{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T03:57:33Z","timestamp":1773115053518,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,10,27]],"date-time":"2024-10-27T00:00:00Z","timestamp":1729987200000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Mycoses"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Allergic bronchopulmonary aspergillosis (ABPA) is a complex lung disease associated with significant morbidity. The ABPA Working Group (AWG) of the International Society for Human and Animal Mycology (ISHAM) revised their management guidelines in 2024, but there is currently no standardised tool to assess adherence to these recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We extracted key recommendations from the updated 2024 ISHAM\u2010AWG guidelines, focusing on critical areas: screening and diagnosis of ABPA, managing acute and treatment\u2010dependent ABPA, and monitoring treatment response. Each item was assigned a score ranging from zero to three. We assigned negative scores to interventions not recommended by the guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 38 items indicative of optimal clinical care for patients with ABPA. The score for screening asthmatics for ABPA was set at three points. For diagnosing ABPA, 16 items were included, with a score ranging from 12 to 16 points, depending on the specific components used (predisposing conditions, serum <jats:italic>A<\/jats:italic>. <jats:italic>fumigatus<\/jats:italic>\u2010specific IgE and IgG, serum total IgE, blood eosinophil count and chest computed tomography). The management of acute ABPA comprised 11 items, with a maximum score of three points. For treatment\u2010dependent ABPA, there were nine items (scores ranging from \u22123 to 6). Follow\u2010up care comprised 10 items with a maximum score of 10\u201313 points, covering imaging, spirometry, testing serum total IgE levels and therapeutic drug monitoring.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The EQUAL ABPA score has been developed as a comprehensive tool to quantify guideline adherence. Future studies will evaluate to which extent guideline adherence is associated with improved clinical outcomes for patients with ABPA.<\/jats:p><\/jats:sec>","DOI":"10.1111\/myc.13810","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T01:59:52Z","timestamp":1730080792000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["<scp>EQUAL ABPA<\/scp> Score 2024: A Tool to Measure Guideline Adherence for Managing Allergic Bronchopulmonary Aspergillosis"],"prefix":"10.1111","volume":"67","author":[{"given":"Inderpaul\u00a0Singh","family":"Sehgal","sequence":"first","affiliation":[{"name":"Department of Pulmonary Medicine Postgraduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0410-8468","authenticated-orcid":false,"given":"Valliappan","family":"Muthu","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine Postgraduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4388-3117","authenticated-orcid":false,"given":"Danila","family":"Seidel","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) and Excellence Center for Medical Mycology (ECMM), Faculty of Medicine University of Cologne and University Hospital Cologne  Cologne Germany"},{"name":"German Centre for Infection Research (DZIF) Partner Site Bonn\u2010Cologne  Cologne Germany"},{"name":"Institute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging\u2010Associated Diseases (CECAD), Excellence Center for Medical Mycology (ECMM)University of Cologne  Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosanne","family":"Sprute","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) and Excellence Center for Medical Mycology (ECMM), Faculty of Medicine University of Cologne and University Hospital Cologne  Cologne Germany"},{"name":"German Centre for Infection Research (DZIF) Partner Site Bonn\u2010Cologne  Cologne Germany"},{"name":"Institute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging\u2010Associated Diseases (CECAD), Excellence Center for Medical Mycology (ECMM)University of Cologne  Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1014-7343","authenticated-orcid":false,"given":"Darius","family":"Armstrong\u2010James","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Infectious Disease Imperial College London  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichiro","family":"Asano","sequence":"additional","affiliation":[{"name":"Division of Pulmonary Medicine, Department of Medicine Tokai University School of Medicine  Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James\u00a0D.","family":"Chalmers","sequence":"additional","affiliation":[{"name":"Division of Respiratory Medicine and Gastroenterology, School of Medicine University of Dundee  Dundee Scotland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean\u2010Pierre","family":"Gangneux","sequence":"additional","affiliation":[{"name":"CHU Rennes, Inserm, EHESP Irset (Institut de Recherche en sant\u00e9, Environnement et Travail) Univ Rennes  Rennes France"},{"name":"Centre Hospitalier Universitaire de Rennes Laboratoire de Parasitologie\u2010Mycologie, ECMM Excellence Center in Medical Mycology, French National Reference Center on Mycoses and Antifungals (CNRMA LA\u2010Asp C)  Rennes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cendrine","family":"Godet","sequence":"additional","affiliation":[{"name":"Assistance Publique\u2013H\u00f4pitaux de Paris, H\u00f4pital Tenon, Service de Pneumologie et Oncologie Thoracique, Centre Constitutif Maladies Pulmonaires Rares Paris Univ. Paris Sorbonne  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helmut\u00a0J.\u00a0F.","family":"Salzer","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine\u2010Pneumology Kepler University Hospital  Linz Austria"},{"name":"Medical Faculty Johannes Kepler University  Linz Austria"},{"name":"Ignaz\u2010Semmelweis\u2010Institute Interuniversity Institute for Infection Research  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9599-3137","authenticated-orcid":false,"given":"Oliver\u00a0A.","family":"Cornely","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD) and Excellence Center for Medical Mycology (ECMM), Faculty of Medicine University of Cologne and University Hospital Cologne  Cologne Germany"},{"name":"German Centre for Infection Research (DZIF) Partner Site Bonn\u2010Cologne  Cologne Germany"},{"name":"Institute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging\u2010Associated Diseases (CECAD), Excellence Center for Medical Mycology (ECMM)University of Cologne  Cologne Germany"},{"name":"Cologne Excellence Cluster on Cellular Stress Responses in Aging\u2010Associated Diseases (CECAD) University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute of Translational Research  Cologne Germany"},{"name":"Faculty of Medicine and University Hospital Cologne Clinical Trials Centre Cologne (ZKS K\u00f6ln) University of Cologne  Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2547-7668","authenticated-orcid":false,"given":"Ritesh","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Medicine Postgraduate Institute of Medical Education and Research  Chandigarh India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,27]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.alit.2023.08.004"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/lungindia.lungindia_69_23"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cea.12595"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/13693786.2012.738312"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/cea.12141"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/cea.14319"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30327-4"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(23)00093-0"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00629-2017"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2018-212463"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkaa518"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-018-3285-8"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00061-2024"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/myc.12820"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkac378"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/myc.12214"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/myc.12541"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.15-0069"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/cea.12590"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2019.08.041"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/03007995.2016.1233101"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2020.01.029"}],"container-title":["Mycoses"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/myc.13810","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T09:09:12Z","timestamp":1730192952000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/myc.13810"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":22,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1111\/myc.13810"],"URL":"https:\/\/doi.org\/10.1111\/myc.13810","archive":["Portico"],"relation":{},"ISSN":["0933-7407","1439-0507"],"issn-type":[{"value":"0933-7407","type":"print"},{"value":"1439-0507","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"2024-08-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13810"}}