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A study to assess current approaches of allergists in European countries diagnosing and managing children and adolescents with peanut allergy
- Source :
- PLoS ONE, PLoS ONE, Vol 15, Iss 12, p e0241648 (2020)
- Publication Year :
- 2020
- Publisher :
- Public Library of Science, 2020.
-
Abstract
- Rationale Food allergy is documented to result in considerable morbidity, negative impact on quality of life, and substantial medical care costs. Although anecdotal data suggest widely varying practices in the diagnosis and management of food allergies, the diversity and relative frequency of these practices have not been documented. Methods A questionnaire was developed evaluating allergists’ management approaches of individuals with peanut allergy (PA) in Germany (DE), France (FR), and the United Kingdom (UK). Results Here, we report the survey results from a total of 109 allergists from DE, FR and the UK. They reported to confirm PA at initial diagnosis using skin prick test (≥60%), while allergists from DE and FR reported using allergen-specific IgE testing more (>86%) compared to the UK (75%). Half of the responders reported assessing the patient’s quality of life. 63% allergists reported retesting for PA resolution at a later date, with 45% allergists indicated to recommend ingestion of a normal serving of peanut regularly upon resolution. Lack of effective PA treatment was reported to be a ‘very significant’ barrier for optimal PA treatment, with allergists being less than ‘moderately familiar’ with data from clinical trials testing new treatments options for PA. Lastly, allergists stated that the severity of patient’s PA ranked as the most important factor in their decision to recommend oral immunotherapy for PA treatment. Conclusions This survey provides essential insights into the practice of allergists and highlights some areas that would inform strategies for education and improving PA healthcare.
- Subjects :
- Male
Allergy
Arachis
Peanut allergy
Social Sciences
Surveys
Geographical Locations
Cognition
Surveys and Questionnaires
Health care
Allergies
Medicine and Health Sciences
Medicine
Psychology
Practice Patterns, Physicians'
Child
Multidisciplinary
Allergic Diseases
Europe
Caregivers
Research Design
Child, Preschool
Female
Immunotherapy
France
Food Hypersensitivity
Research Article
medicine.medical_specialty
Adolescent
Epinephrine
Science
Immunology
Decision Making
MEDLINE
Food Allergies
Research and Analysis Methods
Quality of life (healthcare)
Allergists
Food allergy
Diagnostic Medicine
Humans
Peanut Hypersensitivity
Skin Tests
Survey Research
business.industry
Cognitive Psychology
Biology and Life Sciences
Allergens
Immunoglobulin E
medicine.disease
United Kingdom
Clinical trial
Health Care
Allergy Immunotherapy
Family medicine
People and Places
Quality of Life
Cognitive Science
Clinical Immunology
Clinical Medicine
business
Neuroscience
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 15
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....4a8ab1c36bd4754bc3ddbc3e5460fb78