nach oben

Erschienen in:

01.04.2021 | Rhinosinusitis (J Mullol, Section Editor)

Multidisciplinary Care for Severe or Uncontrolled Chronic Upper Airway Diseases

verfasst von: Ioannis Vlastos, Joaquim Mullol, Valerie Hox, Maria Doulaptsi, Sven Seys, Peter Hellings, Emmanuel Prokopakis

Erschienen in: Current Allergy and Asthma Reports | Ausgabe 4/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

A multidisciplinary approach is regarded as the best practice for many chronic diseases, such as cancer and asthma, with well-documented value. There is also evidence that it may be beneficial to patients with chronic rhinosinusitis (CRS) and/or allergic airway disease presenting to tertiary referral centres. We discuss here whether and how organizing this kind of healthcare transition into a more integrated care pathway would benefit severe chronic upper airways disease (SCUAD) management.

Recent Findings

Based on a recent related EUFOREA panel discussion, literature search, and review of the best overseas practices, an appropriate implementation strategy of multidisciplinary care and its potential results are presented. Organizational principles, hurdles, and challenges of the process, as well as envisaged solutions and results, are being reported.

Summary

The efficiency of care and the quality control assessment are concepts that are currently gaining importance. At the same time, novel treatment options based on molecular and precision medicine advancements, such as biologics, are being increasingly prescribed. Appropriately organized multidisciplinary care teams can adapt to new demands, data, and discoveries to assure maximum benefit for both patients and healthcare professionals.

Colás C, Brosa M, Antón E, Montoro J, Navarro A, Dordal MT, et al. Estimate of the total costs of allergic rhinitis in specialized care based on real-world data: the FERIN Study. Allergy [Internet]. 2017;72:959–66 Available from: wiley.com/10.1111/all.13099.CrossRef

Rudmik L. Economics of chronic rhinosinusitis. Curr Allergy Asthma Rep [Internet]. 2017:17–20 Available from: http://link.springer.com/10.1007/s11882-017-0690-5.

Fokkens WJ, Lund VJ, Hopkins C, Hellings PW, Kern R, Reitsma S, et al. European Position Paper on rhinosinusitis and nasal polyps 2020. Rhinol J [Internet]. 2020;0:1–464 Available from: https://www.rhinologyjournal.com/Documents/Supplements/supplement_29.pdf.CrossRef

Castillo Vizuete JA, Sastre J, del Cuvillo Bernal A, Picado C, Martínez Moragón E, Ignacio García JM, et al. Asthma, rhinitis, and nasal polyp multimorbidities. Arch Bronconeumol [Internet]. Elsevier Doyma; 2019 [cited 2021 Feb 25];55:146–55. Available from: https://pubmed.ncbi.nlm.nih.gov/30449614/. Accessed 20 Mar 2021.

Mullol J, del Cuvillo A, Lockey RF. Rhinitis phenotypes. Journal of Allergy and Clinical Immunology: In Practice [Internet]. Am Acad Allergy, Asthma Immunol; 2020 [cited 2021 Feb 25];8:1492–503. Available from: https://pubmed.ncbi.nlm.nih.gov/32389274/. Accessed 20 Mar 2021.

Marsden S, Dunbar L, Sandiford N. Do multidisciplinary teams make a difference to the quality of medical care? Br J Hospital Med [Internet]. 2019;80:696–8 Available from: http://www.magonlinelibrary.com/doi/10.12968/hmed.2019.80.12.696.CrossRef

Clark VL, Gibson PG, Genn G, Hiles SA, Pavord ID, McDonald VM. Multidimensional assessment of severe asthma: a systematic review and meta-analysis. Respirol [Internet]. 2017;22:1262–75 Available from: wiley.com/10.1111/resp.13134.CrossRef

• Li KL, Fang CH, Ferastraoaru D, Akbar NA, Jerschow E, Abuzeid WM. Patient satisfaction and efficiency benefits of a novel multidisciplinary rhinology and allergy clinic. Ann Otol, Rhinol Laryngol[Internet]. 2020;129:699–706 Available from: http://journals.sagepub.com/doi/10.1177/0003489420905859. To our knowledge, the first outcomes study of an MDT dedicated to rhinology cases.

Prokopakis EP, Kalogjera L, Karatzanis AD. Pediatric severe chronic upper airway disease (P-SCUAD). Curr Allergy Asthma Rep [Internet]. 2015;15:68 Available from: http://link.springer.com/10.1007/s11882-015-0570-9.CrossRef

10.

Prokopakis EP, Vlastos IM, Ferguson BJ, Scadding G, Kawauchi H, Georgalas C, et al. SCUAD and chronic rhinosinusitis. Reinforcing hypothesis driven research in difficult cases. Rhinol J [Internet]. 2014;52:3–8 Available from: http://www.rhinologyjournal.com/Abstract.php?id=1189.CrossRef

11.

Bousquet J, Bachert C, Canonica GW, Casale TB, Cruz AA, Lockey RJ, et al. Unmet needs in severe chronic upper airway disease (SCUAD). J Allergy Clin Immunol [Internet]. 2009;124:428–33 Available from: https://linkinghub.elsevier.com/retrieve/pii/S0091674909009828.

12.

Georgalas C, Vlastos I, Picavet V, van Drunen C, Garas G, Prokopakis E. Is chronic rhinosinusitis related to allergic rhinitis in adults and children? Applying epidemiological guidelines for causation. Allergy [Internet]. 2014;69:828–33 Available from: wiley.com/10.1111/all.12413.CrossRef

13.

Prokopakis E, Vlastos I, Pant H, Ferguson BJ. Chronic rhinosinusitis. Curr Opinion Allergy Clin Immunol [Internet]. 2013;13:31–6 Available from: http://journals.lww.com/00130832-201302000-00007.CrossRef

14.

Vlastos I, Athanasopoulos I, Mastronikolis NS, Panogeorgou T, Margaritis V, Naxakis S, Goumas PD. Impaired mucociliary clearance in allergic rhinitis patients is related to a predisposition to rhinosinusitis. Ear Nose Throat J. 2009;88(4):E17–9

15.

Vlastos I, Gkouskou K, Doulaptsi M, Karatzanis A, Prokopakis EP. Precision medicine in rhinosinusitis. Curr Allergy Asthma Rep [Internet]. 2019;19:12 Available from: http://link.springer.com/10.1007/s11882-019-0850-x.CrossRef

16.

Seys SF, de Bont S, Fokkens WJ, Bachert C, Alobid I, Bernal-Sprekelsen M, et al. Real-life assessment of chronic rhinosinusitis patients using mobile technology: the mySinusitisCoach project by EUFOREA. Allergy [Internet]. 2020;all.14408 Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/all.14408.

17.

Sleurs K, Seys SF, Bousquet J, Fokkens WJ, Gorris S, Pugin B, et al. Mobile health tools for the management of chronic respiratory diseases. Allergy [Internet]. 2019;all.13720 Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/all.13720.

18.

• Bousquet JJ, Schünemann HJ, Togias A, Erhola M, Hellings PW, Zuberbier T, et al. Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases. Clin Transl Allergy [Internet]. 2019;9:44 Available from: https://ctajournal.biomedcentral.com/articles/10.1186/s13601-019-0279-2. International consensus on the application of integrated care pathways models in rhinology.

19.

• Fokkens WJ, Lund VJ, Hopkins C, Hellings PW, Kern R, Reitsma S, et al. Executive summary of EPOS 2020 including integrated care pathways. Rhinology [Internet]. International Rhinologic Society; 2020 [cited 2021 Feb 25];58:82–111. Available from: https://pubmed.ncbi.nlm.nih.gov/32226949/. Accessed 20 Mar 2021. International consensus on the application of integrated care pathways models in rhinology.

20.

National Cancer Action Team Part of the National Cancer Peer Review Program. An overview of the findings from the 2010/2011 National Cancer Peer Review of Cancer Services in England Programme Report 2010/2011

21.

National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand (Chronic Heart Failure Guidelines Expert Writing Panel). Guidelines for the prevention, detection and management of chronic heart failure in Australia. Updated October 2011.

22.

• https://toolkit.severeasthma.org.au/. Accessed 20 Mar 2021. Provide in an explicit and organized manner the theoretical and practical framework of MDTs function.

23.

• https://canceraustralia.gov.au/clinical-best-practice/multidisciplinary-care/all-about-multidisciplinary-care . Accessed 20 Mar 2021. Provide in an explicit and organized manner the theoretical and practical framework of MDTs function.

24.

Bousquet J, Addis A, Adcock I, Agache I, Agusti A, Alonso A, et al. Integrated care pathways for airway diseases (AIRWAYS-ICPs). Eur Respir J [Internet]. 2014;44:304–23 Available from: http://erj.ersjournals.com/cgi/doi/10.1183/09031936.00014614.

25.

Bédard A, Basagaña X, Anto JM, Garcia-Aymerich J, Devillier P, Arnavielhe S, et al. Mobile technology offers novel insights into the control and treatment of allergic rhinitis: The MASK study. J Allergy Clin Immunol [Internet]. 2019;144:135–143.e6 Available from: https://linkinghub.elsevier.com/retrieve/pii/S0091674919304269.CrossRef

26.

Tan R, Cvetkovski B, Kritikos V, O’Hehir RE, Lourenço O, Bousquet J, et al. Identifying an effective mobile health application for the self-management of allergic rhinitis and asthma in Australia. J Asthma [Internet]. 2020;57:1128–39 Available from: https://www.tandfonline.com/doi/full/10.1080/02770903.2019.1640728.

27.

Mcdonald VM, Vertigan AE, GIBSON PG. How to set up a severe asthma service. Respirology [Internet]. 2011;16:900–11 Available from: .wiley.com/10.1111/j.1440-1843.2011.02012.x.CrossRef

28.

van der Meer A-N, Pasma H, Kempenaar-Okkema W, Pelinck J-A, Schutten M, Storm H, et al. A 1-day visit in a severe asthma centre: effect on asthma control, quality of life and healthcare use. Eur Respiratory J [Internet]. 2016;48:726–33 Available from: http://erj.ersjournals.com/lookup/doi/10.1183/13993003.00220-2016.

Titel: Multidisciplinary Care for Severe or Uncontrolled Chronic Upper Airway Diseases
verfasst von: Ioannis Vlastos
Joaquim Mullol
Valerie Hox
Maria Doulaptsi
Sven Seys
Peter Hellings
Emmanuel Prokopakis
Publikationsdatum: 01.04.2021
Verlag: Springer US
Erschienen in: Current Allergy and Asthma Reports / Ausgabe 4/2021
Print ISSN: 1529-7322
Elektronische ISSN: 1534-6315
DOI: https://doi.org/10.1007/s11882-021-01004-z

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

Multidisciplinary Care for Severe or Uncontrolled Chronic Upper Airway Diseases