Guidance to 2018 good practice: ARIA digitally-enabled, integrated, person-centred care for rhinitis and asthma

Journal of Allergy and Clinical Immunology

Schünemann

Togias

et al. 2020

362

246

Selection of pharmacotherapy for patients with allergic rhinitis aims to control the disease and depends on (1) patient empowerment, preferences, and age; (2) prominent symptoms, symptom severity, and multimorbidity; (3) efficacy and safety of treatment 1 ; (4) speed of onset of action of treatment; (5) current treatment; (6) historic response to treatment; (7) effect on sleep and work productivity 2,3 ; (8) self-management strategies; and (9) resource use. 4,5 An algorithm was devised 5 and digitalized 6 to step up or step down allergic rhinitis treatment based on control. However, its

Section: Rwe Using Mobile Technologymentioning

confidence: 99%

Next-generation Allergic Rhinitis and Its Impact on Asthma (ARIA) guidelines for allergic rhinitis based on Grading of Recommendations Assessment, Development and Evaluation (GRADE) and real-world evidence

Journal of Allergy and Clinical Immunology

Schünemann

Togias

et al. 2020

362

246

“…ICPs have been proposed with a focus on mHealth technologies that should enhance self‐management and adherence to guidelines and ICPs. An innovative patient‐centered approach for ICPs has been proposed by the ARIA expert group for rhinitis and asthma multi‐morbidity …”

Section: Next‐generation Care Pathways Of Cat Allergymentioning

confidence: 99%

Keep the cat, change the care pathway: A transformational approach to managing Fel d 1, the major cat allergen

Satyaraj¹,

Wedner

2019

Allergy

Background Allergies to cats are the most common animal‐origin allergy, and affect approximately 1 in 5 adults worldwide. The prevalence of allergy to furry animals has been increasing, and allergy to cats is a major risk factor for the development of asthma and rhinitis. The diagnosis of cat allergy is now well established. The exact significance of component‐resolved diagnosis in the diagnosis of cat allergy remains to be fully understood. Allergen avoidance is effective but often has a psychologic impact. Allergen immunotherapy is not well demonstrated. There is a need for innovative approaches to better manage cat allergens. Next‐generation care pathways for asthma and rhinitis will define the place of cat allergen avoidance. Methods and Results This manuscript, based on content presented at the European Academy of Allergy and Clinical Immunology Congress 2019, provides information on the prevalence and impact of cat allergies and the molecular biology of Fel d 1, the major cat allergen. Discussion The authors present the scientific basis of a novel care pathway that utilizes anti‐Fel d 1 IgY antibodies to safely and effectively neutralize Fel d 1 after its production by the cat but before human exposure. Conclusion Efficacy of a feline diet with an egg product ingredient containing anti‐Fel d 1 IgY antibodies was demonstrated in vitro, ex vivo, and in vivo, and further validated by a pilot exposure study involving cat‐allergic human participants.

“…MASK (Mobile Airways Sentinel network) uses mobile technology to develop care pathways for the management of rhinitis and asthma by a multidisciplinary group and by patients themselves . The scaling up strategy uses the recommendations of the European Innovation Partnership on Active and Healthy Ageing …”

Section: Discussionmentioning

confidence: 99%

Google Trends and pollen concentrations in allergy and airway diseases in France

Onorato²,

Oliver

et al. 2019

Allergy

Background: Google Trends (GTs) is a web-based surveillance tool that explores the searching trends of specific queries via Google. This tool proposes to reflect the real-life epidemiology of allergic rhinitis and asthma. However, the validation of GTs against pollen concentrations is missing at the country level.Objectives: In the present study, we used GTs (a) to compare the terms related to allergy in France, (b) to assess seasonal variations across the country for 5 years and (c) to compare GTs and pollen concentrations for 2016.Methods: Google Trends queries were initially searched to investigate the terms reflecting pollen and allergic diseases. 13-and 5-year GTs were used in France. Then, 5-year GTs were assessed in all metropolitan French regions to assess the seasonality of GTs. Finally, GTs were compared with pollen concentrations (Réseau National de Surveillance en Aerobiology) for 2016 in seven regions (GTs) and corresponding cities (pollen concentrations). Results:The combination of searches for "allergy" as a disease, "pollen" as a disease cause and "ragweed" as a plant was needed to fully assess the pollen season in France. "Asthma" did not show any seasonality. Using the 5-year GTs, an annual and clear seasonality of queries was found in all regions depending on the predicted pollen exposure for spring and a summer peak but not for winter peaks. The agreement between GT queries and pollen concentrations is usually poor except for spring trees and grasses. Moreover, cypress pollens are insufficiently reported by GTs. Conclusions:Google Trends cannot predict the pollen season in France. K E Y W O R D Sallergy, asthma, google trends, pollen, rhinitis G R A P H I C A L A B S T R A C TGoogle Trends (GTs) is a web-based tool that explores searching trends. This tool was used to search the terms related to allergy in France, to assess 5-year seasonal variations across the country and to compare GTs with the pollen concentrations for 2016. The combination of terms "allergy," "pollen" and "ragweed" was needed to fully assess the pollen season in France. GTs cannot predict the pollen season in France.