Evidence map›Paper›PMID 23176889›Full record

Trial reportAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2012

Fear of repeated injections in children younger than 4 years receiving subcutaneous allergy immunotherapy.

Gabriele de Vos, Viswanathan Shankar, Ramin Nazari, Shravan Kooragayalu, Mitchell Smith, Andrew Wiznia, David Rosenstreich

Erratum issued Registry-linked trialAbstract readClinical TrialClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01028560 (Efficacy of Allergy Immunotherapy in Preventing Asthma Morbidity in Atopic, Wheezing Children), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 35% 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.

NCT01028560 phase1 / phase2completednot on this map

Efficacy of Allergy Immunotherapy in Preventing Asthma Morbidity in Atopic, Wheezing Children (Age 18 Months - 3 Years)

TypeinterventionalSponsorAlbert Einstein College of MedicineRan2008 to 2015Enrolled58ConditionsWheezing, Asthma, AllergyArmsAllergen extracts (subcutaneous injections), Standard of care
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Medication-related perceptions of children and adolescents with severe asthma and moderate-to-severe atopic dermatitis: a non-interventional exploratory study.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
    Article
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Gabriele de VosAlbert Einstein College of Medicine, New York, New York, USA. gabriele.de-vos@einstein.yu.edu
Viswanathan Shankar
Ramin Nazari
Shravan Kooragayalu
Mitchell Smith
Andrew Wiznia
David Rosenstreich
Albert Einstein College of Medicine · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025750 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$20.5M
Clinical and Translational Science Award-K12KL2RR025749 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$991k
Clinical and Translational Science Award-T32 (TL1)TL1RR025748 · NCRR · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI SHAMOON, HARRY · 2008 to 2011
$385k
NCRR NIH HHS KL2 RR025749NCRR NIH HHS KL2RR025749NCRR NIH HHS TL1 RR025748NCRR NIH HHS TL1RR025748NCRR NIH HHS UL1 RR025750NCRR NIH HHS UL1RR025750
6 · The paper itself

Abstract

backgroundAllergy immunotherapy during early childhood may have potential benefits for the prevention of asthma and allergy morbidity. However, subcutaneous immunotherapy has not yet been prospectively researched in children younger than 4 years, primarily because of safety concerns, including the fear and psychological distress young children may experience with repeated needle injections.

objectiveTo quantify fear in atopic children younger than 4 years with a history of wheezing who are receiving subcutaneous immunotherapy.

methodsFear of injection was graded during a total of 788 immunotherapy injection visits in 18 children (age, 37 months; SD, 9 months) receiving subcutaneous allergy immunotherapy. The parent and the injection nurse assigned fear scores on a scale of 0 to 10 after each injection visit.

resultsAt the time of analysis, children had a median of 49 injection visits (range, 12-88) during a median study period of 81.5 weeks (range, 15-165 weeks). Fifteen children (83%) lost their fear of injections during the study. A fear score of 0 was achieved after a mean of 8.4 visits (SD, 7.4). The more injection visits were missed, the more likely children were to retain fear of injections (hazard ratio, 0.13; 95% confidence interval, 0.02-1.02; P=.05). Age, adverse events, number of injections at each visit, and change of injection personnel were not associated with increased fear.

conclusionOur analysis suggests that most children receiving weekly subcutaneous immunotherapy lose their fear of injections during the treatment course. Children with increased intervals between visits may be at higher risk of experiencing fear of injections. CLINICAL

trial registrationclinicaltrial.gov identifier NCT01028560.

Indexed as

AllergensAsthmaChild, PreschoolCohort StudiesFearFemaleFollow-Up StudiesHumansHypersensitivityImmunotherapyInjections, SubcutaneousMaleProspective StudiesAllergens

Identifiers

PMID23176889
PMCPMC4529059
OpenAlexW1982445206

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.