Stepwise approach towards adoption of allergen immunotherapy for allergic rhinitis and asthma patients in daily practice in Belgium: a BelSACI-Abeforcal-EUFOREA statement
Abstract Allergic rhinitis (AR) affects 23–30% of the European population with equal prevalence reported in Belgium. Despite guidelines on the correct use of effective treatment, up to 40% of AR patients remain uncontrolled. Allergen immunotherapy (AIT) has been shown to improve the level of control...
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doaj-a02ff612fc8c498fa3544b62435221072021-09-02T08:29:36ZengWileyClinical and Translational Allergy2045-70222019-02-01911710.1186/s13601-019-0243-1Stepwise approach towards adoption of allergen immunotherapy for allergic rhinitis and asthma patients in daily practice in Belgium: a BelSACI-Abeforcal-EUFOREA statementP. W. Hellings0B. Pugin1G. Mariën2C. Bachert3C. Breynaert4D. M. Bullens5J. L. Ceuppens6G. Clement7T. Cox8D. Ebo9P. Gevaert10S. Halewyck11V. Hox12K. Ladha13R. Jacobs14P. Rombaux15R. Schrijvers16K. Speleman17X. Van der Brempt18L. Van Gerven19O. Vanderveken20B. Verhaeghe21K. Vierstraete22S. Vlaminck23J. -B. Watelet24J. Bousquet25S. F. Seys26ENT Clinical Department, University Hospital LeuvenLaboratory of Clinical Immunology, Department of Microbiology and Immunology, KU LeuvenEuropean Forum for Research and Education in Allergy and Airway DiseasesENT Clinical Department, University Hospital GhentLaboratory of Clinical Immunology, Department of Microbiology and Immunology, KU LeuvenPediatrics Clinical Department, UZ LeuvenLaboratory of Clinical Immunology, Department of Microbiology and Immunology, KU LeuvenENT Clinical Department, AZ DamiaanENT Clinical Department, Jessa HospitalImmunology-Allergology-Rheumatology, University Hospital AntwerpENT Clinical Department, University Hospital GhentENT Clinical Department, UZ BrusselENT Clinical Department, Clinique Universitaires Saint-LucPediatrics Clinical Department, CHU CharleroiENT Clinical Department, AZ Sint-BlasiusENT Clinical Department, Clinique Universitaires Saint-LucLaboratory of Clinical Immunology, Department of Microbiology and Immunology, KU LeuvenENT Clinical Department, AZ Sint-JanAllergopole, Clinique Saint-Luc BougeENT Clinical Department, University Hospital LeuvenENT Clinical Department, University Hospital AntwerpENT Clinical Department, St-Andries ziekenhuisENT Clinical Department, AZ GroeningeENT Clinical Department, AZ Delta RoeselareENT Clinical Department, University Hospital GhentDepartment of Respiratory Disease, University Hospital Arnaud de VilleneuveENT Clinical Department, University Hospital LeuvenAbstract Allergic rhinitis (AR) affects 23–30% of the European population with equal prevalence reported in Belgium. Despite guidelines on the correct use of effective treatment, up to 40% of AR patients remain uncontrolled. Allergen immunotherapy (AIT) has been shown to improve the level of control up to 84% of patients being controlled by AIT. Recently, new guidelines for AIT have been published, supporting the clinical evidence for effectiveness of various subcutaneous and sublingual products for AIT in patients who are allergic to airborne allergens. AIT in AR patients not only reduces nasal and/or ocular symptoms but also induces tolerance and has preventive potential. Adoption of AIT into daily clinical practice in Belgium and other European countries is hampered primarily by reimbursement issues of each of the single products but also by several patient- and physician-related factors. Patients need to be better informed about the effectiveness of AIT and the different routes of administration of AIT. Physicians dealing with AR patients should inform patients on tolerance-inducing effects of AIT and are in the need of a harmonized and practical guide that supports them in selecting eligible patients for AIT, in choosing evidence-based AIT products and in following treatment protocols with proven efficacy. Therefore, a stepwise and holistic approach is needed for better adoption of AIT in the real-life setting in Belgium.http://link.springer.com/article/10.1186/s13601-019-0243-1Allergic rhinitisAsthmaAllergen-specific immunotherapyBelgium |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
P. W. Hellings B. Pugin G. Mariën C. Bachert C. Breynaert D. M. Bullens J. L. Ceuppens G. Clement T. Cox D. Ebo P. Gevaert S. Halewyck V. Hox K. Ladha R. Jacobs P. Rombaux R. Schrijvers K. Speleman X. Van der Brempt L. Van Gerven O. Vanderveken B. Verhaeghe K. Vierstraete S. Vlaminck J. -B. Watelet J. Bousquet S. F. Seys |
spellingShingle |
P. W. Hellings B. Pugin G. Mariën C. Bachert C. Breynaert D. M. Bullens J. L. Ceuppens G. Clement T. Cox D. Ebo P. Gevaert S. Halewyck V. Hox K. Ladha R. Jacobs P. Rombaux R. Schrijvers K. Speleman X. Van der Brempt L. Van Gerven O. Vanderveken B. Verhaeghe K. Vierstraete S. Vlaminck J. -B. Watelet J. Bousquet S. F. Seys Stepwise approach towards adoption of allergen immunotherapy for allergic rhinitis and asthma patients in daily practice in Belgium: a BelSACI-Abeforcal-EUFOREA statement Clinical and Translational Allergy Allergic rhinitis Asthma Allergen-specific immunotherapy Belgium |
author_facet |
P. W. Hellings B. Pugin G. Mariën C. Bachert C. Breynaert D. M. Bullens J. L. Ceuppens G. Clement T. Cox D. Ebo P. Gevaert S. Halewyck V. Hox K. Ladha R. Jacobs P. Rombaux R. Schrijvers K. Speleman X. Van der Brempt L. Van Gerven O. Vanderveken B. Verhaeghe K. Vierstraete S. Vlaminck J. -B. Watelet J. Bousquet S. F. Seys |
author_sort |
P. W. Hellings |
title |
Stepwise approach towards adoption of allergen immunotherapy for allergic rhinitis and asthma patients in daily practice in Belgium: a BelSACI-Abeforcal-EUFOREA statement |
title_short |
Stepwise approach towards adoption of allergen immunotherapy for allergic rhinitis and asthma patients in daily practice in Belgium: a BelSACI-Abeforcal-EUFOREA statement |
title_full |
Stepwise approach towards adoption of allergen immunotherapy for allergic rhinitis and asthma patients in daily practice in Belgium: a BelSACI-Abeforcal-EUFOREA statement |
title_fullStr |
Stepwise approach towards adoption of allergen immunotherapy for allergic rhinitis and asthma patients in daily practice in Belgium: a BelSACI-Abeforcal-EUFOREA statement |
title_full_unstemmed |
Stepwise approach towards adoption of allergen immunotherapy for allergic rhinitis and asthma patients in daily practice in Belgium: a BelSACI-Abeforcal-EUFOREA statement |
title_sort |
stepwise approach towards adoption of allergen immunotherapy for allergic rhinitis and asthma patients in daily practice in belgium: a belsaci-abeforcal-euforea statement |
publisher |
Wiley |
series |
Clinical and Translational Allergy |
issn |
2045-7022 |
publishDate |
2019-02-01 |
description |
Abstract Allergic rhinitis (AR) affects 23–30% of the European population with equal prevalence reported in Belgium. Despite guidelines on the correct use of effective treatment, up to 40% of AR patients remain uncontrolled. Allergen immunotherapy (AIT) has been shown to improve the level of control up to 84% of patients being controlled by AIT. Recently, new guidelines for AIT have been published, supporting the clinical evidence for effectiveness of various subcutaneous and sublingual products for AIT in patients who are allergic to airborne allergens. AIT in AR patients not only reduces nasal and/or ocular symptoms but also induces tolerance and has preventive potential. Adoption of AIT into daily clinical practice in Belgium and other European countries is hampered primarily by reimbursement issues of each of the single products but also by several patient- and physician-related factors. Patients need to be better informed about the effectiveness of AIT and the different routes of administration of AIT. Physicians dealing with AR patients should inform patients on tolerance-inducing effects of AIT and are in the need of a harmonized and practical guide that supports them in selecting eligible patients for AIT, in choosing evidence-based AIT products and in following treatment protocols with proven efficacy. Therefore, a stepwise and holistic approach is needed for better adoption of AIT in the real-life setting in Belgium. |
topic |
Allergic rhinitis Asthma Allergen-specific immunotherapy Belgium |
url |
http://link.springer.com/article/10.1186/s13601-019-0243-1 |
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