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EAACI Guideline on the effective transition of adolescents and young adults with allergy and asthma
  • +18
  • Graham Roberts,
  • Marta Vazquez-Ortiz,
  • Rebecca Knibb,
  • Ekaterina Khaleva,
  • Cherry Alviani,
  • Elisabeth Angier,
  • katharina bluemchen,
  • Pasquale ComberiatiOrcid,
  • Bettina Duca,
  • Audrey DunnGalvin,
  • Teresa Garriga,
  • Claudia Gore,
  • Hazel GowlandOrcid,
  • Valerie Hox,
  • Britt Jensen,
  • Charlotte Mortz,
  • Oliver Pfaar,
  • Helena Pite,
  • Alexandra SantosOrcid,
  • Silvia Sanchez-Garcia,
  • Frans Timmermans
Graham Roberts
University of Southampton
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Marta Vazquez-Ortiz
Sant Joan de Deu Hospital
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Rebecca Knibb
Aston University
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Ekaterina Khaleva
University of Southampton
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Cherry Alviani
University of Southampton
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Elisabeth Angier
Northern General Hospital
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katharina bluemchen
Klinikum der Johann Wolfgang Goethe-Universitat Frankfurt
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Pasquale Comberiati
Orcid
University of Verona
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Bettina Duca
Imperial College at St Marys
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Audrey DunnGalvin
University College Cork (UCC)
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Teresa Garriga
Vall d'Hebron hospital
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Claudia Gore
Imperial College
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Hazel Gowland
Orcid
Anaphylaxis Campaign
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Valerie Hox
University Hospitals Saint-Luc
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Britt Jensen
Odense University Hospital, University of Southern Denmark
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Charlotte Mortz
Odense Universityhospital
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Oliver Pfaar
University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany.
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Helena Pite
CUF Descobertas Hospital and CUF Infante Santo Hospital
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Alexandra Santos
Orcid
King's College London
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Silvia Sanchez-Garcia
Hospital Infantil Universitario Nino Jesus
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Frans Timmermans
Nederlands Anafylaxis Netwerk – European Anaphylaxis Taskforce
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Peer review status:Published

27 May 2020Submitted to Allergy
28 May 2020Assigned to Editor
28 May 2020Submission Checks Completed
31 May 2020Reviewer(s) Assigned
10 Jun 2020Review(s) Completed, Editorial Evaluation Pending
11 Jun 2020Editorial Decision: Accept
Published in Allergy. 19 Jun 2020. 10.1111/all.14459

Abstract

Adolescent and young adult (AYA) patients need additional support while they experience the challenges associated with their age. They need specific training to learn the knowledge and skills required to confidently self-manage their allergies and/or asthma. Transitional care is a complex process which should address the psychological, medical, educational and vocational needs of AYA in the developmentally appropriate way. The European Academy of Allergy and Clinical Immunology has developed a clinical practice guideline to provide evidence-based recommendations for healthcare professionals to support the transitional care of AYA with allergy and/or asthma. This guideline was developed by a multi-disciplinary working panel of experts and patient representatives based on two recent systematic reviews. It sets out a series of general recommendations on operating a clinical service for AYA, which include: (i) starting transition early (11-13 years), (ii) using a structured, multidisciplinary approach, (iii) ensuring AYA fully understand their condition and have resources they can access, (iv) active monitoring of adherence and (v) discussing any implications for further education and work. Specific allergy and asthma transition recommendations include (i) simplifying medication regimes and using reminders; (ii) focusing on areas where AYA are not confident and involving peers in training AYA patients; (iii) identifying and managing psychological and socioeconomic issues impacting disease control and quality of life; (iv) enrolling the family in assisting AYA to undertake self-management and (v) encouraging AYA to let their friends know about their allergies and asthma. These recommendations may need to be adapted to fit into national healthcare systems.