Editorial
Portugal at the cross road of international chronic respiratory programmes
J. Bousquet, J. Rosado Pinto, C. Barbara, J. Correia de Sousa, J. Fonseca, J. Pereira Miguel, J. Boavida, A. Todo Bom, J. Malva, C. Robalo Cordeiro
Corresponding author
Read
1057
Timeswas read the article
554
Total PDF
503
Total HTML
Share statistics
array:24 [ "pii" => "S2173511515001311" "issn" => "21735115" "doi" => "10.1016/j.rppnen.2015.07.001" "estado" => "S300" "fechaPublicacion" => "2015-09-01" "aid" => "1076" "copyright" => "Sociedade Portuguesa de Pneumologia" "copyrightAnyo" => "2015" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "edi" "cita" => "Rev Port Pneumol. 2015;21:230-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1483 "formatos" => array:3 [ "EPUB" => 218 "HTML" => 711 "PDF" => 554 ] ] "itemSiguiente" => array:19 [ "pii" => "S217351151500086X" "issn" => "21735115" "doi" => "10.1016/j.rppnen.2015.04.003" "estado" => "S300" "fechaPublicacion" => "2015-09-01" "aid" => "1059" "copyright" => "Sociedade Portuguesa de Pneumologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2015;21:233-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1785 "formatos" => array:3 [ "EPUB" => 206 "HTML" => 975 "PDF" => 604 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Exercise capacity impairment in COPD patients with comorbidities" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "233" "paginaFinal" => "238" ] ] "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G.P.F. Da Silva, M.T.A. Pessoa Morano, A.G. De Matos Cavalcante, N.M. De Andrade, E. De Francesco Daher, E.D.B. Pereira" "autores" => array:6 [ 0 => array:2 [ "nombre" => "G.P.F." "apellidos" => "Da Silva" ] 1 => array:2 [ "nombre" => "M.T.A. Pessoa" "apellidos" => "Morano" ] 2 => array:2 [ "nombre" => "A.G. De Matos" "apellidos" => "Cavalcante" ] 3 => array:2 [ "nombre" => "N.M." "apellidos" => "De Andrade" ] 4 => array:2 [ "nombre" => "E. De Francesco" "apellidos" => "Daher" ] 5 => array:2 [ "nombre" => "E.D.B." "apellidos" => "Pereira" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217351151500086X?idApp=UINPBA00004E" "url" => "/21735115/0000002100000005/v3_201605090007/S217351151500086X/v3_201605090007/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173511515001487" "issn" => "21735115" "doi" => "10.1016/j.rppnen.2015.08.001" "estado" => "S300" "fechaPublicacion" => "2015-09-01" "aid" => "1084" "copyright" => "Sociedade Portuguesa de Pneumologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "edi" "cita" => "Rev Port Pneumol. 2015;21:227-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1738 "formatos" => array:3 [ "EPUB" => 244 "HTML" => 977 "PDF" => 517 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>" "titulo" => "Impaired function in the complex patient with COPD: a matter to be considered" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "227" "paginaFinal" => "229" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 966 "Ancho" => 2296 "Tamanyo" => 67191 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Relationship between number of the (considered) comorbidities and functional impairment as assessed by health status CAT score (from ref#11).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Tonelli, E.M. Clini" "autores" => array:2 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Tonelli" ] 1 => array:2 [ "nombre" => "E.M." "apellidos" => "Clini" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511515001487?idApp=UINPBA00004E" "url" => "/21735115/0000002100000005/v3_201605090007/S2173511515001487/v3_201605090007/en/main.assets" ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>" "titulo" => "Portugal at the cross road of international chronic respiratory programmes" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "230" "paginaFinal" => "232" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Bousquet, J. Rosado Pinto, C. Barbara, J. Correia de Sousa, J. Fonseca, J. Pereira Miguel, J. Boavida, A. Todo Bom, J. Malva, C. Robalo Cordeiro" "autores" => array:10 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Bousquet" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Rosado Pinto" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Barbara" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Correia de Sousa" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Fonseca" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Pereira Miguel" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Boavida" ] 7 => array:2 [ "nombre" => "A." "apellidos" => "Todo Bom" ] 8 => array:2 [ "nombre" => "J." "apellidos" => "Malva" ] 9 => array:4 [ "nombre" => "C." "apellidos" => "Robalo Cordeiro" "email" => array:1 [ 0 => "carlos.crobalo@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">July 1–4, 2015 two meetings will be held with the Directorate General of Health in Lisbon, Portugal to discuss chronic respiratory programmes of the WHO Global Alliance against Chronic Respiratory Diseases (GARD)<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">1,2</span></a> and European Innovation Partnership on Active and Healthy Ageing (EIP on AHA)<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">3</span></a> (AIRWAYS ICPs: Integrated Care Pathways for airway diseases).<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">4</span></a> The goals of these meetings will be to make an update of these two international actions and to strengthen the WHO noncommunicable disease (NCD) action plan (2013–2020).</p><p id="par0010" class="elsevierStylePara elsevierViewall">Chronic respiratory diseases (CRD) include asthma, rhinitis and COPD, occupational lung diseases, sleep apnoea syndrome and genetic syndromes such as cystic fibrosis.<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">1,2</span></a> Over 1 billion people in the world suffer from CRDs. They represent one of the priorities of the EU (3053rd and 3131st Conclusions of the EU Council, 2010 and 2011)<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">5,6</span></a> and the United Nations (High Level meeting on Non-Communicable Diseases, 2011).<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">7</span></a> The 2011 Polish Presidence of the EU Council made the prevention, early diagnosis and treatment of asthma and allergic diseases a priority for the EU's public health policy in order to reduce health inequalities.<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">5</span></a> The early determinants of CRDs were reinforced during the Cyprus Presidency of the EU Council.<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">8</span></a> The 2014 Italian Presidence of the EU Council has prioritized CRDs. CRDs represent a model of chronic diseases due to their prevalence, burden (3 million annual deaths due to COPD), and comorbidities with other chronic diseases.<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">9</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">European Innovation Partnerships (EIP) attempt to enhance EU competitiveness and tackle societal challenges by fostering innovation. Active and Healthy Ageing (AHA) is a major societal challenge common to all countries and to all populations.<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">10</span></a> Ageing, intertwined with socioeconomic inequalities, is an under-appreciated cause of poverty. AHA needs to be promoted very early in life to be successful. The EIP on AHA is deployed in 3 areas and 6 action plans.<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">11</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">AIRWAYS ICPs (integrated care pathways for airway diseases) has been selected as the model of NCDs for Area 5 of the B3 Action Plan of the EIP on AHA (DG Sanco and DG CNECT).<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">4</span></a> It was launched by NHS England (Newcastle, February 2014) and has been endorsed by the EIP on AHA Reference Site Network. The goals of AIRWAYS ICPs include the launch of a collaboration to develop multisectoral CRD care pathways (ICPs) in European countries and regions, as part of the EIP on AHA (Area 5 of the Action Plan B3 of EIP on AHA, DG Sanco, DG CNECT) as well as a global scale up with WHO GARD (GARD demonstration research project).<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">1,2</span></a> AIRWAYS-ICPs has strategic relevance to the European Union Health Strategy and the WHO NCD Action Plan (2013–2020). The goals of AIRWAYS ICPs are listed in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Portugal has been promoting CRDs for over 10 years by the scientific Societies and, more recently, through the National Program on Respiratory Diseases, from the Directorate-General for Health.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The first meeting will review the different actions of AIRWAYS ICPs and launch some activities which are finalized. Among them, a repository for good practices, the new ARIA 2015 guidelines, the MACVIA-ARIA sentinel network and the scaling up strategy.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Allergic rhinitis is one of the most prevalent diseases in the world (25% of the EU population). Although symptoms of rhinitis appear to be trivial, the disease affects social activities, school and work performance and allergic rhinitis is associated with a detrimental effect on examination performance.<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">12</span></a> It is often associated with or precedes asthma. Allergic rhinitis has been considered to alter AHA if not appropriately managed.<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">5,6</span></a> ARIA, a guideline for allergic rhinitis and its comorbidity with asthma, was the first comorbidity guideline in chronic diseases. It was developed in the late 1999s in collaboration with WHO using the recommended methodology for guidelines (Shekelle).<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">13</span></a> It was updated in 2008.<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">14</span></a> It has been revised using the GRADE methodology (2010).<a class="elsevierStyleCrossRefs" href="#bib0195"><span class="elsevierStyleSup">15–17</span></a> It is the most widely used guideline for rhinitis, and rhinitis and asthma comorbidity globally.<a class="elsevierStyleCrossRef" href="#bib0210"><span class="elsevierStyleSup">18</span></a> ARIA is implemented in 64 countries and the pocket guide of the guideline has been translated into 52 languages. However, there is a need to develop a new set of recommendations which will be integrated care pathways. The ARIA 2015 will be launched during the meeting in Lisbon.</p><p id="par0040" class="elsevierStylePara elsevierViewall">The MACVIA-ARIA Sentinel Network (MASK) proposes to study the symptoms of patients suffering from allergic symptoms during the pollen season in order to make them sentinels for the onset and severity of the pollen season. Patients are geolocalised and will evaluate their symptoms by visual analogue scale (VAS) using a cell phone with a touch screen or internet. This information will be coded and sent to a central database and subsequently to all patients registered in the system. A Clinical Decision Support System (CDSS)<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">19,20</span></a> will immediately propose advice for (standardized) pharmacologic treatment. Patients with uncontrolled disease (SCUAD)<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">21</span></a> will be easily defined as those resistant to treatment despite optimal treatment. Moreover, conjunctival symptoms and asthma will be monitored by the system. It will be combined with CARAT (Control of Allergic Rhinitis and Asthma Test)<a class="elsevierStyleCrossRefs" href="#bib0230"><span class="elsevierStyleSup">22,23</span></a> in order to better phenotype the patients, and an e-learning tool.</p><p id="par0045" class="elsevierStylePara elsevierViewall">The EIP on AHA has proposed a 5-step framework for developing an individual scaling up strategy: (1) what to scale up: (1–1) databases of good practices, (1–2) assessment of viability of the scaling up of good practices, (1–3) classification of good practices for local replication and (2) how to scale up: (2–1) facilitating partnerships for scaling up, (2–2) implementation of key success factors and lessons learnt. This strategy has already been applied to the CRD action plan of the EIP on AHA.</p><p id="par0050" class="elsevierStylePara elsevierViewall">This meeting will have the support of the Région Languedoc Roussillon<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">24</span></a> and the Coimbra Region, and will be the third meeting of the Collaborative Network of EIP on AHA Reference Sites.</p><p id="par0055" class="elsevierStylePara elsevierViewall">The second meeting will be the GARD annual meeting and will review advances of this WHO alliance.</p><p id="par0060" class="elsevierStylePara elsevierViewall">Both meetings are supported by the Portuguese Respiratory Society and show the implication of this society in international actions on CRDs.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">1. Proposing a common framework of care pathways for chronic respiratory diseases which will facilitate comparability and trans-national initiatives \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">2. Proposing plans targeted to all populations according to culture, health systems and income \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">3. Developing a strategy based on WHO PEN and the essential list of drugs for low and middle income countries \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">4. Informing cost-effective policy development, in particular strengthening those on smoking and environment exposure \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">5. Aiding risk stratification in chronic disease patients with a common strategy \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">6. Building a sentinel network for allergic diseases and asthma \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">7. Having a significant impact on the health of citizens in the short term (reduction of morbidity, improvement of education in children and of work in adults) and the long-term (healthy ageing) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">8. Tackling chronic diseases across the life cycle \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">9. Defining active and healthy ageing \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">10. And ultimately reducing the healthcare burden (emergency visits, avoidable hospitalizations, disability and costs) while improving quality of life and promoting active and healthy ageing. In the longer term, the incidence of disease may be reduced by innovative prevention strategies \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1041237.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Goals of AIRWAYS ICPs.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:24 [ 0 => array:3 [ "identificador" => "bib0125" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Global alliance against chronic respiratory diseases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Bousquet" 1 => "R. Dahl" 2 => "N. Khaltaev" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1398-9995.2007.01307.x" "Revista" => array:7 [ "tituloSerie" => "Allergy" "fecha" => "2007" "volumen" => "62" "numero" => "3" "paginaInicial" => "216" "paginaFinal" => "223" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17298337" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0130" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Global surveillance, prevention and control of Chronic Respiratory Diseases. A comprehensive approach. Global Alliance against Chronic Respiratory Diseases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J. Bousquet" 1 => "N. Khaltaev" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "isbn" => "9789241563468" "fecha" => "2007" "editorial" => "World Health Organization" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0135" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The European Innovation Partnership on Active and Healthy Ageing: the European Geriatric Medicine introduces the EIP on AHA Column" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Bousquet" 1 => "J. Michel" 2 => "T. Standberg" 3 => "G. Crooks" 4 => "I. Iakovidis" 5 => "M. Gomez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Geriatr Med" "fecha" => "2014" "volumen" => "5" "numero" => "6" "paginaInicial" => "361" "paginaFinal" => "362" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0140" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Integrated care pathways for airway diseases (AIRWAYS-ICPs)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J. Bousquet" 1 => "A. Addis" 2 => "I. Adcock" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1183/09031936.00014614" "Revista" => array:7 [ "tituloSerie" => "Eur Respir J" "fecha" => "2014" "volumen" => "44" "numero" => "2" "paginaInicial" => "304" "paginaFinal" => "323" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24925919" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0145" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Council of the European Union conclusions on chronic respiratory diseases in children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Samolinski" 1 => "A. Fronczak" 2 => "A. Wlodarczyk" 3 => "J. Bousquet" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(12)60514-5" "Revista" => array:7 [ "tituloSerie" => "Lancet" "fecha" => "2012" "volumen" => "379" "numero" => "9822" "paginaInicial" => "e45" "paginaFinal" => "e46" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22464390" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0150" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevention and control of childhood asthma and allergy in the EU from the public health point of view: Polish Presidency of the European Union" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "B. Samolinski" 1 => "A. Fronczak" 2 => "P. Kuna" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1398-9995.2012.02822.x" "Revista" => array:7 [ "tituloSerie" => "Allergy" "fecha" => "2012" "volumen" => "67" "numero" => "6" "paginaInicial" => "726" "paginaFinal" => "731" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22540290" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0155" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "UN High-Level Meeting on Non-Communicable Diseases: addressing four questions" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "R. Beaglehole" 1 => "R. Bonita" 2 => "G. Alleyne" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(11)60879-9" "Revista" => array:7 [ "tituloSerie" => "Lancet" "fecha" => "2011" "volumen" => "378" "numero" => "9789" "paginaInicial" => "449" "paginaFinal" => "455" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21665266" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0160" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impact of early diagnosis and control of chronic respiratory diseases on active and healthy ageing. A debate at the European Union Parliament" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J. Bousquet" 1 => "C.C. Tanasescu" 2 => "T. Camuzat" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/all.12115" "Revista" => array:7 [ "tituloSerie" => "Allergy" "fecha" => "2013" "volumen" => "68" "numero" => "5" "paginaInicial" => "555" "paginaFinal" => "561" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23855711" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0165" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "K. Barnett" 1 => "S.W. Mercer" 2 => "M. Norbury" 3 => "G. Watt" 4 => "S. Wyke" 5 => "B. Guthrie" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(12)60240-2" "Revista" => array:7 [ "tituloSerie" => "Lancet" "fecha" => "2012" "volumen" => "380" "numero" => "9836" "paginaInicial" => "37" "paginaFinal" => "43" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22579043" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0170" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ageing in the European Union" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "B. Rechel" 1 => "E. Grundy" 2 => "J.M. Robine" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0140-6736(12)62087-X" "Revista" => array:7 [ "tituloSerie" => "Lancet" "fecha" => "2013" "volumen" => "381" "numero" => "9874" "paginaInicial" => "1312" "paginaFinal" => "1322" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23541057" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0175" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The specific actions and how to engage in their implementation. 06/03/12" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "European Innovation Partnership on Active and Healthy Ageing" ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2012" ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "http://eceuropaeu/research/innovation-union/pdf/active-healthy-ageing/20120306_howtopdf" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0180" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Seasonal allergic rhinitis is associated with a detrimental effect on examination performance in United Kingdom teenagers: case–control study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Walker" 1 => "S. Khan-Wasti" 2 => "M. Fletcher" 3 => "P. Cullinan" 4 => "J. Harris" 5 => "A. Sheikh" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaci.2007.03.034" "Revista" => array:7 [ "tituloSerie" => "J Allergy Clin Immunol" "fecha" => "2007" "volumen" => "120" "numero" => "2" "paginaInicial" => "381" "paginaFinal" => "387" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17560637" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0185" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Allergic rhinitis and its impact on asthma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Bousquet" 1 => "P. Van Cauwenberge" 2 => "N. Khaltaev" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "J Allergy Clin Immunol" "fecha" => "2001" "volumen" => "108" "numero" => "5 Suppl" "paginaInicial" => "S147" "paginaFinal" => "S334" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11707753" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0190" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization. GA(2)LEN and AllerGen)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J. Bousquet" 1 => "N. Khaltaev" 2 => "A.A. Cruz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1398-9995.2007.01620.x" "Revista" => array:7 [ "tituloSerie" => "Allergy" "fecha" => "2008" "volumen" => "63" "numero" => "Suppl 86" "paginaInicial" => "8" "paginaFinal" => "160" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18331513" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0195" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Grading quality of evidence and strength of recommendations in clinical practice guidelines. Part 1 of 3. An overview of the GRADE approach and grading quality of evidence about interventions" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J.L. Brozek" 1 => "E.A. Akl" 2 => "P. Alonso-Coello" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1398-9995.2009.01973.x" "Revista" => array:7 [ "tituloSerie" => "Allergy" "fecha" => "2009" "volumen" => "64" "numero" => "5" "paginaInicial" => "669" "paginaFinal" => "677" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19210357" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0200" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Development and implementation of guidelines in allergic rhinitis – an ARIA-GA2LEN paper" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J. Bousquet" 1 => "H.J. Schunemann" 2 => "T. Zuberbier" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1398-9995.2010.02480.x" "Revista" => array:7 [ "tituloSerie" => "Allergy" "fecha" => "2010" "volumen" => "65" "numero" => "10" "paginaInicial" => "1212" "paginaFinal" => "1221" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20887423" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0205" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Methodological rigor and reporting of clinical practice guidelines in patients with allergic rhinitis: QuGAR study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "A. Padjas" 1 => "R. Kehar" 2 => "S. Aleem" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaci.2013.09.002" "Revista" => array:5 [ "tituloSerie" => "J Allergy Clin Immunol" "fecha" => "2014" "volumen" => "133" "numero" => "3" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24139497" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0210" "etiqueta" => "18" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Allergic Rhinitis and its Impact on Asthma (ARIA): achievements in 10 years and future needs" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J. Bousquet" 1 => "H.J. Schunemann" 2 => "B. Samolinski" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaci.2012.07.053" "Revista" => array:7 [ "tituloSerie" => "J Allergy Clin Immunol" "fecha" => "2012" "volumen" => "130" "numero" => "5" "paginaInicial" => "1049" "paginaFinal" => "1062" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23040884" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0215" "etiqueta" => "19" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effect of clinical decision-support systems: a systematic review" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "T.J. Bright" 1 => "A. Wong" 2 => "R. Dhurjati" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.7326/0003-4819-157-1-201207030-00450" "Revista" => array:7 [ "tituloSerie" => "Ann Intern Med" "fecha" => "2012" "volumen" => "157" "numero" => "1" "paginaInicial" => "29" "paginaFinal" => "43" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22751758" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0220" "etiqueta" => "20" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effects of clinical decision-support systems on practitioner performance and patient outcomes: a synthesis of high-quality systematic review findings" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.W. Jaspers" 1 => "M. Smeulers" 2 => "H. Vermeulen" 3 => "L.W. Peute" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1136/amiajnl-2011-000094" "Revista" => array:8 [ "tituloSerie" => "J Am Med Inform Assoc" "fecha" => "2011" "volumen" => "18" "numero" => "3" "paginaInicial" => "327" "paginaFinal" => "334" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21422100" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0264410X13002429" "estado" => "S300" "issn" => "0264410X" ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0225" "etiqueta" => "21" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Unmet needs in severe chronic upper airway disease (SCUAD)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J. Bousquet" 1 => "C. Bachert" 2 => "G.W. Canonica" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaci.2009.06.027" "Revista" => array:7 [ "tituloSerie" => "J Allergy Clin Immunol" "fecha" => "2009" "volumen" => "124" "numero" => "3" "paginaInicial" => "428" "paginaFinal" => "433" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19660803" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0230" "etiqueta" => "22" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Control of Allergic Rhinitis and Asthma Test (CARAT): dissemination and applications in primary care" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "P. Azevedo" 1 => "J. Correia de Sousa" 2 => "J. Bousquet" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Primary Care Respir J" "fecha" => "2013" "volumen" => "22" "numero" => "1" "paginaInicial" => "112" "paginaFinal" => "116" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0235" "etiqueta" => "23" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validation of a questionnaire (CARAT10) to assess rhinitis and asthma in patients with asthma" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J.A. Fonseca" 1 => "L. Nogueira-Silva" 2 => "M. Morais-Almeida" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1398-9995.2009.02310.x" "Revista" => array:7 [ "tituloSerie" => "Allergy" "fecha" => "2010" "volumen" => "65" "numero" => "8" "paginaInicial" => "1042" "paginaFinal" => "1048" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20121755" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0240" "etiqueta" => "24" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "MACVIA-LR Reference Site of the European Innovation Partnership on Active and Healthy Ageing" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "J. Bousquet" 1 => "C. Bourquin" 2 => "P. Augé" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Geriatr Med" "fecha" => "2014" "volumen" => "5" "numero" => "6" "paginaInicial" => "406" "paginaFinal" => "415" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735115/0000002100000005/v3_201605090007/S2173511515001311/v3_201605090007/en/main.assets" "Apartado" => array:4 [ "identificador" => "9716" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Editorials" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735115/0000002100000005/v3_201605090007/S2173511515001311/v3_201605090007/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511515001311?idApp=UINPBA00004E" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 9 | 8 | 17 |
| 2024 October | 42 | 44 | 86 |
| 2024 September | 53 | 37 | 90 |
| 2024 August | 49 | 44 | 93 |
| 2024 July | 30 | 36 | 66 |
| 2024 June | 26 | 25 | 51 |
| 2024 May | 36 | 30 | 66 |
| 2024 April | 21 | 29 | 50 |
| 2024 March | 27 | 22 | 49 |
| 2024 February | 21 | 29 | 50 |
| 2024 January | 20 | 26 | 46 |
| 2023 December | 16 | 26 | 42 |
| 2023 November | 22 | 39 | 61 |
| 2023 October | 22 | 28 | 50 |
| 2023 September | 19 | 29 | 48 |
| 2023 August | 20 | 17 | 37 |
| 2023 July | 19 | 28 | 47 |
| 2023 June | 13 | 18 | 31 |
| 2023 May | 21 | 28 | 49 |
| 2023 April | 17 | 11 | 28 |
Show all
