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.

Positioning the principles of precision medicine in care pathways for allergic rhinitis and chronic rhinosinusitis - A EUFOREA-ARIA-EPOS-AIRWAYS ICP statement / Aberer, W; Agache, I; Akdis, Ca; Akdis, M; Alobid, I; Ankri, J; Annesi Maesano, I; Ansotegui, Ij; Anto, Jm; Arnavielhe, S; Arshad, H; Asarnoj, A; Avolio, F; Bachert, C; Bachert, C; Baiardini, I; Barbagallo, M; Barbara, C; Baroody, F; Bateman, Ed; Bedbrook, A; Beghe', Bianca; Bel, Eh; Bennoor, Ks; Benson, M; Bergmann, Kc; Bewick, M; Bialoszewski, Az; Bieber, T; Bindslev Jensen, C; Bjermer, L; Blain, H; Blasi, F; Boner, Al; Bonini, M; Bonini, S; Bosnic Anticevich, S; Bosse, I; Bouchard, J; Boulet, Lp; Bourret, R; Bousquet, J; Bousquet, Pj; Braido, F; Briggs, Ah; Brightling, Ce; Brozek, J; Bucca, C; Buhl, R; Bunu, C; Burte, E; Bush, A; Caballero Fonseca, F; Caimmi, Dp; Calderon, Ma; Camargos, Pa; Camuzat, T; Canonica, Gw; Cardona, V; Carlsen, Kh; Carr, W; Carreiro Martins, P; Carriazo, Am; Casale, T; Cepeda Sarabia, Am; Cervin, A; Cesari, M; Chatzi, L; Chavannes, Nh; Chiron, R; Chivato, T; Chkhartishvili, E; Chuchalin, Ag; Chung, Kf; Ciprandi, G; Cohen, N; Conzález Diaz, S; Cox, L; Crooks, G; Cruz, Aa; Custovic, A; Dahl, R; Dahlen, Se; Darsow, U; De Carlo, G; De Manuel Keenoy, E; de Sousa, Jc; De Vries, G; Dedeu, T; Deleanu, D; Demoly, P; Denburg, Ja; Devillier, P; Didier, A; Dinh Xuan, At; Dokic, D; Douagui, H; Douglas, R; Dray, G; Du Toit, G; Dubakiene, R; Durham, Sr; Dykewicz, Ms; Eklund, P; El Gamal, Y; Ellers, E; Emuzyte, R; Farrell, J; Fink Wagner, A; Fiocchi, A; Fletcher, M; Fokkens, Wj; Fonseca, J; Forastiere, F; Gaga, M; Gamkrelidze, A; Gemicioğlu, B; Georgalas, C; Gereda, Je; Gevaert, P; Goossens, H; Grisle, I; Guldemond, Na; Gutter, Z; Guzmán, Ma; Haahtela, T; Harvey, R; Heinrich, J; Hellings, Pw; Hellings, Pw; Hellquist Dahl, B; Hopkins, C; Horak, F; Hourihane, Jo; Humbert, M; Hyland, M; Iaccarino, G; Illario, M; Jares, Ej; Jeandel, C; Johnston, Sl; Jonquet, O; Joos, G; Joos, G; Jung, Ks; Just, J; Jutel, M; Kaidashev, I; Kalayci, O; Kalogjera, L; Kalyoncu, Af; Kardas, P; Keil, T; Keith, Pk; Kerkhof, M; Kern, B; Kerstjens, Ha; Khaitov, M; Khaltaev, N; Klimek, L; Kogevinas, M; Kolek, V; Koppelman, Gh; Kowalski, M; Kowalski, Ml; Kuitunen, M; Kull, I; Kuna, P; Kvedariene, V; Lambrecht, B; Larenas Linnemann, D; Lau, S; Laune, D; Le, Lt; Li, J; Lieberman, P; Lipworth, B; Lodrup Carlsen, Kc; Louis, R; Lund, Vj; Lupinek, C; MacNee, W; Magar, Y; Magnan, A; Mahboub, B; Maier, D; Majer, I; Malva, J; Manning, P; Marshall, Gd; Masjedi, Mr; Mathieu Dupas, E; Maurer, M; Mavale Manuel, S; Melén, E; Melo Gomes, E; Meltzer, Eo; Mercier, J; Merk, H; Miculinic, N; Mihaltan, F; Milenkovic, B; Millot Keurinck, J; Mohammad, Y; Momas, I; Morais Almeida, M; Mösges, R; Mullol, J; Mullol, J; Muraro, A; Murray, R; Naclerio, R; Nadif, R; Namazova Baranova, L; Neffen, H; Nekam, K; Nieto, A; Niggemann, B; Nogueira Silva, L; Nogues, M; Nyembue, Td; O'Hehir, Re; Ohta, K; Okamoto, Y; Okubo, K; Olive Elias, M; Ouedraogo, S; Paggiaro, P; Pali Schöll, I; Palkonen, S; Panzner, P; Papadopoulos, Ng; Papi, A; Park, Hs; Passalacqua, G; Pawankar, R; Pedersen, S; Pereira, Am; Pfaar, O; Picard, R; Pigearias, B; Pin, I; Plavec, D; Pohl, W; Popov, Ta; Portejoie, F; Postma, D; Potter, P; Poulsen, Lk; Price, D; Price, D; Rabe, Kf; Raciborski, F; Riechelmann, H; Robalo Cordeiro, C; Roberts, G; Rodenas, F; Rodriguez Mañas, L; Rolland, C; Roman Rodriguez, M; Romano, A; Rosado Pinto, J; Rosario, N; Rottem, M; Ryan, D; Samolinski, B; Sanchez Borges, M; Sastre Dominguez, J; Scadding, Gk; Schlosser, R; Schmid Grendelmeier, P; Schunemann, Hj; Scichilone, N; Senior, B; Serrano, E; Sheikh, A; Shields, M; Simons, F; Siroux, V; Sisul, Jc; Skrindo, I; Smit, Ha; Solé, D; Sooronbaev, T; Spranger, O; Stellato, C; Stelmach, R; Sterk, Pj; Strandberg, T; Sunyer, J; Thijs, C; Thomas, M; Todo Bom, A; Tomazic, Pv; Toskala, E; Triggiani, M; Valenta, R; Valero, A; Valiulis, A; Valovirta, E; van Eerd, M; van Ganse, E; van Hague, M; van Wick, Rg; Vandenplas, O; Varona, Ll; Vazankari, T; Vellas, B; Ventura, Mt; Vezzani, G; Viegi, G; Voegels, R; Vontetsianos, T; Wagenmann, M; Wahn, U; Walker, S; Wang, Dy; Wang, Y; Werfel, T; Whalley, B; Wickman, M; Williams, Dm; Williams, S; Wilson, N; Wormald, Pj; Wright, J; Yawn, Bp; Yiallouros, Pk; Yorgancioglu, A; Young, I; Yusuf, Om; Zaidi, A; Zar, Hj; Zernotti, Me; Zhang, L; Zhong, N; Zidarn, M; Zuberbier, TBeghé; Bianca,. - In: ALLERGY. - ISSN 1398-9995. - 72:9(2017), pp. 1297-1305. [10.1111/all.13162]

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

BEGHE', Bianca;
2017

Abstract

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.
2017
21-mag-2017
72
9
1297
1305
Positioning the principles of precision medicine in care pathways for allergic rhinitis and chronic rhinosinusitis - A EUFOREA-ARIA-EPOS-AIRWAYS ICP statement / Aberer, W; Agache, I; Akdis, Ca; Akdis, M; Alobid, I; Ankri, J; Annesi Maesano, I; Ansotegui, Ij; Anto, Jm; Arnavielhe, S; Arshad, H; Asarnoj, A; Avolio, F; Bachert, C; Bachert, C; Baiardini, I; Barbagallo, M; Barbara, C; Baroody, F; Bateman, Ed; Bedbrook, A; Beghe', Bianca; Bel, Eh; Bennoor, Ks; Benson, M; Bergmann, Kc; Bewick, M; Bialoszewski, Az; Bieber, T; Bindslev Jensen, C; Bjermer, L; Blain, H; Blasi, F; Boner, Al; Bonini, M; Bonini, S; Bosnic Anticevich, S; Bosse, I; Bouchard, J; Boulet, Lp; Bourret, R; Bousquet, J; Bousquet, Pj; Braido, F; Briggs, Ah; Brightling, Ce; Brozek, J; Bucca, C; Buhl, R; Bunu, C; Burte, E; Bush, A; Caballero Fonseca, F; Caimmi, Dp; Calderon, Ma; Camargos, Pa; Camuzat, T; Canonica, Gw; Cardona, V; Carlsen, Kh; Carr, W; Carreiro Martins, P; Carriazo, Am; Casale, T; Cepeda Sarabia, Am; Cervin, A; Cesari, M; Chatzi, L; Chavannes, Nh; Chiron, R; Chivato, T; Chkhartishvili, E; Chuchalin, Ag; Chung, Kf; Ciprandi, G; Cohen, N; Conzález Diaz, S; Cox, L; Crooks, G; Cruz, Aa; Custovic, A; Dahl, R; Dahlen, Se; Darsow, U; De Carlo, G; De Manuel Keenoy, E; de Sousa, Jc; De Vries, G; Dedeu, T; Deleanu, D; Demoly, P; Denburg, Ja; Devillier, P; Didier, A; Dinh Xuan, At; Dokic, D; Douagui, H; Douglas, R; Dray, G; Du Toit, G; Dubakiene, R; Durham, Sr; Dykewicz, Ms; Eklund, P; El Gamal, Y; Ellers, E; Emuzyte, R; Farrell, J; Fink Wagner, A; Fiocchi, A; Fletcher, M; Fokkens, Wj; Fonseca, J; Forastiere, F; Gaga, M; Gamkrelidze, A; Gemicioğlu, B; Georgalas, C; Gereda, Je; Gevaert, P; Goossens, H; Grisle, I; Guldemond, Na; Gutter, Z; Guzmán, Ma; Haahtela, T; Harvey, R; Heinrich, J; Hellings, Pw; Hellings, Pw; Hellquist Dahl, B; Hopkins, C; Horak, F; Hourihane, Jo; Humbert, M; Hyland, M; Iaccarino, G; Illario, M; Jares, Ej; Jeandel, C; Johnston, Sl; Jonquet, O; Joos, G; Joos, G; Jung, Ks; Just, J; Jutel, M; Kaidashev, I; Kalayci, O; Kalogjera, L; Kalyoncu, Af; Kardas, P; Keil, T; Keith, Pk; Kerkhof, M; Kern, B; Kerstjens, Ha; Khaitov, M; Khaltaev, N; Klimek, L; Kogevinas, M; Kolek, V; Koppelman, Gh; Kowalski, M; Kowalski, Ml; Kuitunen, M; Kull, I; Kuna, P; Kvedariene, V; Lambrecht, B; Larenas Linnemann, D; Lau, S; Laune, D; Le, Lt; Li, J; Lieberman, P; Lipworth, B; Lodrup Carlsen, Kc; Louis, R; Lund, Vj; Lupinek, C; MacNee, W; Magar, Y; Magnan, A; Mahboub, B; Maier, D; Majer, I; Malva, J; Manning, P; Marshall, Gd; Masjedi, Mr; Mathieu Dupas, E; Maurer, M; Mavale Manuel, S; Melén, E; Melo Gomes, E; Meltzer, Eo; Mercier, J; Merk, H; Miculinic, N; Mihaltan, F; Milenkovic, B; Millot Keurinck, J; Mohammad, Y; Momas, I; Morais Almeida, M; Mösges, R; Mullol, J; Mullol, J; Muraro, A; Murray, R; Naclerio, R; Nadif, R; Namazova Baranova, L; Neffen, H; Nekam, K; Nieto, A; Niggemann, B; Nogueira Silva, L; Nogues, M; Nyembue, Td; O'Hehir, Re; Ohta, K; Okamoto, Y; Okubo, K; Olive Elias, M; Ouedraogo, S; Paggiaro, P; Pali Schöll, I; Palkonen, S; Panzner, P; Papadopoulos, Ng; Papi, A; Park, Hs; Passalacqua, G; Pawankar, R; Pedersen, S; Pereira, Am; Pfaar, O; Picard, R; Pigearias, B; Pin, I; Plavec, D; Pohl, W; Popov, Ta; Portejoie, F; Postma, D; Potter, P; Poulsen, Lk; Price, D; Price, D; Rabe, Kf; Raciborski, F; Riechelmann, H; Robalo Cordeiro, C; Roberts, G; Rodenas, F; Rodriguez Mañas, L; Rolland, C; Roman Rodriguez, M; Romano, A; Rosado Pinto, J; Rosario, N; Rottem, M; Ryan, D; Samolinski, B; Sanchez Borges, M; Sastre Dominguez, J; Scadding, Gk; Schlosser, R; Schmid Grendelmeier, P; Schunemann, Hj; Scichilone, N; Senior, B; Serrano, E; Sheikh, A; Shields, M; Simons, F; Siroux, V; Sisul, Jc; Skrindo, I; Smit, Ha; Solé, D; Sooronbaev, T; Spranger, O; Stellato, C; Stelmach, R; Sterk, Pj; Strandberg, T; Sunyer, J; Thijs, C; Thomas, M; Todo Bom, A; Tomazic, Pv; Toskala, E; Triggiani, M; Valenta, R; Valero, A; Valiulis, A; Valovirta, E; van Eerd, M; van Ganse, E; van Hague, M; van Wick, Rg; Vandenplas, O; Varona, Ll; Vazankari, T; Vellas, B; Ventura, Mt; Vezzani, G; Viegi, G; Voegels, R; Vontetsianos, T; Wagenmann, M; Wahn, U; Walker, S; Wang, Dy; Wang, Y; Werfel, T; Whalley, B; Wickman, M; Williams, Dm; Williams, S; Wilson, N; Wormald, Pj; Wright, J; Yawn, Bp; Yiallouros, Pk; Yorgancioglu, A; Young, I; Yusuf, Om; Zaidi, A; Zar, Hj; Zernotti, Me; Zhang, L; Zhong, N; Zidarn, M; Zuberbier, TBeghé; Bianca,. - In: ALLERGY. - ISSN 1398-9995. - 72:9(2017), pp. 1297-1305. [10.1111/all.13162]
Aberer, W; Agache, I; Akdis, Ca; Akdis, M; Alobid, I; Ankri, J; Annesi Maesano, I; Ansotegui, Ij; Anto, Jm; Arnavielhe, S; Arshad, H; Asarnoj, A; Avol...espandi
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