ARIA guideline 2019: treatment of allergic rhinitis in the German health system

Ludger Klimek, Claus Bachert, Oliver Pfaar, Sven Becker, Thomas Bieber, Randolf Brehler, Roland Buhl, Ingrid Casper, Adam Chaker, Wolfgang Czech, Jörg Fischer, Thomas Fuchs, Michael Gerstlauer, Karl Hörmann, Thilo Jakob, Kirsten Jung, Matthias V. Kopp, Vera Mahler, Hans Merk, Norbert MülleneisenKatja Nemat, Uta Rabe, Johannes Ring, Joachim Saloga, Wolfgang Schlenter, Carsten Schmidt-Weber, Holger Seyfarth, Annette Sperl, Thomas Spindler, Petra Staubach, Sebastian Strieth, Regina Treudler, Christian Vogelberg, Andrea Wallrafen, Wolfgang Wehrmann, Holger Wrede, Torsten Zuberbier, Anna Bedbrook, Giorgio W. Canonica, Victoria Cardona, Thomas B. Casale, Wienczylawa Czarlewski, Wytske J. Fokkens, Eckard Hamelmann, Peter W. Hellings, Marek Jutel, Désirée Larenas-Linnemann, Joaquim Mullol, Nikolaos G. Papadopoulos, Sanna Toppila-Salmi, Thomas Werfel, Jean Bousquet*

*Corresponding author for this work
3 Citations (Scopus)


Background: The number of patients affected by allergies is increasing worldwide. The resulting allergic diseases are leading to significant costs for health care and social systems. Integrated care pathways are needed to enable comprehensive care within the national health systems. The ARIA (Allergic Rhinitis and its Impact on Asthma) initiative develops internationally applicable guidelines for allergic respiratory diseases. Methods: ARIA serves to improve the care of patients with allergies and chronic respiratory diseases. In collaboration with other international initiatives, national associations and patient organizations in the field of allergies and respiratory diseases, real-life integrated care pathways have been developed for a digitally assisted, integrative, individualized treatment of allergic rhinitis (AR) with comorbid asthma. In the present work, these integrated care pathways have been adapted to the German situation and health system. Results: The present ICP (integrated care pathways) guideline covers key areas of the care of AR patients with and without asthma. It includes the views of patients and other healthcare providers. Discussion: A comprehensive ICP guideline can reflect real-life care better than traditional guideline models.

Original languageEnglish
JournalAllergo Journal International
Issue number7
Pages (from-to)255-276
Number of pages22
Publication statusPublished - 01.11.2019


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