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Concepts for the Development of Person-Centered, Digitally Enabled, Artificial Intelligence-Assisted ARIA Care Pathways (ARIA 2024)

. 2024 Oct ; 12 (10) : 2648-2668.e2. [epub] 20240704

Language English Country United States Media print-electronic

Document type Journal Article, Review

Links

PubMed 38971567
DOI 10.1016/j.jaip.2024.06.040
PII: S2213-2198(24)00682-2
Knihovny.cz E-resources

The traditional healthcare model is focused on diseases (medicine and natural science) and does not acknowledge patients' resources and abilities to be experts in their own lives based on their lived experiences. Improving healthcare safety, quality, and coordination, as well as quality of life, is an important aim in the care of patients with chronic conditions. Person-centered care needs to ensure that people's values and preferences guide clinical decisions. This paper reviews current knowledge to develop (1) digital care pathways for rhinitis and asthma multimorbidity and (2) digitally enabled, person-centered care.1 It combines all relevant research evidence, including the so-called real-world evidence, with the ultimate goal to develop digitally enabled, patient-centered care. The paper includes (1) Allergic Rhinitis and its Impact on Asthma (ARIA), a 2-decade journey, (2) Grading of Recommendations, Assessment, Development and Evaluation (GRADE), the evidence-based model of guidelines in airway diseases, (3) mHealth impact on airway diseases, (4) From guidelines to digital care pathways, (5) Embedding Planetary Health, (6) Novel classification of rhinitis and asthma, (7) Embedding real-life data with population-based studies, (8) The ARIA-EAACI (European Academy of Allergy and Clinical Immunology) strategy for the management of airway diseases using digital biomarkers, (9) Artificial intelligence, (10) The development of digitally enabled, ARIA person-centered care, and (11) The political agenda. The ultimate goal is to propose ARIA 2024 guidelines centered around the patient to make them more applicable and sustainable.

Adult Allergy and Immunology Division Hamad Medical Corporation Doha Qatar

Allergist Department of Allergy La Rochelle France

Allergy and Clinical Immunology National Heart and Lung Institute Imperial College London London United Kingdom

Allergy and Clinical Immunology Unit Centro Hospitalar e Universitário de Coimbra Coimbra Portugal; Center for Innovative Biomedicine and Biotechnology Faculty of Medicine University of Coimbra Coimbra Portugal; Institute of Immunology Faculty of Medicine University of Coimbra Coimbra Portugal; UBIAir Clinical and Experimental Lung Centre and CICS UBI Health Sciences Research Centre University of Beira Interior Covilhã Portugal

Allergy and Clinical Immunology University of Bari Medical School Bari Italy; Institute of Sciences of Food Production National Research Council Bari Italy

Allergy and Immunology Centre Pantai Hospital Kuala Lumpur Kuala Lumpur Malaysia

Allergy and Respiratory Diseases IRCCS Policlinico San Martino University of Genoa Genoa Italy

Allergy Asthma and Clinical Immunology Alfred Health and Department of Immunology Central Clinical School Monash University Melbourne VIC Australia

Allergy Bambino Gesù Children's Hospital Istituto di Ricovero e Cura a Carattere Scientifico Rome Italy

Allergy Center CUF Descobertas Hospital Lisbon Portugal

Allergy Department 2nd Pediatric Clinic University of Athens Athens Greece

Allergy Service Fundacion Jimenez Diaz Autonoma University of Madrid CIBERES ISCIII Madrid Spain

Allergy Unit D Kalogeromitros 2nd Department of Dermatology and Venereology National and Kapodistrian University of Athens Attikon University Hospital Athens Greece

Allergy Unit Málaga Regional University Hospital of Málaga Malaga University ARADyAL Malaga Spain

ARIA Asthma Rhinitis Immunology and Allergy Department Athens Greece

ARIA Montpellier France

ARIA Montpellier France; Medical Consulting Czarlewski Levallois France

Asthma Allergy Unit University Hospital of Verona Verona Italy

Asthma COPD Outpatient Care Unit University Medical Center Hô Chi Minh City Vietnam

Asthma Reference Center School of Medicine of Santa Casa de Misericórdia of Vitória Espírito Santo Brazil

Biochemistry Lab Faculty of Pharmacy and Competence Center on Active and Healthy Ageing University of Porto Porto Portugal

Casa di Cura Villa Montallegro Allergology Department Genova Italy

Center of Allergy and Immunology David Tvildiani Medical University Tbilisi Georgia

Center of Allergy Immunology and Respiratory Diseases Santa Fe Argentina

Center of Excellence in Asthma and Allergy Médica Sur Clinical Foundation and Hospital México City Mexico

Centro Medico Docente La Trinidad Allergology and Immunolgy Department Caracas Venezuela

Chiba Rosai Hospital ENT Department Chiba Japan; Chiba University Hospital Department of Otolaryngology Head and Neck Surgery Chiba Japan

CHU de Reims Service des Maladies Respiratoires et Allergiques Reims France

Clemenceau Medical Center DHCC Lebanese American University Dubai UAE

Clinic for Pulmonary Diseases Clinical Center of Serbia Faculty of Medicine University of Belgrade Serbian Association for Asthma and COPD Belgrade Serbia

Clinic of Allergology and Immunology University Clinical Center of Serbia Belgrade Serbia; Faculty of Medicine University of Belgrade Belgrade Serbia

Clinic of Children's Diseases Institute of Clinical Medicine Medical Faculty of Vilnius University Vilnius Lithuania; Clinic of Asthma Allergy and Chronic Lung Diseases Asthma and Allergy Department Vilnius Lithuania

Clinic of Occupational Diseases University Hospital Sveti Ivan Rilski Sofia Bulgaria

Clínica Ricardo Palma Allergy and Immunology Department Lima Peru

Clínica Sisul Allergy and Asthma Medical Director CLINICA SISUL FACAAI SPAAI Asuncion Paraguay

Clinical Immunology and Allergy Unit Sheffield Teaching Hospitals Sheffield United Kingdom; University of Liverpool Liverpool United Kingdom

Croatian Pulmonary Society Clinical Center for Pulmonary Diseases Zagreb Croatia

Dankook University Hospital ENT Department Cheonan Republic of Korea

Deparment of Otolaryngology Nippon Medical School Tokyo Japan

Department of Allergology and Clinical Immunology Kazakhstan Association of Allergology and Clinical Immunology Kazakh National Medical University Almaty Kazakhstan

Department of Allergology and Internal Medicine Medical University of Bialystok Bialystok Poland

Department of Allergology Medical University of Gdańsk Gdansk Poland

Department of Allergology University of Helsinki and Hospital for Skin and Allergic Diseases Helsinki Finland

Department of Allergy and Clinical Immunology Ajou University School of Medicine Suwon Republic of Korea

Department of Allergy and Immunology Hospital Quironsalud Bizkaia Bilbao Spain

Department of Allergy Clinics Hospital National University San Lorenzo Paraguay

Department of Allergy Hospital La Paz Institute for Health Research Madrid Spain

Department of Allergy Skin and Allergy Hospital Inflammation Center Helsinki University Hospital and University of Helsinki Helsinki Finland; Department of Otorhinolaryngology University of Eastern Finland and the North Savo Wellbeing Services County Kuopio Finland

Department of Biochemistry and Molecular Biology School of Chemistry Complutense University of Madrid Madrid Spain

Department of Bioinformatics Fraunhofer Institute for Algorithms and Scientific Computing Bonn Germany

Department of Biomedical Sciences Humanitas University Pieve Emanuele Milan Italy; Asthma and Allergy Unit IRCCS Humanitas Research Hospital Rozzano Milan Italy

Department of Cardiovascular and Respiratory Sciences Universita Cattolica del Sacro Cuore Rome Italy; Department of Neurological ENT and Thoracic Sciences Fondazione Policlinico Universitario A Gemelli IRCCS Rome Italy; National Heart and Lung Institute Imperial College London London United Kingdom

Department of Clinical and Laboratory Immunology Allergology and Medical Genetics Bogomolets National Medical University Kyiv Ukraine

Department of Clinical Immunology and Allergy Oncology Institute of St Elisabeth Bratislava Slovakia

Department of Clinical Immunology Wrocław Medical University Wroclaw Poland; ALL MED Medical Research Institute Department of Clinical Immunology Wroclaw Poland

Department of Clinical Science and Education Södersjukhuset Karolinska Institutet Stockholm Sweden; Sach's Children and Youth Hospital Södersjukhuset Stockholm Sweden

Department of Dermatology and Allergy Center Odense Research Centre for Anaphylaxis Odense University Hospital Odense Denmark

Department of Environmental Health Harvard TH Chan School of Public Health and Department of Medicine Division of Allergy and Inflammation Beth Israel Deaconess Hospital Boston Mass

Department of Health Research Methods Evidence and Impact and Department of Medicine Evidence in Allergy group McMaster University Hamilton ON Canada

Department of Health Research Methods Evidence and Impact and Department of Medicine McMaster University Hamilton ON Canada

Department of Health Sciences University of Florence Florence Italy; Allergy Unit Meyer Children's Hospital IRCCS Florence Italy

Department of Immunoallergology Cova da Beira University Hospital Centre Covilhã Portugal; UBIAir Clinical and Experimental Lung Centre and CICS UBI Health Sciences Research Centre University of Beira Interior Covilhã Portugal

Department of Immunology and Allergology Faculty of Medicine in Pilsen Charles University Prague Czech Republic

Department of Immunology and Allergology Lithuanian University of Health Sciences Kaunas Lithuania

Department of Infection and Immunity Luxembourg Institute of Health Esch sur Alzette Luxembourg; Department of Dermatology and Allergy Center Odense Research Center for Anaphylaxis Odense University Hospital Odense Denmark

Department of Internal Diseases Allergology and Clinical Immunology Medical University of Silesia in Katowice Katowice Poland

Department of Internal Medicine 'A Murri' and Unit of Geriatric Immunoallergology University of Bari Medical School Bari Italy

Department of Internal Medicine and Infectious Diseases St Joseph University Hotel Dieu de France Hospital Beirut Lebanon

Department of Internal Medicine University of Medicine Tirana Albania

Department of Lung Diseases and Clinical Immunology University of Turku Turku Finland

Department of Medical Sciences and Public Health and Unit of Allergy and Clinical Immunology University Hospital Duilio Casula University of Cagliari Cagliari Italy

Department of Medical Sciences University of Torino Torino Italy; Allergy and Clinical Immunology Unit Mauriziano Hospital Torino Italy

Department of Medicine Clinical Immunology and Allergy McMaster University Hamilton ON Canada

Department of Medicine Faculty of Medicine and Surgery University of Malta Msida MSD Malta

Department of Otolaryngology Faculty of Medicine Siriraj Hospital Mahidol University Bangkok Thailand

Department of Otolaryngology Head and Neck Surgery Beijing TongRen Hospital and Beijing Institute of Otolaryngology Beijing China

Department of Otolaryngology Head and Neck Surgery Eye and Ear University Hospital Beirut Lebanon; Department of Otorhinolaryngology Head and Neck Surgery Dar Al Shifa Hospital Salmiya Kuwait

Department of Otolaryngology Head and Neck Surgery St Luke's Medical Center Quezon City Philippines; Division of Surgery Philippine Children's Medical Center Quezon City Philippines

Department of Otolaryngology Head and Neck Surgery Universitätsmedizin Mainz Mainz Germany; Center for Rhinology and Allergology Allergology and Rhinology Department Wiesbaden Germany

Department of Otolaryngology Yong Loo Lin School of Medicine National University of Singapore Singapore Republic of Singapore

Department of Otorhinolaryngology Amsterdam University Medical Centres AMC Amsterdam the Netherlands

Department of Otorhinolaryngology Charité Universitätsmedizin Berlin Berlin Germany

Department of Otorhinolaryngology Chiba University Chiba Japan

Department of Otorhinolaryngology Head and Neck Surgery School of Medical Sciences Universiti Sains Malaysia Kubang Kerian Kelantan Malaysia

Department of Otorhinolaryngology Head and Neck Surgery Semmelweis University Budapest Hungary

Department of Paediatrics Prince of Wales Hospital Hong Kong SAR China

Department of Pediatric Respiratory Diseases and Allergology Medical University of Warsaw Warsaw Poland

Department of Pediatrics Medical College of Georgia at Augusta University Augusta Ga

Department of Pediatrics Medical School Federal University of Minas Gerais Belo Horizonte Brazil

Department of Pediatrics Nippon Medical School Tokyo Japan

Department of Pediatrics Victor R Potenciano Medical Center Mandaluyong Philippines

Department of Pneumology Coimbra University Hospital Faculty of Medicine Coimbra Portugal; Coimbra Institute for Clinical and Biomedical Research CIBB Coimbra Portugal

Department of Political Science University of Zürich Zürich Switerland

Department of Prevention of Environmental Hazards Allergology and Immunology Medical University of Warsaw Warsaw Poland

Department of Public Health University of Liège Liège Belgium

Department of Pulmonary Diseases and Institute of Pulmonology and Tuberculosis Istanbul University Cerrahpaşa Cerrahpaşa Faculty of Medicine Istanbul Turkey

Department of Pulmonary Diseases Celal Bayar University Faculty of Medicine Manisa Turkey

Department of Pulmonary Medicine CHU Liège Liège Belgium; GIGA I3 Research Group University of Liège Liège Belgium

Department of Pulmonology and Allergology Klaipeda National Hospital Klaipeda Lithuania; Vilnius University Medical Faculty Department of Political Behaviour and Institutions Vilnius Lithuania

Department of Pulmonology and Phthisiology Department of Pediatrics Jessenius Faculty of Medicine in Martin Comenius University in Bratislava Bratislava Slovakia; Institute of Clinical Immunology and Allergology Jessenius Faculty of Medicine in Martin Comenius University Bratislava Slovakia

Department of Respiratory Medicine and Tuberculosis University Hospital Brno Czech Republic

Department of Respiratory Medicine Copenhagen University Hospital Hvidovre Copenhagen Denmark; Institute of Clinical Medicine University of Copenhagen Copenhagen Denmark

Department of Respiratory Medicine Hospital Universitari Dexeus Barcelona Spain; The Group of Rhinitis Rhinosinusitis and Nasal Polyps Area of Asthma SEPAR Barcelona Spain

Department of Respiratory Medicine JSS Medical College JSSAHER Mysuru Karnataka India

Department of Respiratory Medicine National Institute of Diseases of the Chest and Hospital Dhaka Bangladesh

Division of Adult and Pediatric Allergy and Immunology University of the Philippines Philippines General Hospital Manila Philippines

Division of Allergy and Clinical Immunology Department of Medicine Santa Maria della Speranza Hospital Battipaglia Salerno Italy; Agency of Health ASL Division of Allergy and Clinical Immunology Department of Medicine Salerno Italy; Postgraduate Programme in Allergy and Clinical Immunology University of Naples Federico 2 Naples Italy

Division of Allergy and Clinical Immunology Seoul National University Bundang Hospital Seoul National University College of Medicine Seoul Republic of Korea

Division of Allergy and Immunology Department of Dermatology Allergy and Venerology Charité Universitätsmedizin Berlin Berlin Germany

Division of Allergy and Immunology Department of Pediatrics Siriraj Hospital Mahidol University Faculty of Medicine Bangkok Thailand

Division of Allergy Asthma and Clinical Immunology Emek Medical Center Afula Israel; Rappaport Faculty of Medicine Technion Israel Institute of Technology Haifa Israel

Division of Allergy Clinical Immunology and Rheumatology Department of Pediatrics Federal University of São Paulo São Paulo Brazil

Division of Allergy Immunology and Transplantation National Institute of Allergy and Infectious Diseases NIH Bethesda Md

Division of Allergy Immunology University of South Florida Tampa Fla

Division of Immunology Allergy and Rheumatology Department of Medicine University of Cincinnati College of Medicine Cincinnati Ohio

Division of Internal Medicine Asthma and Allergy Barlicki University Hospital Medical University of Lodz Lodz Poland

Division of Respiratory Medicine Department of Pediatrics Hospital Nacional de Niños Universidad de Costa Rica San Jose Costa Rica

Dr Agostinho Neto University hospital Epidemiology Department Praia Cabo Verde; Immunology Cabo Verde University Faculty of Medicine Praia Cabo Verde

EFA European Federation of Allergy and Airways Diseases Patients' Associations Brussels Belgium

ENT Department University Hospital of Kinshasa Kinshasa Democratic Republic of the Congo

EPIUnit Institute of Public Health University of Porto and Laboratory for Integrative and Translational Research in Population Health Porto Portugal; Serviço de Imunoalergologia Centro Hospitalar Universitário São João Porto Portugal; Basic and Clinical Immunology Unit Department of Pathology Faculty of Medicine University of Porto Porto Portugal

Evidence Prime Kracow Poland; Gynecological and Obstetrician Polyclinic District Hospital Białystok Poland

Faculty of Health Sciences and CICS UBI Health Sciences Research Centre University of Beira Interior Covilhã Portugal

Faculty of Medicine and Surgery University of Santo Tomas Manila Philippines

Faculty of Medicine Eduardo Mondlane University Maputo Mozambique

Faculty of Medicine Transylvania University Brasov Romania

Faculty of Medicine University of Southampton Southampton United Kingdom; The David Hide Asthma and Allergy Centre St Mary's Hospital Isle of Wight United Kingdom; NIHR Southampton Biomedical Research Centre University Hospital Southampton NHS Foundation Trust Southampton United Kingdom

Faculty of Public Health Sofia Medical University Sofia Bulgaria

Federal University of Pampa Department of Medicine Uruguaiana Brazil

FiLHA Finnish Lung Health Association Helsinki Finland; Department of Clinical Medicine Pulmonary Diseases and Clinical Allergology University of Turku Turku Finland

Finnish Meteorological Institute Atmospheric Composition Research Helsinki Finland

Fraunhofer Institute for Translational Medicine and Pharmacology ITMP Immunology and Allergology Berlin Germany; Department of Health Research Methods Evidence and Impact and Department of Medicine McMaster University Hamilton ON Canada; Department of Biomedical Science Humanitas University Pieve Emanuele Milan Italy

Fundaçao ProAR Federal University of Bahia and GARD WHO Planning Group Salvador Bahia Brazil

Fundaler Buenos Aires Argentina

Global Digital Health Unit Department of Primary Care and Public Health Imperial College London United Kingdom

Global NCD Platform Geneva Switzerland

Head of Laboratory of Atmospheric processes and Aerobiology University of Latvia Riga Latvia

Hungarian Allergy Association Allergy and Immunology Department Budapest Hungary

Immunology and Allergy Division Clinical Hospital University of Chile Santiago Chile

Imunoalergologia Centro Hospitalar Universitário de Coimbra Faculty of Medicine University of Coimbra Coimbra Portugal

Institute Bona Sforza University for Linguistic Mediators Bari Italy

Institute of Allergology Charité Universitätsmedizin Berlin Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin Berlin Germany; Fraunhofer Institute for Translational Medicine and Pharmacology ITMP Immunology and Allergology Berlin Germany

Institute of Allergology Charité Universitätsmedizin Berlin Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin Berlin Germany; Fraunhofer Institute for Translational Medicine and Pharmacology ITMP Immunology and Allergology Berlin Germany; ARIA Montpellier France

Institute of Allergology Charité Universitätsmedizin Berlin Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin Berlin Germany; Fraunhofer Institute for Translational Medicine and Pharmacology ITMP Immunology and Allergology Berlin Germany; Department of Health Research Methods Evidence and Impact and Department of Medicine McMaster University Hamilton ON Canada

Institute of Clinical Medicine Children's Clinic Tartu University Tartu Estonia

Institute of Clinical Medicine Clinic of Chest Diseases and Allergology Faculty of Medicine Vilnius University Vilnius Lithuania; Institute of Biomedical Sciences Department of Pathology Faculty of Medicine Vilnius University Vilnius Lithuania

Institute of Pathophysiology and Allergy Research Medical University Vienna Vienna Austria; Interuniversity Messerli Research Institute of the University of Veterinary Medicine and Medical University Vienna Vienna Austria

Institute of Translational Pharmacology Palermo Italy

International Primary Care Respiratory Group IPCRG Aberdeen United Kingdom; Health Planning Unit Department of Social Medicine Faculty of Medicine University of Crete Heraklion Greece

International Primary Care Respiratory Group IPCRG Edinburgh United Kingdom

IRCCS Humanitas Research Center Personalized Medicine Asthma and Allergy Rozzano Milan Italy

ISGlobal Barcelona Institute for Global Health Barcelona Spain; Department of Experimental Sciences Universitat Pompeu Fabra Barcelona Spain

Japan Antituberculosis Association Fukujuji Hospital Tokyo Japan

Latvian Association of Allergists University Children Hospital Riga Latvia

Life and Health Sciences Research Institute School of Medicine University of Minho Braga Portugal

Makerere University Lung Institute Pulmonology Medicine Department Kampala Uganda

MEDCIDS Department of Community Medicine Information and Health Decision Sciences Faculty of Medicine University of Porto Porto Portugal; PaCeIT Patient Centered Innovation and Technologies Center for Health Technology and Services Research Faculty of Medicine University of Porto Porto Portugal; Allergy Unit Instituto and Hospital CUF Porto Portugal

MEDCIDS Department of Community Medicine Information and Health Decision Sciences Faculty of Medicine University of Porto Porto Portugal; Research Network Faculty of Medicine University of Porto Porto Portugal

MEDCIDS Department of Community Medicine Information and Health Decision Sciences Faculty of Medicine University of Porto Porto Portugal; Research Network Faculty of Medicine University of Porto Porto Portugal; Department of Cardiovascular and Respiratory Sciences Porto Health School Polytechnic Institute of Porto Porto Portugal; Department of Women's and Children's Health Paediatric Research Uppsala University Uppsala Sweden

Medical Faculty Skopje University Clinic of Pulmology and Allergy Skopje Republic of Macedonia

Medical School University of Cyprus Nicosia Cyprus

Microbiology Department College of Medicine Kuwait University Kuwait City Kuwait

Mongolian National University of Medical Sciences Health Department Ulan Bator Mongolia

National Center for Research in Chronic Respiratory Diseases Collaborating with WHO EMRO Tishreen University School of Medicine Latakia Syria; Al Sham Private University Pharmacy Department Damascus Syria

NOVA Medical School Comprehensive Health Research Centre Lisbon Portugal; Serviço de Imunoalergologia Centro Hospitalar Universitário de Lisboa Central ULS São José Lisbon Portugal

Nova Southeastern University College of Allopathic Medicine Fort Lauderdale Fla

Otolaryngology Head and Neck Surgery Department Mouwasat Hospital Dammam Saudi Arabia

Pediatric Allergy and Clinical Immunology Hospital Espanol de Mexico Mexico City Mexico

Pediatric Allergy Immunology and Rheumatology Unit Children's Hospital Ain Shams University Cairo Egypt

Pediatrics Allergy and Immunology Latín American Society of Allergy Asthma and immunology Montevideo Uruguay

Peercode BV Geldermalsen the Netherlands

Pneumologie AP HP Centre Université de Paris Cité Hôpital Cochin Paris France; UMR 1016 Institut Cochin Paris France; Inserm Epidemiology Department CESP Villejuif France

Poltava State Medical University Immunology and Allergology Department Poltava Ukraine

Prima Nova Healthcare Institution Zagreb Croatia; Medical Faculty University JJ Strossmayer of Osijek Osijek Croatia

PROMISE Department University of Palermo Palermo Italy

Pulmonary Environmental Epidemiology Unit CNR Institute of Clinical Physiology Pisa Italy

Rashid Hospital DUBAI Health Dubai UAE; Research Institute of Medical and Health Sciences University of Sharjah Sharjah UAE

Research Center 'Respiralab' Universidad Espíritu Santo Samborondón Ecuador; Department of Allergology and Pulmonology Respiralab Research Group Guayaquil Guayas Ecuador

Research on Healthcare Performance INSERM U1290 Pneumologie et Medicine Respiratoire Groupement Hospitalier Nord Hôpital de la Croix Rousse Lyon France

Research Unit of Clinical Medicine University of Oulu Oulu Finland; Department of Pediatrics and Adolescent Medicine University of Turku Turku University Hospital Turku Finland

Respiratory Clinic Department of Internal Medicine University of Genoa Genoa Italy; Respiratory and Allergy Clinic IRCCS Ospedale Policlinico San Martino Genoa Italy

Respiratory Medicine Trinity College Dublin Ireland; Respiratory Physician and Allergist Professorial Respiratory Centre Tallaght University Hospital and Peamount Healthcare Dublin Ireland

Respiriamo Insieme Association Asthma and Allergy Center Padova Italy

Rhinology Unit and Smell Clinic ENT Department Hospital Clínic Barcelona Spain; Clinical and Experimental Respiratory Immunoallergy FRCB IDIBAPS CIBERES University of Barcelona Barcelona Spain

School of Medicine Universidad de los Andes Bogotá DC Colombia; Pulmonology Service Internal Medicine Section Fundación Santa Fe de Bogotá University Hospital Bogotá DC Colombia

Section of Allergy and Immunology Saint Louis University School of Medicine Saint Louis Mo

Section of Allergy Asthma and Immunology University of Santo Tomas Hospital Manila Philippines

Section of Rhinology and Allergy Department of Otorhinolaryngology Head and Neck Surgery University Hospital Marburg Philipps Universität Marburg Marburg Germany

Service de Pneumo Allergologie Centre Hospitalo Universitaire de Béni Messous Algiers Algeria

Servicio de Alergia e Immunologia Clinica Santa Isabel Buenos Aires Argentina

Skin and Allergy Hospital Helsinki University Hospital and University of Helsinki Helsinki Finland

SMAIC Société Marocaine d'Allergologie et Immunologie Clinique Rabat Morocco

SOS Allergology and Clinical Immunology USL Toscana Centro Prato Italy

St Luke's Medical Center ENT Department Quezon City Philippines

The Allergy and Asthma Institute Allergy and Asthma Department Islamabad Pakistan

Université de Rennes Inserm EHESP Irset UMR_S 1085 Rennes France

Université Paris Saclay UVSQ Univ Paris Sud Villejuif France; Inserm Équipe d'Épidémiologie respiratoire intégrative CESP Villejuif France

University Clinic of Respiratory and Allergic Diseases Pulmonary and Allergy Department Golnik Slovenia; Faculty of Medicine University of Ljubljana Ljubljana Slovenia

VIM Suresnes UMR 0892 Pôle des Maladies des Voies Respiratoires Hôpital Foch Université Paris Saclay Suresnes France

Woolcock Institute of Medical Research Quality Use of Respiratory Medicine Sydney NSW Australia

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