María José Torres, Head of the Allergology Service of the Regional Hospital of Málaga
Patients requiring care in Allergological service they are more and more. Is for Chronically ill which require complex treatment and represent significant health costs. The research and innovation the implementation of new diagnostic pathways for these patients is of particular importance, but it is even more important that the results of the study are transferred to the patient through the application of clinical practice guidelines.
María José Torres, Head of the Allergology Service of the Regional Hospital of Málaga.
They are the conclusions Maria Jose Torres, head of the allergology service of the Regional Hospital of Malaga, explained at the conference on innovative health organization. The work of the specialist-led team involved assessing whether advances in research into this disease were reaching the patient. “The answer couldn’t be more depressing: no. We were unable to transfer the patient research progress to offer you a improving your diagnosis and in its treatment”. The transfer of research results into clinical practice is a “leaky pipe. In such a way that from the moment something suitable is found until the patient recognizes it as something important to him, an important percentage of information is lost and efforts and results are lost”.
The specialist believes that “measures should be taken to public health” and he explained that in his working group “many questions arose from daily clinical practice”. The Department of Allergology of the Regional Hospital of Málaga works “endotyping”. “Each patient who arrives, although he looks the same, has a different diagnosis and treatment. We were able to define different endotypes in drug allergy and above all in something very important: allergy to vegetables. We are what we eat, what we breathe.”
Precision medicine and innovative diagnostics
Precision medicine, with endotypes, innovative diagnoses such as the use of nanoparticles, or the development of new machines “able to detect with blood samples food allergies, which allows diagnosis without a consultation visit”, are the strengths in terms of innovation launched by the team led by María José Torres.
“The transfer of research results to clinical practice is a broken pipe”
However, all the progress wouldn’t be much use without “the Clinical practice guidelines“. In his presentation, he assured that “they should be implemented in the Office. We try to have a commitment that our patients can benefit from all the research results”. For this reason, they are looking for a way to “work to make real life studieswhich is undoubtedly the great knowledge that is generated in our hospitals” always with the idea that “the patient is the main pillar”.
The evolution of the allergic patient
Since 1960, there has been an increase in consultations of Primary care because allergic rhinitis which “have quadrupled in the Western world”. Today, this disease affects 400 million people worldwide, and the tendency is for it to increase other pathologies such as asthma, eczema or food allergy.
The evolution of allergy patients has changed over the years. At first, as Torres states, “it was about respiratory allergy and atopic eczema”. A second wave was later observed with a “spread of food allergies in Western societies’ and finally a third with ‘an increase in drug allergies (mainly antibiotics).” The Allergology Service of the Regional Hospital in Malaga emphasizes that this disease “is not only due to genetic predisposition“. Lifestyle changes in post-industrial societies such as “pollution, tobacco, spending more time indoors or hygiene” also affect this evolution of allergy patients. This is why the Hospital of Malaga has set a Strategic Research Plan (2016-2020 ) is underway to respond and seek solutions that improve the lives of allergy sufferers.
During his speech at this conference, which is primarily sponsored by Boehringer Ingelheim and the collaboration of Air Liquide Healthcare, Torres assured that they are aware of everything that affect the allergic patient. For this reason, the team works to find a solution for all those situations that can complicate the life of the allergic patient. Among other practices, this Allergological service work with him Malaga Town Hall to shape the city’s gardens, knowing that they directly affect the health of these patients.
“We try to have the commitment that our patients can benefit from all the research results”
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