Open AccessNext-Generation Allergic Rhinitis Care in Singapore: 2019 ARIA Care Pathways
Author(s) -
Xuandao Liu,
De Yun Wang,
Tze Choong Charn,
Leslie T. Koh,
Neville Wei Yang Teo,
Yew Kwang Ong,
Mark Thong,
Claus Bachert,
Oliver Pfaar,
Holger J. Schünemann,
Jean Bousquet,
Wienczyslawa Czarlewski,
Jean Bousquet
Publication year - 2020
Publication title -
annals, academy of medicine, singapore/annals of the academy of medicine, singapore
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.299
H-Index - 60
ISSN - 0304-4602
DOI - 10.47102/annals-acadmedsg.202076
Subject(s) - medicine , asthma , health care , allergen immunotherapy , context (archaeology) , guideline , quality of life (healthcare) , disease management , disease , intensive care medicine , family medicine , allergy , immunology , nursing , allergen , economic growth , pathology , paleontology , economics , parkinson's disease , biology
Allergic rhinitis (AR) is prevalent in Singapore, with a significant disease burden. Afflictingup to 13% of the population, AR impairs quality of life, leads to reduced work productivityand is an independent risk factor for asthma. In the last 2 decades, local studies haveidentified patient and physician behaviours leading to suboptimal control of the disease. Yet,there is an overall lack of attention to address this important health issue. Allergic Rhinitisand its Impact on Asthma (ARIA) is a European organisation aimed at implementingevidence-based management for AR worldwide. Recent focus in Europe has been directedtowards empowering patients for self-management, exploring the complementary role ofmobile health, and establishing healthcare system-based integrated care pathways.Consolidation of these ongoing efforts has led to the release of the 2019 ARIA carepathways. This review summarises the ARIA update with particular emphasis on thecurrent status of adult AR in Singapore. In addition, we identify unmet needs and futureopportunities for research and clinical care of AR in the local context.Keywords: Allergen immunotherapy, Allergic Rhinitis and its Impact on Asthma,clinical guideline