SEARCHGUIDELINESdermatology, pediatrics

guidelines·dermatology, pediatrics, immunology, clinical trial, systematic review·PMC10500634

A concept for integrated care pathways for atopic dermatitis—A GA 2 LEN ADCARE initiative

Clinical and Translational Allergy · 108 authors, 100 centres

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The GA²LEN ADCARE working group, involving multiple European dermatology, allergy, and immunology stakeholders, developed integrated care pathways for atopic dermatitis through subgroup workshops held in 2020 and 2021. The pathways are designed so patients can enter at any level depending on disease severity, available resources, and insurance reimbursement systems. The document addresses remaining unmet needs including access to care, specialist training, educational programs, climate change impact, and personalized treatment.

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guidelines

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dermatology

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ORIGINAL PAPER

PMC10500634

A concept for integrated care pathways for atopic dermatitis—A GA 2 LEN ADCARE initiative

Clinical and Translational Allergy

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ABSTRACT

Abstract Introduction The integrated care pathways for atopic dermatitis (AD‐ICPs) aim to bridge the gap between existing AD treatment evidence‐based guidelines and expert opinion based on daily practice by offering a structured multidisciplinary plan for patient management of AD. ICPs have the potential to enhance guideline recommendations by combining interventions and aspects from different guidelines, integrating quality assurance, and describing co‐ordination of care. Most importantly, patients can enter the ICPs at any level depending on AD severity, resources available in their country, and economic factors such as differences in insurance reimbursement systems. Methods The GA 2 LEN ADCARE network and partners as well as all stakeholders, abbreviated as the AD‐ICPs working group, were involved in the discussion and preparation of the AD ICPs during a series of subgroup workshops and meetings in years 2020 and 2021, after which the document was circulated within all GAL 2 EN ADCARE centres. Results The AD‐ICPs outline the diagnostic procedures, possible co‐morbidities, different available treatment options including differential approaches for the pediatric population, and the role of the pharmacists and other stakeholders, as well as remaining unmet needs in the management of AD. Conclusion The AD‐ICPs provide a multidisciplinary plan for improved diagnosis, treatment, and patient feedback in AD management, as well as addressing critical unmet needs, including improved access to care, training specialists, implementation of educational programs, assessment on the impact of climate change, and fostering a personalised treatment approach. By focusing on these key areas, the initiative aims to pave the way for a brighter future in the management of AD.

CITATION EXPORT

Torsten Zuberbier, Amir Abdul Latiff, Xenofon Aggelidis et al.. A concept for integrated care pathways for atopic dermatitis—A GA2LEN ADCARE initiative. Clinical and Translational Allergy. (2023). https://doi.org/10.1002/clt2.12299

AUTHORS

108 · 100 CENTRES

Torsten Zuberbier, Amir Abdul Latiff, Xenofon Aggelidis, Matthias Augustin, Radu‐Gheorghe Balan, Christine Bangert, Lisa Beck, Thomas Bieber, Jonathan A. Bernstein, Marta Bertolin Colilla, Alejandro Berardi, Anna Bedbrook, Carsten Bindslev‐Jensen, Jean Bousquet, Marjolein de Bruin‐Weller, Dayanne Bruscky, Betul Buyuktiryaki, Giorgio Walter Canonica, Carla Castro, Natia Chanturidze, Herberto Jose Chong‐Neto, Chia‐Yu Chu, Leena Chularojanamontri, Michael Cork, Roberta F. J. Criado, Laia Curto Barredo, Adnan Custovic, Ulf Darsow, Arben Emurlai, Ana de Pablo, Stefano Del Giacco, Giampiero Girolomoni, Tanja Deleva Jovanova, Mette Deleuran, Nikolaos Douladiris, Bruno Duarte, Ruta Dubakiene, Esben Eller, Batya Engel‐Yeger, Luis Felipe Ensina, Nelson Rosario Filho, Carsten Flohr, Daria Fomina, Wojciech Francuzik, Maria Laura Galimberti, Ana M. Giménez‐Arnau, Kiran Godse, Charlotte Gotthard Mortz, Maia Gotua, Michihiro Hide, Wolfram Hoetzenecker, Nicolas Hunzelmann, Alan Irvine, Carolyn Jack, Ioanna Kanavarou, Norito Katoh, Tamar Kinaciyan, Emek Kocatürk, Kanokvalai Kulthanan, Hilde Lapeere, Susanne Lau, Mariana Machado Forti Nastri, Michael Makris, Eli Mansour, Alexander Marsland, Mara Morelo Rocha Felix, Ana Paula Moschione Castro, Eustachio Nettis, J. F. Nicolas, Audrey Nosbaum, Mikaela Odemyr, Niki Papapostolou, Claudio A. S. Parisi, Sushil Paudel, Jonny Peter, Prakash Pokharel, Luis Puig, Tamara Quint, German Dario Ramon, Frederico Regateiro, Giampaolo Ricci, Cristine Rosario, Cansin Sackesen, Peter Schmid‐Grendelmeier, Esther Serra‐Baldrich, Kristina Siemens, Cathrine Smith, Petra Staubach, Katarina Stevanovic, Özlem Su‐Kücük, Gordon Sussman, Simona Tavecchio, Natasa Teovska Mitrevska, Diamant Thaci, Elias Toubi, Claudia Traidl‐Hoffmann, Regina Treudler, Zahava Vadasz, Ingrid van Hofman, Maria Teresa Ventura, Zhao Wang, Thomas Werfel, Andreas Wollenberg, Ariana Yang, Yik Weng Yew, Zuotao Zhao, Ricardo Zwiener, Margitta Worm

1 Institute of Allergology Charité ‐ Universitätsmedizin Berlin Berlin Germany
2 Allergology and Immunology Fraunhofer Institute for Translational Medicine and Pharmacology ITMP Berlin Germany
3 Pantai Hospital Kuala Lumpur Kuala Lumpur Malaysia
4 Allergy Unit 2nd Department of Dermatology and Venereology National and Kapodistrian University of Athens University General Hospital "Attikon" Athens Greece
5 University Medical Center Hamburg‐Eppendorf Hamburg Germany
6 Institute for Health Services Research in Dermatology and Nursing Hamburg Germany
7 Institutul Regional de Gastroenterologie si Hepatologie Cluj‐Napoca Romania
8 Department of Dermatology Medical University of Vienna Vienna Austria
9 University of Rochester Medical Center Rochester New York USA
10 University Hospital of Bonn Bonn Germany
11 Christine Kühne‐Center of Allergy Research and Education Davos Switzerland
12 University of Cincinnati College of Medicine Cincinnati Ohio USA
13 Hospital del Mar Barcelona Spain
14 Instituto de Asma Alergia y Enfermedades Respiratorias Corrientes Argentina
15 MACVIA‐France Fondation Partenariale FMC VIA‐LR Montpellier France
16 Department of Dermatology and Allergy Centre Odense Research Centre for Anaphylaxis (ORCA) Odense University Hospital University of Southern Denmark Odense C Denmark
17 Division of Allergy and Immunology Complexo Hospital de Clinicas Federal University of Paraná Curitiba Brazil
18 Department of Dermatology/Allergology National Expertise Center for Atopic Dermatitis University Medical Center Utrecht Utrecht The Netherlands
19 Federal University of Pernambuco Recife Brazil
20 Division of Pediatric Allergy Koc University Hospital Istanbul Turkey
21 Personalized Medicine, Asthma and Allergy IRCCS Humanitas Research Hospital Rozzano, Milan Italy
22 Department of Dermatology Hospital Universitario Austral Universidad Austral Buenos Aires Argentina
23 Center of Allergy and Immunology Tbilisi Georgia
24 Department of Dermatology National Taiwan University Hospital Taipei Taiwan
25 Department of Dermatology Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand
26 Sheffield Dermatology Research IICD University of Sheffield Sheffield UK
27 Alergoskin Alergia e Dermatologia Santo Andre Brazil
28 Department of Dermatology Centro Universitario FMABC Santo Andre Brazil
29 Hospital del Mar Parc de Salut Mar Barcelona Spain
30 National Heart and Lung Institute Imperial College London UK
31 Department of Dermatology and Allergy Biederstein Technische Universität München Munich Germany
32 Clinical Hospital Tetovo Tetovo North Macedonia
33 Hospital Universitario Austral Pilar Argentina
34 Allergy and Clinical Immunology University of Cagliari Sardinia Italy
35 Section of Dermatology Department of Medicine University of Verona Verona Italy
36 Health Center Skoplje Skoplje North Macedonia
37 Department of Dermatology Aarhus University Hospital Aarhus Denmark
38 Hospital Santo Antonio dos Capuchos Centro Universitário de Lisboa Central Lisbon Portugal
39 Department of Immunology and Allergology Medical Faculty Clinics of Chest Diseases Vilnius University Vilnius Lithuania
40 Occupational Therapy Department Faculty of Social Welfare and Health Sciences University of Haifa Haifa Israel
41 CPAlpha Clinical Research Center Barueri – São Paulo Brazil
42 St John's Institute of Dermatology St Thomas' Hospital London UK
43 Center of Allergy and Immunology Clinical State Hospital 52 Moscow Ministry of Healthcare Moscow Russian Federation
44 Division of Allergy and Immunology Department of Dermatology, Venereology and Allergology Charité – Universitätsmedizin Berlin corporate member of Freie Universität Berlin and Humboldt‐Universität zu Berlin Berlin Germany
45 Hospital Italiano de Buenos Aires Buenos Aires Argentina
46 Dermatology Department Hospital del Mar IMIM Universitat Autonoma y Universitat Pompeu Fabra Barcelona Spain
47 D.Y. Patil University Navi Mumbai Maharashtra India
48 Department of Dermatology Hiroshima University Hospital Hiroshima Japan
49 Department of Dermatology Kepler University Hospital Linz Austria
50 Department of Dermatology University of Cologne Cologne Germany
51 Clinical Medicine Trinity College Dublin Dublin Ireland
52 Research Institute of the McGill University Health Centre Montreal Quebec Canada
53 Department of Dermatology Kyoto Prefectural University of Medicine Kyoto Japan
54 Ghent University Hospital Ghent Belgium
55 Charité‐Universitätsmedizin Berlin Berlin Germany
56 Faculdade de Medicina Hospital das Clínicas Instituto da Criança e do Adolescente Universidade de São Paulo São Paulo Brazil
57 Division of Allergy and Immunology Department of Clinical Medicine University of Campinas Campinas Brazil
58 Salford Royal Foundation Trust ‐ University of Manchester and Spire Manchester Hospital Manchester UK
59 AlergoLife Clinici Rio de Janeiro Brazil
60 Instituto da Criança Rio de Janeiro Brazil
61 Department of Emergency and Organ Transplantation School and Chair of Allergology and Clinical Immunology University of Bari ‐ Aldo Moro Bari Italy
62 Department of Clinical Immunology and Allergy Lyon‐Sud University Hospital CIRI/INSERM U1111 Lyon France
63 Service d'Allergologie et Immunologie Clinique Centre Hospitalier Lyon Sud Hospices Civils de Lyon Pierre‐Bénite France
64 Centre International de Recherche en Infectiologie INSERM U1111 CNRS UMR 5308 UCBL1 ENS de Lyon Lyon France
65 EFA European Federation of Allergy and Airways Diseases Patients' Associations Brussels Belgium
66 President of the Swedish Asthma and Allergy Association Stockholm Sweden
67 Center Civil Service Hospital Kathmandu Nepal
68 Division of Allergy and Clinical Immunology Department of Medicine University of Cape Town Cape Town South Africa
69 Allergy and Immunology Unit University of Cape Town Lung Institute Cape Town South Africa
70 Instituto de Alergia e Inmunologia del Sur Bahia Blanca Buenos Aires Argentina
71 Allergia e Inmunologia Section Hospital Italiano Regional del Sur Bahia Blanca Buenos Aires Argentina
72 Department of Dermatology Hospital de la Santa Creu i Sant Pau Barcelona Spain
73 Centro Hospitalar Universitário de Coimbra Coimbra Portugal
74 Department of Medical and Surgical Sciences DIMEC University of Bologna Bologna Italy
75 Federal University of Parana Curitiba Brazil
76 Department of Dermatology Allergy Unit University Hospital of Zürich Zürich Switzerland
77 Chrstine Kèhne Center for Allergy Research and Education CK_CARE Davos Switzerland
78 King's College London London UK
79 St John's Institute of Dermatology Guys and St Thomas' NHS Trust London UK
80 Department of Dermatology and Allergy Hautklinik und Poliklinik der Universitätsmedizin University Medical Center Mainz Germany
81 Department of Dermatology Faculty of Medicine Bezmialem Vakif University Istanbul Turkey
82 Faculty of Medicine University of Toronto Toronto Ontario Canada
83 Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy
84 ReMedika General Hospital Skopje North Macedonia
85 Center for Comprehensive Inflammation Medicine University of Lübeck Lübeck Germany
86 Allergy and Clinical Immunology Holy Family Hospital Nazareth Israel
87 Environmental Medicine Faculty of Medicine University of Augsburg Augsburg Germany
88 Universtiy Leipzig Medical Faculty Leipziger Interdisziplinäres Centrum für Allergologie Leipzig Germany
89 Bnai‐Zion Medical Center Haifa Israel
90 GA2LEN Network Berlin Germany
91 University of Bari Aldo Moro Bari Italy
92 Department of Dermatology Second Affiliated Hospital Northwest Hospital Xi'an Jiaotong University Xi'an Shaanxi China
93 Department of Dermatology and Allergy Hannover Medical School Hannover Germany
94 Department of Dermatology and Allergy Ludwig‐Maximilian‐University Munich Germany
95 Department of Dermatology Free University Brussels University Hospital Brussels Brussels Belgium
96 Division of Allergy and Clinical Immunology of University of Sao Paulo São Paulo Brazil
97 Faculty of Medical Sciences of UNICAMP São Paulo Brazil
98 National Skin Centre Singapore Singapore
99 Department of Dermatology First Hospital Peking University Beijing China
100 Medicina Interna y Alergología e Inmunología Clínica Hospital Universitario Austral Pilar Argentina