A concept for integrated care pathways for atopic dermatitis—A GA<sup>2</sup>LEN ADCARE initiative
Torsten Zuberbier, Amir Hamzah Abdul Latiff, Xenofon Aggelidis, Matthias Augustin, Radu‐Gheorghe Balan, Christine Bangert, Lisa A. Beck, Thomas Bieber, Jonathan A. Bernstein, M. Bertolín Colilla, Alejandro Berardi, Anna Bedbrook, Carsten Bindslev‐Jensen, Jean Bousquet, Marjolein de Bruin‐Weller, Dayanne Mota Veloso Bruscky, Betül Büyüktiryaki, Giorgio Walter Canonica, Carla Castro, Natia Chanturidze, Herberto José Chong‐Neto, Chia‐Yu Chu, Leena Chularojanamontri, Michael J. Cork, Roberta Fachini Jardim Criado, Laia Curto‐Barredo, Adnan Čustović, Ulf Darsow, Arben EMURLAI, Ana de Pablo, Stefano Del Giacco, Giampiero Girolomoni, Tanja Deleva Jovanova, Mette Deleuran, Nikolaos Douladiris, Bruno Duarte, Rūta Dubakienė, Esben Eller, Batya Engel‐Yeger, Luís Felipe Ensina, Nelson Augusto Rosário Filho, Carsten Flohr, Daria Fomina, Wojciech Francuzik, María Laura Galimberti, Ana M. Giménez‐Arnau, Kiran Godse, Charlotte G. Mørtz, Maia Gotua, Michihiro Hide, Wolfram Hoetzenecker, Nicolas Hunzelmann, Alan D. Irvine, Carolyn Jack, Ioanna Kanavarou, Norito Katoh, Tamar Kinaciyan, Emek Kocatürk, Kanokvalai Kulthanan, Hilde Lapeere, Susanne Lau, Mariana Machado Forti Nastri, Μichael Μakris, Eli Mansour, Alexander Marsland, Mara Morelo Rocha Félix, Ana Paula Moschione Castro, Eustachio Nettis, Jean‐François Nicolas, Audrey Nosbaum, Mikaëla Odemyr, Niki Papapostolou, Claudio Alberto Salvador Parisi, Sushil Paudel, Jonny Peter, Prakash Pokharel, L. Puig, Tamara Quint, German D. Ramón, Frederico S. Regateiro, Giampaolo Ricci, Cristine Rosario, Cansın Saçkesen, Peter Schmid‐Grendelmeier, E. Serra‐Baldrich, Kristina Siemens, Catherine Smith, Petra Staubach, Katarina Stevanovic, Özlem Su-Küçük, Gordon Sussman, Simona Tavecchio, Natasa Teovska Mitrevska, Diamant Thaçi, Elias Toubi, Claudia Traidl‐Hoffmann, Regina Treudler, Zahava Vadasz, Ingrid van Hofman, Maria Teresa Ventura
Abstract
Abstract Introduction The integrated care pathways for atopic dermatitis (AD‐ICPs) aim to bridge the gap between existing AD treatment evidence‐based guidelines and expert opinion based on daily practice by offering a structured multidisciplinary plan for patient management of AD. ICPs have the potential to enhance guideline recommendations by combining interventions and aspects from different guidelines, integrating quality assurance, and describing co‐ordination of care. Most importantly, patients can enter the ICPs at any level depending on AD severity, resources available in their country, and economic factors such as differences in insurance reimbursement systems. Methods The GA 2 LEN ADCARE network and partners as well as all stakeholders, abbreviated as the AD‐ICPs working group, were involved in the discussion and preparation of the AD ICPs during a series of subgroup workshops and meetings in years 2020 and 2021, after which the document was circulated within all GAL 2 EN ADCARE centres. Results The AD‐ICPs outline the diagnostic procedures, possible co‐morbidities, different available treatment options including differential approaches for the pediatric population, and the role of the pharmacists and other stakeholders, as well as remaining unmet needs in the management of AD. Conclusion The AD‐ICPs provide a multidisciplinary plan for improved diagnosis, treatment, and patient feedback in AD management, as well as addressing critical unmet needs, including improved access to care, training specialists, implementation of educational programs, assessment on the impact of climate change, and fostering a personalised treatment approach. By focusing on these key areas, the initiative aims to pave the way for a brighter future in the management of AD.