Evidence map›Paper›PMID 24353432›Full record

ArticleJournal of asthma and allergy2013

5-grass pollen tablets achieve disease control in patients with seasonal allergic rhinitis unresponsive to drugs: a real-life study.

Elide Anna Pastorello, Laura Losappio, Stefania Milani, Giuseppina Manzotti, Valentina Fanelli, Valerio Pravettoni, Fabio Agostinis, Alberto Flores D'Arcais, Ilaria Dell'Albani, Paola Puccinelli and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of asthma and allergy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. A survey of clinical features of allergic rhinitis in adults.Medical science monitor : international medical journal of experimental and clinical research · 2014
    Article
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

12 authors at 6 institutions in 2 countries.

Elide Anna PastorelloAllergy and Immunology Department, Niguarda Hospital, Milan, Italy.
Laura LosappioAllergy and Immunology Department, Niguarda Hospital, Milan, Italy.
Stefania MilaniAllergy Department, San Marco General Hospital, Bergamo, Italy.
Giuseppina ManzottiAllergy Department, Treviglio Hospital, Bergamo, Italy.
Valentina FanelliAllergy Department, Italian Institute for Auxology, Milan, Italy.
Valerio PravettoniClinical Allergy and Immunology Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Fabio AgostinisDepartment of Pediatrics, Riuniti Hospital, Bergamo.
Alberto Flores D'ArcaisDepartment of Pediatrics, Legnano Hospital, Milan, Italy.
Ilaria Dell'AlbaniMedical and Scientific Department, Stallergenes Italy, Milan, Italy.
Paola PuccinelliRegulatory Department, Stallergenes Italy, Milan, Italy.
Cristoforo IncorvaiaAllergy/Pulmonary Rehabilitation, ICP Hospital, Milan, Italy.
Franco FratiMedical and Scientific Department, Stallergenes Italy, Milan, Italy.
Stallergenes Greer (France) · FRAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITAzienda Ospedaliera Ospedale Civile di Legnano · ITAzienda Ospedaliera Treviglio · ITIRCCS Istituto Auxologico Italiano · ITIstituti di Ricovero e Cura a Carattere Scientifico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn important subpopulation in allergic rhinitis is represented by patients with severe form of disease that is not responsive to drug treatment. It has been reported that grass pollen subcutaneous immunotherapy is effective in drug-resistant patients. In a real-life study, we evaluated the efficacy of 5-grass pollen tablets in patients with grass pollen-induced allergic rhinitis not responsive to drug therapy.

methodsWe carried out this multicenter observational study in adults and adolescents with grass-induced allergic rhinitis not responsive to drug therapy who were treated for a year with 5-grass pollen tablets. Clinical data collected before and after sublingual immunotherapy (SLIT) included Allergic Rhinitis and its Impact on Asthma (ARIA) classification of allergic rhinitis, response to therapy, and patient satisfaction.

resultsForty-seven patients entered the study. By ARIA classification, three patients had moderate to severe intermittent allergic rhinitis, ten had mild persistent allergic rhinitis, and 34 had moderate to severe persistent allergic rhinitis. There were no cases of mild intermittent allergic rhinitis before SLIT. After SLIT, 33 patients had mild intermittent allergic rhinitis, none had moderate to severe intermittent allergic rhinitis, seven had mild persistent allergic rhinitis, and seven had moderate to severe persistent allergic rhinitis. The mean medication score decreased from 4.2±1.3 before to 2.4±2.0 after SLIT (P<0.01), representing a reduction of 42%. The response to treatment before SLIT was judged as poor by 70% of patients and very poor by 30%. Patient satisfaction was significantly increased after SLIT (P<0.01).

conclusionIn real life, most patients with grass pollen-induced allergic rhinitis not responsive to drug treatment can achieve control of the condition with one season of treatment using 5-grass pollen tablets.

Indexed as

allergen immunotherapydrug resistanceeffectivenessgrass pollenpatient satisfactionrhinitis

Identifiers

PMID24353432
PMCPMC3862399
OpenAlexW2169968922

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.