Evidence map›Paper›PMID 21103134›Full record

ArticleJRSM short reports2010

Key components of anaphylaxis management plans: consensus findings from a national electronic Delphi study.

Allison Worth, Ulugbek Nurmatov, Aziz Sheikh

Open access · diamondAbstract read
In one paragraph

Article in JRSM short reports, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Food allergy: diagnosis, management & emerging therapies.The Indian journal of medical research · 2014
    Review
  5. Article
  6. Strategies for living with the risk of anaphylaxis in adolescence: qualitative study of young people and their parents.Primary care respiratory journal : journal of the General Practice Airways Group · 2012
    Article
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Allison WorthAllergy & Respiratory Research Group, Centre for Population Health Sciences: General Practice Section, The University of Edinburgh, Medical School , Teviot Place, Edinburgh EH8 9AG , UK.
Ulugbek Nurmatov
Aziz Sheikh
University of Edinburgh · GB

Funding

Chief Scientist Office CZG/2/296
6 · The paper itself

Abstract

objectivesThere is no international consensus on the components of anaphylaxis management plans and responsibility for their design and delivery is contested. We set out to establish consensus among relevant specialist and generalist clinicians on this issue to inform future randomized controlled trials.

designA two-round electronic Delphi study completed by a 25-person, multidisciplinary expert panel. Participants scored the importance of a range of statements on anaphylaxis management, identified from a systematic review of the literature, on a five-point scale ranging from 'very important' to 'irrelevant'. Consensus was defined a priori as being achieved if 80% or more of panel members rated a statement as 'important' or 'very important' after Round 2.

settingPrimary and secondary care and academic settings in the UK and Ireland.

participantsTwenty-five medical, nursing and allied health professionals.

main outcome measuresConsensus on the key components of anaphylaxis management plans.

resultsThe response rate was 84% (n = 21) for Round 1 and 96% (n = 24) for Round 2. The key components of emergency care on which consensus was achieved included: awareness of trigger factors (100%); recognition and emergency management of reactions of different severity (100%); and clear information on adrenaline (epinephrine) use (100%). Consensus on longer-term management issues included: clear written guidelines on anaphylaxis management (96%); annual review of plans (87%); and plans that were tailored to individual needs (82%).

conclusionsThis national consensus-building exercise generated widespread agreement that emergency plans need to be simple, clear and generic, making them easy to implement in a crisis. In contrast, long-term plans need to be negotiated between patient/carers and professionals, and tailored to individual needs. The effectiveness of this expert-agreed long-term plan now needs to be evaluated rigorously.

Identifiers

PMID21103134
PMCPMC2984371
OpenAlexW2073586014

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.