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Positioning the principles of precision medicine in care pathways for allergic rhinitis and chronic rhinosinusitis - A EUFOREA-ARIA-EPOS-AIRWAYS ICP statement

Allergy (Copenhagen), 2017-09, Vol.72 (9), p.1297-1305 [Peer Reviewed Journal]

2017 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd. ;Distributed under a Creative Commons Attribution 4.0 International License ;ISSN: 0105-4538 ;ISSN: 1398-9995 ;EISSN: 1398-9995 ;DOI: 10.1111/all.13162 ;PMID: 28306159

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Title:
Positioning the principles of precision medicine in care pathways for allergic rhinitis and chronic rhinosinusitis - A EUFOREA-ARIA-EPOS-AIRWAYS ICP statement
Author: Hellings, P W ; Fokkens, W J ; Bachert, C ; Akdis, C A ; Bieber, T ; Agache, I ; Bernal-Sprekelsen, M ; Canonica, G W ; Gevaert, P ; Joos, G ; Lund, V ; Muraro, A ; Onerci, M ; Zuberbier, T ; Pugin, B ; Seys, S F ; Bousquet, J
Subjects: Adult ; Algorithms ; Allergology ; Chronic Disease ; Disease Progression ; Humans ; Immunology ; Life Sciences ; Medicin och hälsovetenskap ; Precision Medicine - economics ; Precision Medicine - methods ; Precision Medicine - standards ; Rhinitis, Allergic - economics ; Rhinitis, Allergic - therapy ; Sinusitis - economics ; Sinusitis - therapy ; Young Adult
Is Part Of: Allergy (Copenhagen), 2017-09, Vol.72 (9), p.1297-1305
Description: Precision medicine (PM) is increasingly recognized as the way forward for optimizing patient care. Introduced in the field of oncology, it is now considered of major interest in other medical domains like allergy and chronic airway diseases, which face an urgent need to improve the level of disease control, enhance patient satisfaction and increase effectiveness of preventive interventions. The combination of personalized care, prediction of treatment success, prevention of disease and patient participation in the elaboration of the treatment plan is expected to substantially improve the therapeutic approach for individuals suffering from chronic disabling conditions. Given the emerging data on the impact of patient stratification on treatment outcomes, European and American regulatory bodies support the principles of PM and its potential advantage over current treatment strategies. The aim of the current document was to propose a consensus on the position and gradual implementation of the principles of PM within existing adult treatment algorithms for allergic rhinitis (AR) and chronic rhinosinusitis (CRS). At the time of diagnosis, prediction of success of the initiated treatment and patient participation in the decision of the treatment plan can be implemented. The second-level approach ideally involves strategies to prevent progression of disease, in addition to prediction of success of therapy, and patient participation in the long-term therapeutic strategy. Endotype-driven treatment is part of a personalized approach and should be positioned at the tertiary level of care, given the efforts needed for its implementation and the high cost of molecular diagnosis and biological treatment.
Publisher: Denmark: Wiley
Language: English
Identifier: ISSN: 0105-4538
ISSN: 1398-9995
EISSN: 1398-9995
DOI: 10.1111/all.13162
PMID: 28306159
Source: SWEPUB Freely available online

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Positioning the principles of precision medicine in care pathways for allergic rhinitis and chronic rhinosinusitis - A EUFOREA-ARIA-EPOS-AIRWAYS ICP statement

2017 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd. ;Distributed under a Creative Commons Attribution 4.0 International License ;ISSN: 0105-4538 ;ISSN: 1398-9995 ;EISSN: 1398-9995 ;DOI: 10.1111/all.13162 ;PMID: 28306159

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