Background: The number of patients affected by allergies is increasing worldwide. The resulting allergic diseases are leading to significant costs for health care and social systems. Integrated care pathways are needed to enable comprehensive care within the national health systems. The ARIA (Allergic Rhinitis and its Impact on Asthma) initiative develops internationally applicable guidelines for allergic respiratory diseases. Methods: ARIA serves to improve the care of patients with allergies and chronic respiratory diseases. In collaboration with other international initiatives, national associations and patient organizations in the field of allergies and respiratory diseases, real-life integrated care pathways have been developed for a digitally assisted, integrative, individualized treatment of allergic rhinitis (AR) with comorbid asthma. In the present work, these integrated care pathways have been adapted to the German situation and health system. Results: The present ICP (integrated care pathway) guideline covers key areas of the care of AR patients with and without asthma. It includes the views of patients and other healthcare providers. Discussion: A comprehensive ICP guideline can reflect real-life care better than traditional guideline models.

Background The number of patients affected by allergies is increasing worldwide. The resulting allergic diseases are leading to significant costs for health care and social systems. Integrated care pathways are needed to enable comprehensive care within the national health systems. The ARIA (Allergic Rhinitis and its Impact on Asthma) initiative develops internationally applicable guidelines for allergic respiratory diseases. Methods ARIA serves to improve the care of patients with allergies and chronic respiratory diseases. In collaboration with other international initiatives, national associations and patient organizations in the field of allergies and respiratory diseases, real-life integrated care pathways have been developed for a digitally assisted, integrative, individualized treatment of allergic rhinitis (AR) with comorbid asthma. In the present work, these integrated care pathways have been adapted to the German situation and health system. Results The present ICP (integrated care pathways) guideline covers key areas of the care of AR patients with and without asthma. It includes the views of patients and other healthcare providers. Discussion A comprehensive ICP guideline can reflect real-life care better than traditional guideline models.

Stark gestiegene Krankheitshäufigkeiten in den letzten Jahrzehnten haben Allergien in den Fokus von Public Health gerückt. In der Studie "Gesundheit in Deutschland aktuell" (GEDA 2014/2015-EHIS) gaben 28,1 % der Befragten an, aktuell von einer allergischen Erkrankung außer Asthma betroffen zu sein. Allergien werden häufiger von Frauen als von Männern berichtet und von jüngeren Erwachsenen und Erwachsenen im mittleren Alter häufiger als von Älteren ab 65 Jahre. Erwachsene der oberen Bildungsgruppe geben häufiger als Erwachsene der unteren Bildungsgruppe an, dass sie von Allergien betroffen sind. Allergische Reaktionen treten an verschiedenen Organsystemen auf. Besonders betroffen sind Haut und Schleimhäute, Atemwege und Darm. Allergische Symptome schränken die Lebensqualität der Betroffenen oft erheblich ein. Aus diesem Grund ist eine frühzeitige Diagnostik und angemessene Versorgung für Allergikerinnen und Allergiker von großer Bedeutung.

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