A concept for integrated care pathways for atopic dermatitis—A GA2LEN ADCARE initiative
Authors: Zuberbier Torsten , Abdul Latiff Amir , Aggelidis Xenofon , Augustin Matthias , Balan Radu‐Gheorghe , Bangert Christine , Beck Lisa , Bieber Thomas , Bernstein Jonathan A. , Bertolin Colilla Marta , Berardi Alejandro , Bedbrook Anna , Bindslev‐Jensen Carsten , Bousquet Jean , de Bruin‐Weller Marjolein , Bruscky Dayanne , Buyuktiryaki Betul , Canonica Giorgio Walter , Castro Carla , Chanturidze Natia , Chong‐Neto Herberto Jose , Chu Chia‐Yu , Chularojanamontri Leena , Cork Michael , Criado Roberta F. J. , Barredo Laia Curto , Custovic Adnan , Darsow Ulf , Emurlai Arben , de Pablo Ana , Del Giacco Stefano , Girolomoni Giampiero , Deleva Jovanova Tanja , Deleuran Mette , Douladiris Nikolaos , Duarte Bruno , Dubakiene Ruta , Eller Esben , Engel‐Yeger Batya , Ensina Luis Felipe , Filho Nelson Rosario , Flohr Carsten , Fomina Daria , Francuzik Wojciech , Galimberti Maria Laura , Giménez‐Arnau Ana M. , Godse Kiran , Mortz Charlotte Gotthard , Gotua Maia , Hide Michihiro , Hoetzenecker Wolfram , Hunzelmann Nicolas , Irvine Alan , Jack Carolyn , Kanavarou Ioanna , Katoh Norito , Kinaciyan Tamar , Kocatürk Emek , Kulthanan Kanokvalai , Lapeere Hilde , Lau Susanne , Machado Forti Nastri Mariana , Makris Michael , Mansour Eli , Marsland Alexander , Morelo Rocha Felix Mara , Moschione Castro Ana Paula , Nettis Eustachio , Nicolas J. F. , Nosbaum Audrey , Odemyr Mikaela , Papapostolou Niki , Parisi Claudio A. S. , Paudel Sushil , Peter Jonny , Pokharel Prakash , Puig Luis , Quint Tamara , Ramon German Dario , Regateiro Frederico , Ricci Giampaolo , Rosario Cristine , Sackesen Cansin , Schmid‐Grendelmeier Peter , Serra‐Baldrich Esther , Siemens Kristina , Smith Cathrine , Staubach Petra , Stevanovic Katarina , Su‐Kücük Özlem , Sussman Gordon , Tavecchio Simona , Teovska Mitrevska Natasa , Thaci Diamant , Toubi Elias , Traidl‐Hoffmann Claudia , Treudler Regina , Vadasz Zahava , van Hofman Ingrid , Ventura Maria Teresa , Wang Zhao , Werfel Thomas , Wollenberg Andreas , Yang Ariana , Weng Yew Yik , Zhao Zuotao , Zwiener Ricardo , Worm Margitta 
Published: September 2023

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 GA2LEN 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 GAL2EN 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.