Evidence map›Paper›PMID 20884006›Full record

ArticleThe Journal of pediatrics2011

Opposing effects of cat and dog ownership and allergic sensitization on eczema in an atopic birth cohort.

Tolly G Epstein, David I Bernstein, Linda Levin, Gurjit K Khurana Hershey, Patrick H Ryan, Tiina Reponen, Manuel Villareal, James E Lockey, Grace K Lemasters

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Identification of two early life eczema and non-eczema phenotypes with high risk for asthma development.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2019
    Trial
  3. Article
  4. Article
  5. Article
  6. Sensitization to peanut, egg or pets is associated with skin barrier dysfunction in children with atopic dermatitis.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2021
    Article
  7. Article
  8. Evaluation of eczema, asthma, allergic rhinitis and allergies among the Grade-1 children of Iqaluit.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2018
    Article
  9. Article
  10. Subgroup differences in the associations between dog exposure during the first year of life and early life allergic outcomes.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2017
    Article
  11. Article
  12. Asking About Pets Enhances Patient Communication and Care: A Pilot Study.Inquiry : a journal of medical care organization, provision and financing · 2017
    Article
  13. Article
  14. Article
  15. The role of the early-life environment in the development of allergic disease.Immunology and allergy clinics of North America · 2015
    Review
  16. Review
  17. Article
  18. Review
  19. Infant origins of childhood asthma associated with specific molds.The Journal of allergy and clinical immunology · 2012
    Article
  20. Diesel exhaust exposure, wheezing and sneezing.Allergy, asthma & immunology research · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Tolly G EpsteinDepartment of Medicine, Division of Immunology, University of Cincinnati, Cincinnati, OH, USA.
David I Bernstein
Linda Levin
Gurjit K Khurana Hershey
Patrick H Ryan
Tiina Reponen
Manuel Villareal
James E Lockey
Grace K Lemasters
University of Cincinnati · USCincinnati Children's Hospital Medical Center · US

Funding

Diesel, Allergens and Gene Interaction and Child AtopyR01ES011170 · NIEHS · UNIVERSITY OF CINCINNATI · PI LEMASTERS, GRACE · 2001 to 2009
$10.4M
Immunology/Allergy Fellowship Training GrantT32AI060515 · NIAID · UNIVERSITY OF CINCINNATI · PI BERNSTEIN, DAVID I., ROTHENBERG, MARC E. · 2004 to 2018
$2.8M
NIAID NIH HHS T32 AI060515NIAID NIH HHS T32 AI60515NIEHS NIH HHS ES11170NIEHS NIH HHS R01 ES011170
6 · The paper itself

Abstract

objectiveTo examine risk factors for eczema at age 4 years. STUDY

designBeginning at 1 year of age, infants of atopic parents (n = 636) had annual clinical evaluations and skin prick tests (SPTs) to 15 aeroallergens and milk and egg. Parents completed validated surveys on eczema and environmental exposures. House dust samples were evaluated for allergens and endotoxin. Eczema was defined as a parental report of scratching, and redness, "raised bumps," or dry skin/scaling for 6 of the last 12 months.

resultsAt age 4 years, a total of 90 children (14%) had eczema. Not having a dog before 1 year of age and being dog SPT+ at 1, 2, or 3 years of age conferred a 4-fold higher risk for eczema at age 4 years (adjusted odds ratio [aOR] = 3.9 [1.6-9.2]; P = .002). Among dog owners, however, dog SPT+ was not associated with significantly increased risk (aOR 1.3 [0.3-6.8]; P = .8). Among children with cats before 1 year of age, cat SPT+ conferred significantly increased risk for eczema (aOR = 13.3 [3.1-57.9]; P < .001). Among non-cat owners, cat SPT+ was not associated with increased risk (aOR = 1.1 [0.5-2.7]; P = .8).

conclusionDog ownership significantly reduced the risk for eczema at age 4 years among dog-sensitized children, cat ownership combined with cat sensitization significantly increased the risk.

Indexed as

ImmunizationAge FactorsAllergensAnalysis of VarianceAnimalsAnimals, DomesticCatsChild, PreschoolCohort StudiesConfidence IntervalsDermatitis, AtopicDogsEczemaEnvironmental ExposureFemaleGenetic Predisposition to DiseaseAllergens

Identifiers

PMID20884006
PMCPMC4910508
OpenAlexW2068268864

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.