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- Management of allergic rhinitis symptoms in the pharmacy Pocket guide 2022Publication . Lourenço, Olga; Cvetkovski, Biljana; Kritikos, Vicky; House, Rachel; Scheire, Sophie; Costa, Elísio; Fonseca, Joao A; Menditto, Enrica; Bedbrook, Anna; Bialek, Slawomir; Briedis, Vitalis; Boussery, Koen; Canonica, G. Walter; Haahtela, Tari; Kuna, Piotr; Mullol, Joaquim; Orlando, Valentina; Samolinski, Boleslaw; Wallace, Dana; Duggan, Catherine; Paulino, Ema; Pinto, Gonçalo S.; Söderlund, Lars‐Åke; Bousquet, Jean; Bosnic‐Anticevich, SinthiaBackground: Allergic rhinitis (AR) management requires a coordinated effort from healthcare providers and patients. Pharmacists are key members of these integrated care pathways resolving medication-related problems, optimizing regimens, improving adherence and recommending therapies while establishing liaisons between patients and physicians. Methods: Allergic Rhinitis and its Impact on Asthma (ARIA) first published a reference document on the pharmacist's role in allergic rhinitis management in 2004. Several guidelines were developed over the past 20 years improving the care of allergic rhinitis patients through an evidence-based, integrated care approach. Results: This ARIA/EAACI/FIP Position Paper is based on the latest ARIA in the Pharmacy guidelines and provides: (a) a structured approach to pharmacists identifying people with AR and/or allergic conjunctivitis as well as those at risk of poor disease control; (b) an evidence-based clinical decision support tool for optimising the management of allergic rhinitis in the community pharmacy; and (c) a framework of referral to the physician. Conclusion: This document is not intended to be a mandatory standard of care but is provided as a basis for pharmacists and their staff to develop relevant local standards of care for their patients, within their local practice environment. Pharmacy care varies between countries, and the guide should be adapted to the local situation.
- ARIA digital anamorphosis: Digital transformation of health and care in airway diseases from research to practicePublication . Bousquet, Jean; Anto, Josep M.; Bachert, Claus; Haahtela, Tari; Zuberbier, Torsten; Czarlewski, Wienczyslawa; Bedbrook, Anna; Bosnic-Anticevich, Sinthia; Canonica, Giorgio Walter; Cardona, Victoria; Costa, Elísio; Farrell, John; Wroczynski, Piotr; Bjermer, Leif; Mair, Alpana; Lieberman, Philip; Odemyr, Mikaëla; Agache, Ioana; Larenas Linnemann, Désirée; Ventura, Maria Teresa; Makris, Michael; Samolinski, Boleslaw; Sofiev, Mikhail; Kvedarienė, Violeta; Carreiro-Martins, Pedro; Rolland, Christine; Usmani, Omar; Popov, Todor A; Williams, Dennis M; Sova, Milan; Manning, Patrick; Sheikh, Aziz; Pépin, Jean-Louis; Wagenmann, Martin; Mahboub, Bassam; Milenkovic, Branislava; Louis, Renaud; Laune, Daniel; Zidarn, Mihaela; Okamoto, Yoshitaka; Bonniaud, Philippe; Sisul, Juan; Ansotegui, Ignacio J; Stelmach, Rafael; Bennoor, Kazi Saifuddin; La Grutta, Stefania; O'Hehir, Robyn; De Manuel Keenoy, Esteban; Kleine-Tebbe, Joerg; Nyembue, Dieudonné; Passalacqua, Giovanni; Mitsias, Dimitirios I; Cecchi, Lorenzo; Novellino, Ettore; Buhl, Roland; Pinnock, Hilary; Klimek, Ludger; Ljungberg, Henrik; Akdis, Cezmi A; Gaga, Mina; Custovic, Adnan; Nordlund, Björn; Camargos, Paulo; Billo, Nils E.; Costa, David J; Briedis, Vitalis; Mogica-Martinez, Maria-Dolores; Panzner, Peter; Bourret, Rodolphe; Pham-Thi, Nhân; Schünemann, Holger J; Yorgancioglu, Arzu; Orlando, Valentina; Braido, Fulvio; Okubo, Kimihiro; To, Teresa; Ohta, Ken; Bindslev-Jensen, Carsten; D Bateman, Eric; Durham, Stephen R; Erhola, Marina; Yiallouros, Panayiotis; Cepeda Sarabia, Alfonso M; Lourenço, Olga; Cvetkosvki, Biljana; Napoli, Luigi; Roche, Nicolas; Salimäki, Johanna; Plavec, Davor; Morais-Almeida, Mario; Roberts, Graham; Scheire, Sophie; Camuzat, Thierry; Kull, Inger; Joos, Guy; Rivero-Yeverino, Daniela; Gomez, R Maximiliano; Somekh, David; Iinuma, Tomohisa; Portejoie, Fabienne; Neffen, Hugo; Cartier, Christine; Khaltaev, Nikolai; Rolland, Christine; Reitsma, Sietze; Dykewicz, Mark; Guldemond, Nick A; De Vries, Govert; Gevaert, Philippe; Rosario, Nelson; Fiocchi, Alessandro; De Feo, Giulia; Sastre, Joaquin; Emuzyte, Regina; Bosse, Isabelle; Zhang, Luo; Carriazo, Ana-Maria; Bewick, Michael; Rottem, Menachem; Fauquert, Jean-Luc; Calderon, Moises A; Roller-Wirnsberger, Regina E; Mullol, Joaquim; Rodriguez-Zagal, Erendira; Devillier, Philippe; Sousa, Jaime Correia de; Ebisawa, Motohiro; Kowalski, Marek L; Bedolla-Barajas, Martin; Huerta Villalobos, Yunuen R; Jung, Ki-Suck; Raciborski, Filip; Vezzani, Giorgio; Schmid-Grendelmeier, Peter; Psarros, Fotis; Carneiro, Antonio Vaz; Wong, Gary; Sooronbaev, Talant; Makela, Mika; Vasankari, Tuula; Zeng, Stéphane; Dokic, Dejan; Regateiro, Frederico S; Guzman, Maria Antonieta; Naclerio, Robert; Micheli, Yann; Vandenplas, Olivier; Malva, João; Illario, Maddalena; Menditto, Enrica; Spertini, François; Wickman, Magnus; Leonardini, Lisa; Heffler, Enrico; Basagaña, Xavier; Gotua, Maia; Wallace, Dana; Ivancevich, Juan-Carlos; Viart, Frédéric; Bonini, Matteo; Khaitov, Musa; Ierodiakonou, Despo; Münter, Lars; Courbis, Anne-Lise; Casale, Thomas; Mathieu-Dupas, Eve; Di Capua, Stefania; Miculinic, Neven; Valenta, Rudolf; Toppila-Salmi, Sanna Katriina; Zernotti, Mario E; Thibaudon, Michel; Tomazic, Peter Valentin; Annesi-Maesano, Isabella; Jutel, Marek; Quinones-Delgado, Pablo; Phillips, Jim; Todo-Bom, Ana; Onorato, Gabrielle L.; Benveniste, Samuel; Shan Zhong, Nan; Pereira, Marilyn Urrutia; Maspero, Jorge F; Prokopakis, Emmanuel P; Valiulis, Arunas; Suppli Ulrik, Charlotte; Muraro, Antonella; Palamarchuk, Julia; Mohammad, Yousser; Le Thi Tuyet, Lan; Neou, Angelo; Kuna, Piotr; Almeida, Rute; Namazova-Baranova, Leyla; Kritikos, Vicky; Chu, Derek K; Marshall, Gailen D; Kardas, Przemyslaw; Williams, Sian; Nekam, Kristof; Valovirta, Erkka; Dubakiene, Ruta; Tsiligianni, Ioanna; Montefort, Steve; Meltzer, Eli O; Murray, Ruth; Pugin, Benoit; Jassem, Ewa; Park, Hae-Sim; Picard, Robert; Brusselle, Guy; Arnavielhe, Sylvie; Patella, Vincenzo; Brozek, Jan; Carr, Warner; Bergmann, Karl-Christian; Melén, Erik; Brightling, Christopher E; H Chavannes, Niels; Moda, Giuliana; Pali-Schöll, Isabella; Valero, Antonio; Sofiev, Mikhail; Briggs, Andrew; Romano, Antonino; D'Amato, Gennaro; Shamji, Mohamed; Bialek, Slawomir; Caraballo, Luis; Rajabian-Söderlund, Rojin; Iaccarino, Guido; Ouedraogo, Solange; Buonaiuto, Roland; Silva, J da; Brussino, Luisa; Kouznetsov, Rostislav; Price, David; Paulino, Ema; Toumi, Mondher; Mercier, Jacques; Scadding, Glenis K; Monti, Ricardo; Solé, Dirceu; Boulet, Louis-Philippe; Gemicioglu, Bilun; Chkhartishvili, Ekaterine; Blain, Hubert; Fuentes Perez, José M; Humbert, Marc; Dantas, Carina; Yusuf, Osman; Fontaine, Jean-François; Viegi, Giovanni; Kaidashev, Igor; Cingi, Cemal; Boussery, Koen; Sanchez-Borges, Mario; Papadopoulos, Nikos G; Fokkens, Wytske J; Fink-Wagner, Antje; Wang, De Yun; Spranger, Otto; Cruz, Alvaro; Van Eerd, Michiel; Dauvilliers, Yves; Hajjam, Jawad; Valentin Rostan, Marylin; Puggioni, Francesca; Melo-Gomes, Elisabete; Ryan, Dermot; González Diaz, Sandra; Van Der Kleij, Rianne; Garcia-Aymerich, Judith; Mösges, Ralph; Gamkrelidze, Amiran; Stellato, Cristiana; Sarquis Serpa, Faradiba; Niedoszytko, Marek; Pfaar, Oliver; Pawankar, Ruby; Zar, Heather J; Loureiro, Claudia C; Fonseca, Joao A; El-Gamal, Yehia; Lopes-Pereira, Catarina; Masjedi, Mohamed R; Kalayci, Omer; Dray, Gerard; Carlsen, Karin C. Lodrup; Maurer, Marcus; Waserman, Susan; Bouchard, Jacques; Becker, Sven; Lipworth, Brian; Walker, Samantha; Mihaltan, Florin; Bédard, Annabelle; Keil, ThomasDigital anamorphosis is used to define a distorted image of health and care that may be viewed correctly using digital tools and strategies. MASK digital anamorphosis represents the process used by MASK to develop the digital transformation of health and care in rhinitis. It strengthens the ARIA change management strategy in the prevention and management of airway disease. The MASK strategy is based on validated digital tools. Using the MASK digital tool and the CARAT online enhanced clinical framework, solutions for practical steps of digital enhancement of care are proposed.
- Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseasesPublication . Bousquet, Jean; Schünemann, Holger; Togias, Alkis; Erhola, Marina; Hellings, Peter; Zuberbier, Torsten; Agache, Ioana; Ansotegui Zubeldia, Ignacio Javier; Anto, Josep M.; Bachert, Claus; Becker, Sven; Kvedarienė, Violeta; Yusuf, Osman; Ohta, Ken; Moda, Giuliana; Münter, Lars; Chu, Derek K; Lourenço, Olga; Ryan, Dermot; Kuna, Piotr; Devillier, Philippe; Novellino, Enrico; Bergmann, Karl-Christian; Bonini, Mateo; Billo, Nils; Mathieu-Dupas, Eve; Portejoie, Fabienne; Reitsma, Sietze; Farrell, John; Sheikh, Aziz; Haahtela, Tari; Dykewickz, Marc; Morais-Almeida, Mario; Namazova-Baranova, Leyla; Cvetkosvki, Biljana; Fiocchi, Alessandro; Stelmach, Rafael; Samoliński, Bolesław; Brightling, Christofer E; Cardona, Victoria; Buhl, Roland; Miculinic, Neven; Salimäki, Johanna; Ebisawa, Motohiro; Iaccarino, Guido; Bedolla-Barajas, Martin; Roche, Nicolas; Guldemond, Nick A; Dauvilliers, Yves; Palkonen, Susanna; Fonseca, Joao A; Basagaña, Xavier; Cartier, Christine; Chkhartishvili, Ekaterine; Cecchi, Lorenzo; Monti, Ricardo; Suppli Ulrik, Charlotte; Kleine-Tebbe, Jorg; Annesi-Maesano, Isabella; Kardas, Przemyslaw; Garcia-Aymerich, Judith; Pugin, Benoit; Picard, Robert; Fontaine, Jean F; Colgan, Elaine; Custovic, Adnan; Murray, Ruth; van der Kleij, Rianne; Bjermer, Leif; Lodrup Carlsen, Karin C; Jutel, Marek; Solé, Dirceu; Williams, Sian; Illario, Maddalena; Ouedraogo, Solange; Nekam, Kristof; Wang, De Y; Buonaiuto, Roland; Lieberman, Philip; Todo-Bom, Ana; Bindslev-Jensen, Carsten; Kritikos, Vicky; Price, David; Paulino, Ema; Cepeda Sarabia, Alfonso M; De Manuel Keenoy, Esteban; Viart, Frédéric; Okubo, Kimihiro; Sanchez-Borges, Mario; Dubakiene, Ruta; Courbis, Anne Lise; Bourrez, Jean Marc; Gaga, Mina; Thibaudon, Michel; Guzman, Maria Antonieta; Dantas, Carina; Menditto, Enrica; Pinnock, Hilary; Keil, Thomas; De Feo, Giulia; Gotua, Maia; Silva, J da; Laune, Daniel; Williams, Dennis M; Zeng, Stéphane; Montefort, Steve; Hajjam, Jawad; Bedbrook, Anna; González Diaz, Sandra; Neou, Angelo; Marien, Gert; Marshall, Gailen D; Malva, Joao; Vandenplas, Olivier; Valiulis, Arunas; Akdis, Cezmi A; Pali-Schöll, Isabella; Kalayci, Omer; Gamkrelidze, Amiran; Nyembue Tshipukane , Dieudonne; Zidarn, Mihaela; Muraro, Antonella; Costa, Elísio; Bonniaud, Philippe; Kaidashev, Igor; Matricardi, Poalo M; Menditto, Enrica; Melo-Gomes, Elisabete; Waserman, Susan; Bennoor, Kazi Saifuddin; Prokopakis, Emmanuel P; Di Capua, Stefania; Jung, Ki-Suck; Plavec, Davor; Neffen, Hugo; Papadopoulos, Nikos; Gemicioglu, Bilun; Lipworth, Brian; Mihaltan, Florin; Mohammad, Yousser; Yorgancıoglu, Arzu; Bouchard, Jacques; Sisul, Juan-Carlos; Leonardini, Lisa; Rottem, Menahenm; Pfaar, Oliver; Ventura, Maria Teresa; Ivancevich, Juan C; Panzner, Peter; Brusselle, Guy; Zhang, Luo; Carriazo, Ana M; Manning, Patrick; Stellato, Cristina; Romano, Antonino; Bialek, Slawomir; Kull, Inger; Raciborski, Filip; Mullol, Joaquin; Klimek, Ludger; Meltzer, Eli O; Spranger, Otto; Brozek, Jan; Boulet, Louis P; Somekh, David; Valovirta, Erkka; Rolland, Christine; Mogica Martinez, Maria Dolores; Valenta, Rudolf; Casale, Thomas; Benveniste, Samuel; O'Hehir, Robyn; Mösges, Ralf; Eller, Esben; Schmid-Grendelmeir, Peter; Briedis, Vitalis; Popov, Ted A; Napoli, Luigi; O'B Hourihane, John; Joos, Guy; Chavannes, Niels; Picard, Robert; Naclerio, Robert; Bewick, Michael; Sousa, Jaime Correia de; Dokic, Dejan; Yiallouros, Panayiotis; Cruz, Alvaro; Loureiro, Claudia C; Phillips, Jim; To, Teresa; Valentin Rostan, Marylin; Tomazic, Peter Valentin; Carr, Warner; Khaitov, Mussa; Bosse, Isabelle; Okamoto, Yoshitaka; Czarlewski, Wienczyslawa; Pereira, Ana-Maria; Le Thi Tuyet, Lan; Zernotti, Mario; Fink-Wagner, Antjie; Masjedi, Mohamed R; Rosario, Nelson; Vezzani, Giorgio; Wagenmann, Martin; Viegi, Giovanni; Cingi, Cemal; Louis, Renaud; Vasankari, Tuula; Rodo, Xavier; Toppila-Salmi, Sanna; Illario, Maddalena; Ierodiakonou, Despo; Park, Hae-Sim; Fokkens, Wytske J; Wickman, Magnus; Wroczynski, Piotr; D'Amato, Gennaro; Maspero, Jorge F; Sova, Milan; Bateman, Eric; Roller-Wirnsberger, Regina E; Kowalski, Marek L; Rajabian-Söderlund, Rojin; Pham-Thi, Nhân; Emuzyte, Regina; Dedeu, Antoni; Mercier, Jacques; Valero, Antonio; Arnavielhe, Sylvie; Mahboub, Bassam; Sooronbaev, Talant; Walker, Samantha; Humbert, Marc; Gomez, Maximiliano; Wallace, Dana; Blain, Hubert; Melén, Erik; El-Gamal, Yaya; Khaltaev, Nikolai; Bosnic-Anticevich, Sinthia; Wong, Gary; Canonica, Giorgo W; Milenkovic, Branislava; Mair, Alpana; Linnemann, Désirée Larenas; Zar, Heather J; Onorato, Gabrielle; Pépin, Jean-Louis; Tsiligianni, Ioanna; Zhong, Nan SBackground: In all societies, the burden and cost of allergic and chronic respiratory diseases are increasing rapidly. Most economies are struggling to deliver modern health care effectively. There is a need to support the transformation of the health care system into integrated care with organizational health literacy. Main body: As an example for chronic disease care, MASK (Mobile Airways Sentinel NetworK), a new project of the ARIA (Allergic Rhinitis and its Impact on Asthma) initiative, and POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health), in collaboration with professional and patient organizations in the field of allergy and airway diseases, are proposing real-life ICPs centred around the patient with rhinitis, and using mHealth to monitor environmental exposure. Three aspects of care pathways are being developed: (i) Patient participation, health literacy and self-care through technology-assisted “patient activation”, (ii) Implementation of care pathways by pharmacists and (iii) Nextgeneration guidelines assessing the recommendations of GRADE guidelines in rhinitis and asthma using real-world evidence (RWE) obtained through mobile technology. The EU and global political agendas are of great importance in supporting the digital transformation of health and care, and MASK has been recognized by DG Santé as a Good Practice in the field of digitally-enabled, integrated, person-centred care. Conclusion: In 20 years, ARIA has considerably evolved from the first multimorbidity guideline in respiratory diseases to the digital transformation of health and care with a strong political involvement.
- Allergic Rhinitis and its Impact on Asthma (ARIA) Phase 4 (2018): Change management in allergic rhinitis and asthma multimorbidity using mobile technologyPublication . Bousquet, Jean; Hellings, Peter; Agache, Ioana; Amat, Flore; Annesi-Maesano, Isabella; Ansotegui, Ignacio J; Anto, Josep M; Bachert, Claus; Bateman, Eric D; Bedbrook, Anna; Bennoor, Kazi Saifuddin; Rottem, Menachem; Ryan, Dermot; Salimäki, Johanna; Samolinski, Boleslaw; Sanchez-Borges, Mario; Schunemann, Holger J; Sisul, Juan; Rajabian-Söderlund, Rojin; Sooronbaev, Talant; Stellato, Cristiana; To, Teresa; Sheikh, Aziz; Todo-Bom, Ana; Tomazic, Peter Valentin; Toppila-Salmi, Sanna; Valero, Antonio; Valiulis, Arunas; Ventura, Maria Teresa; Wagenmann, Martin; Wang, De Yun; Wallace, Dana; Waserman, Susan; Valovirta, Erkka; Wickman, Magnus; Yorgancioglu, Arzu; Zhang, Luo; Zhong, Nanshan; Zidarn, Mihaela; Bewick, Mickael; Bindslev-Jensen, Carsten; Bosnic-Anticevich, Sinthia; Bosse, Isabelle; Brozek, Jan; Zuberbier, Torsten; Brussino, Luisa; Canonica, Giorgio W; Cardona, Victoria; Casale, Thomas; Sarabia, Alfonso M Cepeda; Chavannes, Niels H; Sousa, Jaime Correia de; Costa, Elísio; Cruz, Alvaro A; Czarlewski, Wienczyslawa; Cecchi, Lorenzo; De Carlo, Giuseppe; De Feo, Giulia; Demoly, Pascal; Devillier, Philippe; Dykewicz, Mark S; El-Gamal, Yehia; Fonseca, Joao A; Fontaine, Jean-François; Fokkens, Wytske J; Guzman, Maria Antonieta; Eller, Esben E; Haahtela, Tari; Illario, Maddalena; Ivancevich, Juan-Carlos; Just, Jocelyne; Kaidashev, Igor; Khaitov, Musa; Keil, Thomas; Klimek, Ludger; Kowalski, Marek L; Kuna, Piotr; Kalayci, Omer; Kvedarienė, Violeta; Larenas Linnemann, Désirée; Laune, Daniel; Le Thi Tuyet, Lan; Carlsen, Karin Lodrup; Lourenço, Olga; Mair, Alpana; Menditto, Enrica; Milenkovic, Branislava; Morais-Almeida, Mario; Mahboub, Bassam; Mösges, Ralph; Mullol, Joaquim; Murray, Ruth; Naclerio, Robert; Namazova-Baranova, Leyla; Novellino, Ettore; Ohta, Ken; Okamoto, Yoshitaka; Okubo, Kimihiro; Onorato, Gabrielle L; O'Hehir, Robyn; Palkonen, Susanna; Panzner, Petr; Papadopoulos, Nikos G; Park, Hae-Sim; Paulino, Ema; Pawankar, Ruby; Plavec, Davor; Popov, Ted A; Potter, Paul; Prokopakis, Emmanuel P; Pfaar, OliverAllergic Rhinitis and its Impact on Asthma (ARIA) has evolved from a guideline by using the best approach to integrated care pathways using mobile technology in patients with allergic rhinitis (AR) and asthma multimorbidity. The proposed next phase of ARIA is change management, with the aim of providing an active and healthy life to patients with rhinitis and to those with asthma multimorbidity across the lifecycle irrespective of their sex or socioeconomic status to reduce health and social inequities incurred by the disease. ARIA has followed the 8-step model of Kotter to assess and implement the effect of rhinitis on asthma multimorbidity and to propose multimorbid guidelines. A second change management strategy is proposed by ARIA Phase 4 to increase self-medication and shared decision making in rhinitis and asthma multimorbidity. An innovation of ARIA has been the development and validation of information technology evidence-based tools (Mobile Airways Sentinel Network [MASK]) that can inform patient decisions on the basis of a self-care plan proposed by the health care professional.
- ARIA pharmacy 2018: Allergic rhinitis care pathways for community pharmacyPublication . Bosnic-Anticevich, Sinthia; Costa, Elísio; Menditto, Enrica; Lourenço, Olga; Novellino, Ettore; Bialek, Slawomir; Briedis, Vitalis; Buonaiuto, Roland; Chrystyn, Henry; Cvetkovski, Biljana; Di Capua, Stefania; Park, Hae-Sim; Phillips, Jim; Plavec, Davor; Stellato, Cristiana; Somekh, David; Sisul, Juan; To, Teresa; Todo-Bom, Ana; Tomazic, Peter Valentin; Toppila-Salmi, Sanna; Valero, Antonio; Popov, Todor A; Potter, Paul C; Prokopakis, Emmanuel P; Roller-Wirnsberger, Regina E; Rottem, Menachem; Ryan, Dermot; Samolinski, Boleslaw; Sanchez-Borges, Mario; Schunemann, Holger J; Sheikh, Aziz; Ventura, Maria Teresa; Valovirta, Erkka; Valiulis, Arunas; Wagenmann, Martin; Kritikos, Vicky; Bousquet, Jean; Zuberbier, Torsten; Mair, Alpana; Orlando, Valentina; Paulino, Ema; Salimäki, Johanna; Söderlund, Rojin; Wallace, Dana; Waserman, Susan; Wickman, Magnus; Yiallouros, Panayiotis; Yorgancioglu, Arzu; Yusuf, Osman; Zar, Heather J; Zernotti, Mario E; Zhang, Luo; Zidarn, Mihaela; Wroczynski, Piotr; Williams, Dennis M; Tan, Rachel; Agache, Ioana; Ansotegui, Ignacio J; Cruz, Alvaro A; Sousa, Jaime Correia de; Chavannes, Niels H; Czarlewski, Wienczyslawa; De Carlo, Giuseppe; Demoly, Pascal; Devillier, Philippe; Anto, Josep M; Bedbrook, Anna; Bachert, Claus; Bewick, Mike; Bindslev-Jensen, Carsten; Brozek, Jan L; Canonica, Giorgio Walter; Cardona, Victoria; Carr, Warner; Casale, Thomas; El-Gamal, Yehia; Gaga, Mina; Dykewicz, Mark S; Fonseca, João; Fokkens, Wytske J; Kuna, Piotr; Kowalski, Marek; Klimek, Ludger; Kvedarienė, Violeta; Linnemann, Désirée Larenas; Laune, Daniel; Le Thi Tuyet, Lan; Guzman, Maria Antonieta; Haahtela, Tari; Hellings, Peter; Illario, Maddalena; Ivancevich, Juan Carlos; Just, Jocelyne; Kaidashev, Igor; Khaitov, Musa; Khaltaev, Nikolai; Keil, Thomas; Maier, Dieter; Mahboub, Bassam; Lodrup Carlsen, Karin C; Malva, João; Manning, Patrick J; Okamoto, Yoshitaka; Ohta, Ken; O'Hehir, Robyn; Onorato, Gabrielle L; Palkonen, Susanna; Panzner, Petr; Papadopoulos, Nikolaos G.; Almeida, Mário Morais; Mösges, Ralph; Mullol, Joaquim; Münter, Lars; Murray, Ruth; Naclerio, Robert; Namazova-Baranova, Leyla; Nekam, Kristof; Nyembue, Tshipukane Dieudonné; Okubo, Kimihiro; Pfaar, Oliver; Pawankar, RubyPharmacists 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.
