Joao Malva, Patrick J. Manning, Mário Morais-Almeida, Ralph Mösges, Joaquim Mullol, Lars Münter, Ruth Murray, Robert Naclerio, Leyla Namazova-Baranova, Kristof Nekam, Tshipukane Dieudonné Nyembue, Kimi Okubo, Robyn E. O'Hehir, Ken Ohta, Yoshitaka Okamoto, Gabrielle L. Onorato, Susanna Palkonen, Petr Panzner, Nikolaos G. Papadopoulos, Hae Sim Park, Ruby Pawankar, Oliver Pfaar, Jim Phillips, Davor Plavec, Todor A. Popov, Paul C. Potter, Emmanuel P. Prokopakis, Regina E. Roller-Wirnsberger, Menachem Rottem, Dermot Ryan, Bolesław Samolinski, Mario Sanchez-Borges, Holger J. Schunemann, Aziz Sheikh, Juan Carlos Sisul, David Somekh, Cristiana Stellato, Teresa To, Ana Maria Todo-Bom, Peter Valentin Tomazic, Sanna Toppila-Salmi, Antonio Valero, Arunas Valiulis, Errka Valovirta, Maria Teresa Ventura, Martin Wagenmann, Dana Wallace, Susan Waserman, Magnus Wickman, Panayiotis K. Yiallouros, Arzu Yorgancioglu, Osman M. Yusuf, Heather J. Zar, Mario E. Zernotti, Luo Zhang, Mihaela Zidarn, Torsten Zuberbier, Jean Bousquet
  • Woolcock Emphysema Centre and Sydney Local Health District
  • University of Porto
  • University of Naples Federico II
  • University of Beira Interior
  • Medical University of Warsaw
  • Lithuanian University of Health Sciences
  • Municipality Pharmacy
  • RiRL
  • Farmacie Dei Golfi Group
  • Scottish Government
  • Farmacias Holon
  • Association of Finnish Pharmacies
  • Karolinska Institutet
  • University of North Carolina at Chapel Hill
  • Transilvania University of Brasov
  • Clinica Quiron
  • (ISGlobal) Instituto de Salud Global de Barcelona
  • Hospital del Mar
  • Centro de Investigación Biomédicaen Red de Epidemiología y Salud Pública (CIBERESP)
  • Pompeu Fabra University
  • MACVIA-France
  • Ghent University
  • iQ4U Consultants Ltd
  • University of Southern Denmark
  • McMaster University
  • IRCCS Istituto Clinico Humanitas - Rozzano (Milano)
  • Vall d'Hebron University Hospital
  • Allergy and Asthma Associates of Southern California
  • University of South Florida
  • Leiden University
  • University of Minho
  • Universidade Federal da Bahia
  • WHO GARD Planning Group
  • Medical Consulting Czarlewski
  • EFA European Federation of Allergy and Airways Diseases Patients' Associations
  • CHU Montpellier
  • Sorbonne Université
  • Hôpital Foch
  • Saint Louis University
  • Athens Chest Hospital
  • Ain Shams University
  • Medida
  • Amsterdam University Medical Center
  • Universidad de Chile
  • Hospital District of Helsinki and Uusimaa
  • University of Helsinki
  • KU Leuven
  • Campania Region and Federico II University Hospital Naples (RandD and DISMET)
  • Clinica Santa Isabel
  • Ukrainina Medical Stomatological Academy
  • Russian Ministry of Health
  • GARD Chairman
  • Charité – Universitätsmedizin Berlin
  • University of Würzburg
  • Center for Rhinology and Allergology
  • Medical University of Łódź
  • Vilnius University
  • Fundación Clínica Médica Sur
  • KYomed INNOV
  • University of Medicine and Pharmacy at Ho Chi Minh City
  • University of Oslo
  • Dubai Hospital
  • Biomax Informatics
  • University of Coimbra
  • Ageing@Coimbra EIP-AHA Reference Site
  • Royal College of Surgeons in Ireland
  • CUF Descobertas Hospital
  • University of Cologne
  • CRI-Clinical Research International-Ltd
  • University of Barcelona
  • Danish Committee for Health Education
  • MedScript Ltd
  • Johns Hopkins University
  • Pirogov Russian National Research Medical University
  • Hospital of the Hospitaller Brothers in Buda
  • University Hospital of Kinshasa
  • Nippon Medical School
  • Monash University
  • National Hospital Organization, Japan
  • Chiba University
  • Charles University
  • University of Manchester
  • National and Kapodistrian University of Athens
  • Ajou University
  • University of Marburg
  • Centre for Empowering Patients and Communities
  • Josip Juraj Strossmayer University of Osijek
  • Medical University Sofia
  • University of Cape Town
  • University of Crete
  • Medical University of Graz
  • Emek Medical Center
  • University of Edinburgh
  • Centro Médico-Docente la Trinidad
  • Clínica El Avila
  • Sociedad Paraguaya de Alergia Asma e Inmunologı'a
  • European Health Futures Forum (EHFF)
  • University of Salerno
  • University of Toronto
  • European Academy of Paediatrics (EAP/UEMS-SP)
  • University of Turku
  • University of Bari
  • Heinrich Heine University Düsseldorf
  • Nova Southeastern University
  • Uppsala University
  • Cyprus University of Technology
  • Hospital «Archbishop Makarios III»
  • Manisa Celal Bayar University
  • The Allergy and Asthma Institute
  • Universidad Católica de Córdoba
  • Capital Medical University
  • University Clinic
  • Berlin Institute of Health
  • VIMA: Ageing and Chronic Diseases Epidemiological and Public Health Approaches
  • Université Paris-Saclay
  • Euforea

Research output: Contribution to journalReview articlepeer-review

70 Scopus citations

Abstract

Pharmacists are trusted health care professionals. Many patients use over-the-counter (OTC) medications and are seen by pharmacists who are the initial point of contact for allergic rhinitis management in most countries. The role of pharmacists in integrated care pathways (ICPs) for allergic diseases is important. This paper builds on existing studies and provides tools intended to help pharmacists provide optimal advice/interventions/strategies to patients with rhinitis. The Allergic Rhinitis and its Impact on Asthma (ARIA)-pharmacy ICP includes a diagnostic questionnaire specifically focusing attention on key symptoms and markers of the disease, a systematic Diagnosis Guide (including differential diagnoses), and a simple flowchart with proposed treatment for rhinitis and asthma multimorbidity. Key prompts for referral within the ICP are included. The use of technology is critical to enhance the management of allergic rhinitis. However, the ARIA-pharmacy ICP should be adapted to local healthcare environments/situations as regional (national) differences exist in pharmacy care.

Original languageEnglish
Pages (from-to)1219-1236
Number of pages18
JournalAllergy: European Journal of Allergy and Clinical Immunology
Volume74
Issue number7
DOIs
StatePublished - Jul 2019

Keywords

  • Allergic Rhinitis and its Impact on Asthma
  • Asthma
  • Care pathways
  • Pharmacist
  • Rhinitis

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POLLAR (Impact of Air POLLution on Asthma and Rhinitis)
GARD Demonstration project'. Together they form a unique fingerprint.

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