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-Anticevich¹, Elisio Costa², Enrica Menditto³, Olga Lourenço⁴, Ettore Novellino⁵, Slawomir Bialek⁶, Vitalis Briedis⁷, Roland Buonaiuto⁸, Henry Chrystyn⁹, Biljana Cvetkovski¹, Stefania Di Capua¹⁰, Vicky Kritikos¹, Alpana Mair¹¹, Valentina Orlando³, Ema Paulino¹², Johanna Salimäki¹³, Rojin Söderlund¹⁴, Rachel Tan¹, Dennis M Williams¹⁵, Piotr Wroczynski⁶, Ioana Agache¹⁶, Ignacio J Ansotegui¹⁷, Josep M Anto^{18

19

20

21}, Anna Bedbrook²², Claus Bachert²³, Mike Bewick²⁴, Carsten Bindslev-Jensen²⁵, Jan L Brozek²⁶, Giorgio Walter Canonica²⁷, Victoria Cardona²⁸, Warner Carr²⁹, Thomas B Casale³⁰, Niels H Chavannes³¹, Jaime Correia de Sousa^{32

33}, Alvaro A Cruz^{34

35}, Wienczyslawa Czarlewski³⁶, Giuseppe De Carlo³⁷, Pascal Demoly^{38

39}, Philippe Devillier⁴⁰, Mark S Dykewicz⁴¹, Mina Gaga⁴², Yehia El-Gamal⁴³, João Fonseca^{44

45}, Wytske J Fokkens⁴⁶, Maria Antonieta Guzmán⁴⁷, Tari Haahtela^{48

49}, Peter W Hellings⁵⁰, Maddalena Illario⁵¹, Juan Carlos Ivancevich⁵², Jocelyne Just⁵³, Igor Kaidashev⁵⁴, Musa Khaitov⁵⁵, Nikolai Khaltaev⁵⁶, Thomas Keil^{57

58}, Ludger Klimek⁵⁹, Marek L Kowalski⁶⁰, Piotr Kuna⁶¹, Violeta Kvedariene⁶², Désirée E Larenas-Linnemann⁶³, Daniel Laune⁶⁴, Lan T T Le⁶⁵, Karin C Lodrup Carlsen^{66

67}, Bassam Mahboub⁶⁸, Dieter Maier⁶⁹, Joao Malva^{70

71}, Patrick J Manning⁷², Mário Morais-Almeida⁷³, Ralph Mösges^{74

75}, Joaquim Mullol⁷⁶, Lars Münter⁷⁷, Ruth Murray⁷⁸, Robert Naclerio⁷⁹, Leyla Namazova-Baranova⁸⁰, Kristof Nekam⁸¹, Tshipukane Dieudonné Nyembue⁸², Kimi Okubo⁸³, Robyn E O'Hehir^{84

85}, Ken Ohta⁸⁶, Yoshitaka Okamoto⁸⁷, Gabrielle L Onorato²², Susanna Palkonen³⁷, Petr Panzner⁸⁸, Nikolaos G Papadopoulos^{89

90}, Hae-Sim Park⁹¹, Ruby Pawankar⁹², Oliver Pfaar⁹³, Jim Phillips⁹⁴, Davor Plavec⁹⁵, Todor A Popov⁹⁶, Paul C Potter⁹⁷, Emmanuel P Prokopakis⁹⁸, Regina E Roller-Wirnsberger⁹⁹, Menachem Rottem¹⁰⁰, Dermot Ryan¹⁰¹, Bolesław Samolinski¹⁰², Mario Sanchez-Borges^{103

104}, Holger J Schunemann²⁶, Aziz Sheikh¹⁰⁵, Juan Carlos Sisul¹⁰⁶, David Somekh¹⁰⁷, Cristiana Stellato¹⁰⁸, Teresa To¹⁰⁹, Ana Maria Todo-Bom^{110

111}, Peter Valentin Tomazic¹¹², Sanna Toppila-Salmi^{48

49}, Antonio Valero¹¹³, Arunas Valiulis^{114

115}, Errka Valovirta¹¹⁶, Maria Teresa Ventura¹¹⁷, Martin Wagenmann¹¹⁸, Dana Wallace¹¹⁹, Susan Waserman¹²⁰, Magnus Wickman¹²¹, Panayiotis K Yiallouros^{122

123}, Arzu Yorgancioglu¹²⁴, Osman M Yusuf¹²⁵, Heather J Zar¹²⁶, Mario E Zernotti¹²⁷, Luo Zhang¹²⁸, Mihaela Zidarn¹²⁹, Torsten Zuberbier¹³⁰, Jean Bousquet^{22

130

131

132

133

134}

Affiliations

¹ Woolcock Institute of Medical Research, University of Sydney and Sydney Local Health District, Glebe, New South Wales, Australia.
² UCIBIO, REQUIMTE, Faculty of Pharmacy and Competence Center on Active and Healthy Ageing of University of Porto (AgeUPNetWork), University of Porto, Porto, Portugal.
³ CIRFF, Federico II University, Naples, Italy.
⁴ Faculty of Health Sciences and CICS - UBI, Health Sciences Research Centre, University of Beira Interior, Covilhã, Portugal.
⁵ Department of Pharmacy of University of Naples Federico II, Naples, Italy.
⁶ Department of Biochemistry and Clinical Chemistry, Faculty of Pharmacy with the Division of Laboratory Medicine, Warsaw Medical University, Warsaw, Poland.
⁷ Department of Clinical Pharmacy of Lithuanian, University of Health Sciences, Kaunas, Lithuania.
⁸ Pharmacist, Municipality Pharmacy, Sarno, Italy.
⁹ RiRL, Oakington, Cambridge, UK.
¹⁰ Farmacie Dei Golfi Group, Massa Lubrense, Italy.
¹¹ DG for Health and Social Care, Scottish Government, Edinburgh, UK.
¹² Farmacias Holon, Lisbon, Portugal.
¹³ Association of Finnish Pharmacies, Helsinki, Finland.
¹⁴ Department of Nephrology and Endocrinology, Karolinska University Hospital, Stockholm, Sweden.
¹⁵ Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, North Carolina.
¹⁶ Transylvania University Brasov, Brasov, Romania.
¹⁷ Department of Allergy and Immunology, Hospital Quirón Bizkaia, Erandio, Spain.
¹⁸ ISGlobAL, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.
¹⁹ IMIM (Hospital del Mar Research Institute), Barcelona, Spain.
²⁰ CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
²¹ Universitat Pompeu Fabra (UPF), Barcelona, Spain.
²² MACVIA-France, Fondation Partenariale FMC VIA-LR, Montpellier, France.
²³ Upper Airways Research Laboratory, ENT Department, Ghent University Hospital, Ghent, Belgium.
²⁴ iQ4U Consultants Ltd, London, UK.
²⁵ Department of Dermatology and Allergy Centre, Odense University Hospital, Odense Research Center for Anaphylaxis (ORCA), Odense, Denmark.
²⁶ Department of Health Research Methods, Evidence, and Impact, Division of Immunology and Allergy, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
²⁷ Personalized Medicine Clinic Asthma & Allergy, Humanitas Research Hospital, Humanitas University, Rozzano, Milan, Italy.
²⁸ Allergy Section, Department of Internal Medicine, Hospital Vall 'dHebron & ARADyAL Research Network, Barcelona, Spain.
²⁹ Allergy and Asthma Associates of Southern California, Mission Viejo, California.
³⁰ Division of Allergy/Immunology, University of South Florida, Tampa, Florida.
³¹ Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
³² Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.
³³ ICVS/3B's, PT Government Associate Laboratory, Braga/Guimarães, Portugal.
³⁴ ProAR - Nucleo de Excelencia em Asma, Federal University of Bahia, Bahia, Brazil.
³⁵ WHO GARD Planning Group, Brasilia, Brazil.
³⁶ Medical Consulting Czarlewski, Levallois, France.
³⁷ EFA European Federation of Allergy and Airways Diseases Patients' Associations, Brussels, Belgium.
³⁸ Department of Respiratory Diseases, Montpellier University Hospital, Montpellier, France.
³⁹ Epidemiology of Allergic and Respiratory Diseases, Department Institute Pierre Louis of Epidemiology and Public Health, Medical School Saint Antoine, INSERM and UPMC Sorbonne Université, Paris, France.
⁴⁰ Laboratoire de Pharmacologie Respiratoire UPRES EA220, Hôpital Foch, Suresnes Université Versailles Saint-Quentin, Université Paris Saclay, Saclay, France.
⁴¹ Section of Allergy and Immunology, Saint Louis University School of Medicine, Saint Louis, Missouri.
⁴² ERS President 2017-2018, Athens Chest Hospital, 7th Resp Med Department and Asthma Center, Athens, Greece.
⁴³ Pediatric Allergy and Immunology Unit, Children's Hospital, Ain Shams University, Cairo, Egypt.
⁴⁴ CINTESIS, Center for Research in Health Technologies and Information Systems, Faculdade de Medicina da Universidade do Porto, Porto, Portugal.
⁴⁵ MEDIDA, Lda, Porto, Portugal.
⁴⁶ Department of Otorhinolaryngology, Academic Medical Centre, Amsterdam, The Netherlands.
⁴⁷ Immunology and Allergy Division, Clinical Hospital, University of Chile, Santiago, Chile.
⁴⁸ Skin and Allergy Hospital, Helsinki University Hospital, Helsinki, Finland.
⁴⁹ University of Helsinki, Helsinki, Finland.
⁵⁰ Laboratory of Clinical Immunology, Department of Microbiology and Immunology, KU Leuven, Leuven, Belgium.
⁵¹ Division for Health Innovation, Campania Region and Federico II University Hospital Naples (R&D and DISMET), Naples, Italy.
⁵² Servicio de Alergia e Immunologia, Clinica Santa Isabel, Buenos Aires, Argentina.
⁵³ Allergology Department, Centre de l'Asthme et des Allergies Hôpital d'Enfants Armand-Trousseau (APHP), Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Equipe EPAR, Paris, France.
⁵⁴ Ukrainian Medical Stomatological Academy, Poltava, Ukraine.
⁵⁵ National Research Center, Institute of Immunology, Federal Medicobiological Agency, Laboratory of Molecular immunology, Moscow, Russian Federation.
⁵⁶ GARD Chairman, Geneva, Switzerland.
⁵⁷ Institute of Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, Berlin, Germany.
⁵⁸ Institute for Clinical Epidemiology and Biometry, University of Wuerzburg, Wuerzburg, Germany.
⁵⁹ Center for Rhinology and Allergology, Wiesbaden, Germany.
⁶⁰ Department of Immunology and Allergy, Healthy Ageing Research Center, Medical University of Lodz, Lodz, Poland.
⁶¹ Division of Internal Medicine, Asthma and Allergy, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland.
⁶² Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
⁶³ Center of Excellence in Asthma and Allergy, Médica Sur Clinical Foundation and Hospital, México City, Mexico.
⁶⁴ KYomed INNOV, Montpellier, France.
⁶⁵ University of Medicine and Pharmacy, Hochiminh City, Vietnam.
⁶⁶ Department of Paediatrics, Oslo University Hospital, Oslo, Norway.
⁶⁷ Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
⁶⁸ Department of Pulmonary Medicine, Rashid Hospital, Dubai, UAE.
⁶⁹ Biomax Informatics AG, Munich, Germany.
⁷⁰ Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, Coimbra, Portugal.
⁷¹ Ageing@Coimbra EIP-AHA Reference Site, Coimbra, Portugal.
⁷² Department of Medicine (RCSI), Bon Secours Hospital, Glasnevin, Dublin, Ireland.
⁷³ Allergy Center, CUF Descobertas Hospital, Lisbon, Portugal.
⁷⁴ Institute of Medical Statistics, and Computational Biology, Medical Faculty, University of Cologne, Cologne, Germany.
⁷⁵ CRI-Clinical Research International-Ltd, Hamburg, Germany.
⁷⁶ Rhinology Unit & Smell Clinic, ENT Department, Hospital Clínic, Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, CIBERES, University of Barcelona, Barcelona, Spain.
⁷⁷ Danish Committee for Health Education, Copenhagen East, Denmark.
⁷⁸ MedScript Ltd, Dundalk, Co Louth, Ireland.
⁷⁹ Johns Hopkins School of Medicine, Baltimore, Maryland.
⁸⁰ Scientific Centre of Children's Health under the MoH, Russia, Russian National Research Medical University named Pirogov, Moscow, Russia.
⁸¹ Hospital of the Hospitaller Brothers in Buda, Budapest, Hungary.
⁸² ENT Department, University Hospital of Kinshasa, Kinshasa, Congo.
⁸³ Department of Otolaryngology, Nippon Medical School, Tokyo, Japan.
⁸⁴ Department of Allergy, Immunology and Respiratory Medicine, Alfred Hospital and Central Clinical School, Monash University, Melbourne, Victoria, Australia.
⁸⁵ Department of Immunology, Monash University, Melbourne, Victoria, Australia.
⁸⁶ National Hospital Organization Tokyo National Hospital, Tokyo, Japan.
⁸⁷ Department of Otorhinolaryngology, Chiba University Hospital, Chiba, Japan.
⁸⁸ Department of Immunology and Allergology, Faculty of Medicine and Faculty Hospital in Pilsen, Charles University in Prague, Pilsen, Czech Republic.
⁸⁹ Division of Infection, Immunity & Respiratory Medicine, Royal Manchester Children's Hospital, University of Manchester, Manchester, UK.
⁹⁰ Allergy Department, 2nd Pediatric Clinic, Athens General Children's Hospital "P&A Kyriakou", University of Athens, Athens, Greece.
⁹¹ Department of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, South Korea.
⁹² Department of Pediatrics, Nippon Medical School, Tokyo, Japan.
⁹³ Department of Otorhinolaryngology, Head and Neck Surgery, Section for Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany.
⁹⁴ Centre for Empowering Patients and Communities, Faulkland, Somerset, UK.
⁹⁵ Children's Hospital Srebrnjak, Zagreb, School of Medicine, University J.J. Strossmayer, Osijek, Croatia.
⁹⁶ University Hospital 'Sv Ivan Rilski'", Sofia, Bulgaria.
⁹⁷ Allergy Diagnostic and Clinical Research Unit, University of Cape Town Lung Institute, Cape Town, South Africa.
⁹⁸ Department of Otorhinolaryngology, University of Crete School of Medicine, Heraklion, Greece.
⁹⁹ Department of Internal Medicine, Medical University of Graz, Graz, Austria.
¹⁰⁰ Division of Allergy Asthma and Clinical Immunology, Emek Medical Center, Afula, Israel.
¹⁰¹ Honorary Clinical Research Fellow, Allergy and Respiratory Research Group, The University of Edinburgh, Past President SLAAI, FACAAI, Edinburgh, UK.
¹⁰² Department of Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, Warsaw, Poland.
¹⁰³ Allergy and Clinical Immunology Department, Centro Médico-Docente la Trinidad, Caracas, Trinidad.
¹⁰⁴ Clínica El Avila, Altamira, Caracas, Venezuela.
¹⁰⁵ The Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK.
¹⁰⁶ Sociedad Paraguaya de Alergia Asma e Inmunologie, Asuncion, Paraguay.
¹⁰⁷ European Health Futures Forum (EHFF), Isle of Wright, UK.
¹⁰⁸ Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Salerno, Italy.
¹⁰⁹ The Hospital for Sick Children, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
¹¹⁰ Imunoalergologia, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal.
¹¹¹ Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
¹¹² Department of ENT, Medical University of Graz, Graz, Austria.
¹¹³ Pneumology and Allergy Department CIBERES and Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, University of Barcelona, Barcelona, Spain.
¹¹⁴ Clinic of Children's Diseases and Institute of Health Sciences, Department of Public Health, Vilnius University Institute of Clinical Medicine, Vilnius, Lithuania.
¹¹⁵ European Academy of Paediatrics (EAP/UEMS-SP), Brussels, Belgium.
¹¹⁶ Department of Lung Diseases and Clinical Immunology, University of Turku and Terveystalo allergy clinic, Turku, Finland.
¹¹⁷ Unit of Geriatric Immunoallergology, University of Bari Medical School, Bari, Italy.
¹¹⁸ Department of Otorhinolaryngology, Universitätsklinikum Düsseldorf, Dusseldorf, Germany.
¹¹⁹ Nova Southeastern University, Fort Lauderdale, Florida.
¹²⁰ Department of Medicine, Clinical Immunology and Allergy, McMaster University, Hamilton, Ontario, Canada.
¹²¹ Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.
¹²² Cyprus International Institute for Environmenta & Public Health in Association with Harvard School of Public Health, Cyprus University of Technology, Limassol, Cyprus.
¹²³ Department of Pediatrics, Hospital "Archbishop Makarios III", Nicosia, Cyprus.
¹²⁴ Department of Pulmonology, Celal Bayar University, Manisa, Turkey.
¹²⁵ The Allergy and Asthma Institute, Islamabad, Pakistan.
¹²⁶ Department of Paediatrics and Child Health, Red Cross Children's, Hospital, and MRC Unit on Child & Adolescent Health, University of Cape Town, Cape Town, South Africa.
¹²⁷ Universidad Católica de Córdoba, Córdoba, Argentina.
¹²⁸ Department of Otolaryngology Head and Neck Surgery, Beijing TongRen Hospital, Beijing Institute of Otolaryngology, Beijing, China.
¹²⁹ University Clinic of Respiratory and Allergic Diseases, Golnik, Slovenia.
¹³⁰ Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Comprehensive Allergy Center, A member of GA2LEN, Berlin, Germany.
¹³¹ University Hospital, Montpellier, France.
¹³² INSERM U 1168, VIMA: Ageing and chronic diseases Epidemiological and public health approaches, Villejuif, France.
¹³³ Université Versailles St-Quentin-en-Yvelines, UMR-S 1168, Montigny le Bretonneux, France.
¹³⁴ Euforea, Brussels, Belgium.

PMID: 30565275
DOI: 10.1111/all.13701

Free article

Review

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 et al. Allergy. 2019 Jul.

Free article

. 2019 Jul;74(7):1219-1236.

doi: 10.1111/all.13701. Epub 2019 Apr 30.

Authors

Affiliations

¹ Woolcock Institute of Medical Research, University of Sydney and Sydney Local Health District, Glebe, New South Wales, Australia.
² UCIBIO, REQUIMTE, Faculty of Pharmacy and Competence Center on Active and Healthy Ageing of University of Porto (AgeUPNetWork), University of Porto, Porto, Portugal.
³ CIRFF, Federico II University, Naples, Italy.
⁴ Faculty of Health Sciences and CICS - UBI, Health Sciences Research Centre, University of Beira Interior, Covilhã, Portugal.
⁵ Department of Pharmacy of University of Naples Federico II, Naples, Italy.
⁶ Department of Biochemistry and Clinical Chemistry, Faculty of Pharmacy with the Division of Laboratory Medicine, Warsaw Medical University, Warsaw, Poland.
⁷ Department of Clinical Pharmacy of Lithuanian, University of Health Sciences, Kaunas, Lithuania.
⁸ Pharmacist, Municipality Pharmacy, Sarno, Italy.
⁹ RiRL, Oakington, Cambridge, UK.
¹⁰ Farmacie Dei Golfi Group, Massa Lubrense, Italy.
¹¹ DG for Health and Social Care, Scottish Government, Edinburgh, UK.
¹² Farmacias Holon, Lisbon, Portugal.
¹³ Association of Finnish Pharmacies, Helsinki, Finland.
¹⁴ Department of Nephrology and Endocrinology, Karolinska University Hospital, Stockholm, Sweden.
¹⁵ Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, North Carolina.
¹⁶ Transylvania University Brasov, Brasov, Romania.
¹⁷ Department of Allergy and Immunology, Hospital Quirón Bizkaia, Erandio, Spain.
¹⁸ ISGlobAL, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain.
¹⁹ IMIM (Hospital del Mar Research Institute), Barcelona, Spain.
²⁰ CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
²¹ Universitat Pompeu Fabra (UPF), Barcelona, Spain.
²² MACVIA-France, Fondation Partenariale FMC VIA-LR, Montpellier, France.
²³ Upper Airways Research Laboratory, ENT Department, Ghent University Hospital, Ghent, Belgium.
²⁴ iQ4U Consultants Ltd, London, UK.
²⁵ Department of Dermatology and Allergy Centre, Odense University Hospital, Odense Research Center for Anaphylaxis (ORCA), Odense, Denmark.
²⁶ Department of Health Research Methods, Evidence, and Impact, Division of Immunology and Allergy, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
²⁷ Personalized Medicine Clinic Asthma & Allergy, Humanitas Research Hospital, Humanitas University, Rozzano, Milan, Italy.
²⁸ Allergy Section, Department of Internal Medicine, Hospital Vall 'dHebron & ARADyAL Research Network, Barcelona, Spain.
²⁹ Allergy and Asthma Associates of Southern California, Mission Viejo, California.
³⁰ Division of Allergy/Immunology, University of South Florida, Tampa, Florida.
³¹ Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
³² Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.
³³ ICVS/3B's, PT Government Associate Laboratory, Braga/Guimarães, Portugal.
³⁴ ProAR - Nucleo de Excelencia em Asma, Federal University of Bahia, Bahia, Brazil.
³⁵ WHO GARD Planning Group, Brasilia, Brazil.
³⁶ Medical Consulting Czarlewski, Levallois, France.
³⁷ EFA European Federation of Allergy and Airways Diseases Patients' Associations, Brussels, Belgium.
³⁸ Department of Respiratory Diseases, Montpellier University Hospital, Montpellier, France.
³⁹ Epidemiology of Allergic and Respiratory Diseases, Department Institute Pierre Louis of Epidemiology and Public Health, Medical School Saint Antoine, INSERM and UPMC Sorbonne Université, Paris, France.
⁴⁰ Laboratoire de Pharmacologie Respiratoire UPRES EA220, Hôpital Foch, Suresnes Université Versailles Saint-Quentin, Université Paris Saclay, Saclay, France.
⁴¹ Section of Allergy and Immunology, Saint Louis University School of Medicine, Saint Louis, Missouri.
⁴² ERS President 2017-2018, Athens Chest Hospital, 7th Resp Med Department and Asthma Center, Athens, Greece.
⁴³ Pediatric Allergy and Immunology Unit, Children's Hospital, Ain Shams University, Cairo, Egypt.
⁴⁴ CINTESIS, Center for Research in Health Technologies and Information Systems, Faculdade de Medicina da Universidade do Porto, Porto, Portugal.
⁴⁵ MEDIDA, Lda, Porto, Portugal.
⁴⁶ Department of Otorhinolaryngology, Academic Medical Centre, Amsterdam, The Netherlands.
⁴⁷ Immunology and Allergy Division, Clinical Hospital, University of Chile, Santiago, Chile.
⁴⁸ Skin and Allergy Hospital, Helsinki University Hospital, Helsinki, Finland.
⁴⁹ University of Helsinki, Helsinki, Finland.
⁵⁰ Laboratory of Clinical Immunology, Department of Microbiology and Immunology, KU Leuven, Leuven, Belgium.
⁵¹ Division for Health Innovation, Campania Region and Federico II University Hospital Naples (R&D and DISMET), Naples, Italy.
⁵² Servicio de Alergia e Immunologia, Clinica Santa Isabel, Buenos Aires, Argentina.
⁵³ Allergology Department, Centre de l'Asthme et des Allergies Hôpital d'Enfants Armand-Trousseau (APHP), Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Equipe EPAR, Paris, France.
⁵⁴ Ukrainian Medical Stomatological Academy, Poltava, Ukraine.
⁵⁵ National Research Center, Institute of Immunology, Federal Medicobiological Agency, Laboratory of Molecular immunology, Moscow, Russian Federation.
⁵⁶ GARD Chairman, Geneva, Switzerland.
⁵⁷ Institute of Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, Berlin, Germany.
⁵⁸ Institute for Clinical Epidemiology and Biometry, University of Wuerzburg, Wuerzburg, Germany.
⁵⁹ Center for Rhinology and Allergology, Wiesbaden, Germany.
⁶⁰ Department of Immunology and Allergy, Healthy Ageing Research Center, Medical University of Lodz, Lodz, Poland.
⁶¹ Division of Internal Medicine, Asthma and Allergy, Barlicki University Hospital, Medical University of Lodz, Lodz, Poland.
⁶² Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
⁶³ Center of Excellence in Asthma and Allergy, Médica Sur Clinical Foundation and Hospital, México City, Mexico.
⁶⁴ KYomed INNOV, Montpellier, France.
⁶⁵ University of Medicine and Pharmacy, Hochiminh City, Vietnam.
⁶⁶ Department of Paediatrics, Oslo University Hospital, Oslo, Norway.
⁶⁷ Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
⁶⁸ Department of Pulmonary Medicine, Rashid Hospital, Dubai, UAE.
⁶⁹ Biomax Informatics AG, Munich, Germany.
⁷⁰ Faculty of Medicine, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, Coimbra, Portugal.
⁷¹ Ageing@Coimbra EIP-AHA Reference Site, Coimbra, Portugal.
⁷² Department of Medicine (RCSI), Bon Secours Hospital, Glasnevin, Dublin, Ireland.
⁷³ Allergy Center, CUF Descobertas Hospital, Lisbon, Portugal.
⁷⁴ Institute of Medical Statistics, and Computational Biology, Medical Faculty, University of Cologne, Cologne, Germany.
⁷⁵ CRI-Clinical Research International-Ltd, Hamburg, Germany.
⁷⁶ Rhinology Unit & Smell Clinic, ENT Department, Hospital Clínic, Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, CIBERES, University of Barcelona, Barcelona, Spain.
⁷⁷ Danish Committee for Health Education, Copenhagen East, Denmark.
⁷⁸ MedScript Ltd, Dundalk, Co Louth, Ireland.
⁷⁹ Johns Hopkins School of Medicine, Baltimore, Maryland.
⁸⁰ Scientific Centre of Children's Health under the MoH, Russia, Russian National Research Medical University named Pirogov, Moscow, Russia.
⁸¹ Hospital of the Hospitaller Brothers in Buda, Budapest, Hungary.
⁸² ENT Department, University Hospital of Kinshasa, Kinshasa, Congo.
⁸³ Department of Otolaryngology, Nippon Medical School, Tokyo, Japan.
⁸⁴ Department of Allergy, Immunology and Respiratory Medicine, Alfred Hospital and Central Clinical School, Monash University, Melbourne, Victoria, Australia.
⁸⁵ Department of Immunology, Monash University, Melbourne, Victoria, Australia.
⁸⁶ National Hospital Organization Tokyo National Hospital, Tokyo, Japan.
⁸⁷ Department of Otorhinolaryngology, Chiba University Hospital, Chiba, Japan.
⁸⁸ Department of Immunology and Allergology, Faculty of Medicine and Faculty Hospital in Pilsen, Charles University in Prague, Pilsen, Czech Republic.
⁸⁹ Division of Infection, Immunity & Respiratory Medicine, Royal Manchester Children's Hospital, University of Manchester, Manchester, UK.
⁹⁰ Allergy Department, 2nd Pediatric Clinic, Athens General Children's Hospital "P&A Kyriakou", University of Athens, Athens, Greece.
⁹¹ Department of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, South Korea.
⁹² Department of Pediatrics, Nippon Medical School, Tokyo, Japan.
⁹³ Department of Otorhinolaryngology, Head and Neck Surgery, Section for Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany.
⁹⁴ Centre for Empowering Patients and Communities, Faulkland, Somerset, UK.
⁹⁵ Children's Hospital Srebrnjak, Zagreb, School of Medicine, University J.J. Strossmayer, Osijek, Croatia.
⁹⁶ University Hospital 'Sv Ivan Rilski'", Sofia, Bulgaria.
⁹⁷ Allergy Diagnostic and Clinical Research Unit, University of Cape Town Lung Institute, Cape Town, South Africa.
⁹⁸ Department of Otorhinolaryngology, University of Crete School of Medicine, Heraklion, Greece.
⁹⁹ Department of Internal Medicine, Medical University of Graz, Graz, Austria.
¹⁰⁰ Division of Allergy Asthma and Clinical Immunology, Emek Medical Center, Afula, Israel.
¹⁰¹ Honorary Clinical Research Fellow, Allergy and Respiratory Research Group, The University of Edinburgh, Past President SLAAI, FACAAI, Edinburgh, UK.
¹⁰² Department of Prevention of Environmental Hazards and Allergology, Medical University of Warsaw, Warsaw, Poland.
¹⁰³ Allergy and Clinical Immunology Department, Centro Médico-Docente la Trinidad, Caracas, Trinidad.
¹⁰⁴ Clínica El Avila, Altamira, Caracas, Venezuela.
¹⁰⁵ The Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK.
¹⁰⁶ Sociedad Paraguaya de Alergia Asma e Inmunologie, Asuncion, Paraguay.
¹⁰⁷ European Health Futures Forum (EHFF), Isle of Wright, UK.
¹⁰⁸ Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Salerno, Italy.
¹⁰⁹ The Hospital for Sick Children, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
¹¹⁰ Imunoalergologia, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal.
¹¹¹ Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
¹¹² Department of ENT, Medical University of Graz, Graz, Austria.
¹¹³ Pneumology and Allergy Department CIBERES and Clinical & Experimental Respiratory Immunoallergy, IDIBAPS, University of Barcelona, Barcelona, Spain.
¹¹⁴ Clinic of Children's Diseases and Institute of Health Sciences, Department of Public Health, Vilnius University Institute of Clinical Medicine, Vilnius, Lithuania.
¹¹⁵ European Academy of Paediatrics (EAP/UEMS-SP), Brussels, Belgium.
¹¹⁶ Department of Lung Diseases and Clinical Immunology, University of Turku and Terveystalo allergy clinic, Turku, Finland.
¹¹⁷ Unit of Geriatric Immunoallergology, University of Bari Medical School, Bari, Italy.
¹¹⁸ Department of Otorhinolaryngology, Universitätsklinikum Düsseldorf, Dusseldorf, Germany.
¹¹⁹ Nova Southeastern University, Fort Lauderdale, Florida.
¹²⁰ Department of Medicine, Clinical Immunology and Allergy, McMaster University, Hamilton, Ontario, Canada.
¹²¹ Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.
¹²² Cyprus International Institute for Environmenta & Public Health in Association with Harvard School of Public Health, Cyprus University of Technology, Limassol, Cyprus.
¹²³ Department of Pediatrics, Hospital "Archbishop Makarios III", Nicosia, Cyprus.
¹²⁴ Department of Pulmonology, Celal Bayar University, Manisa, Turkey.
¹²⁵ The Allergy and Asthma Institute, Islamabad, Pakistan.
¹²⁶ Department of Paediatrics and Child Health, Red Cross Children's, Hospital, and MRC Unit on Child & Adolescent Health, University of Cape Town, Cape Town, South Africa.
¹²⁷ Universidad Católica de Córdoba, Córdoba, Argentina.
¹²⁸ Department of Otolaryngology Head and Neck Surgery, Beijing TongRen Hospital, Beijing Institute of Otolaryngology, Beijing, China.
¹²⁹ University Clinic of Respiratory and Allergic Diseases, Golnik, Slovenia.
¹³⁰ Department of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin Institute of Health, Comprehensive Allergy Center, A member of GA2LEN, Berlin, Germany.
¹³¹ University Hospital, Montpellier, France.
¹³² INSERM U 1168, VIMA: Ageing and chronic diseases Epidemiological and public health approaches, Villejuif, France.
¹³³ Université Versailles St-Quentin-en-Yvelines, UMR-S 1168, Montigny le Bretonneux, France.
¹³⁴ Euforea, Brussels, Belgium.

PMID: 30565275
DOI: 10.1111/all.13701

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.

Keywords: Allergic Rhinitis and its Impact on Asthma; Asthma; Care pathways; Pharmacist; Rhinitis.

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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

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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

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