Evidence map›Paper›PMID 26235650›Full record

SynthesisPediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2015

Dust mite avoidance for the primary prevention of atopic dermatitis: A systematic review and meta-analysis.

Samuel F Bremmer, Eric L Simpson

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Prevention of Atopic Dermatitis: What Are We Missing?Allergy, asthma & immunology research · 2025
    Review
  5. Indoor bioaerosols and asthma: Overview, implications, and mitigation strategies.The Journal of allergy and clinical immunology · 2025
    Review
  6. Allergens in Atopic Dermatitis.Clinical reviews in allergy & immunology · 2025
    Review
  7. Effective Ways to Prevent Allergic Diseases: Where Do We Stand?Handbook of experimental pharmacology · 2022
    Article
  8. Current Insights into Atopic March.Children (Basel, Switzerland) · 2021
    Review
  9. Article
  10. Article
  11. The Role of Environmental Exposures in Atopic Dermatitis.Current allergy and asthma reports · 2020
    Review
  12. Review
  13. Under-diagnosis of atopic dermatitis in Puerto Rican children.The World Allergy Organization journal · 2019
    Article
  14. Molecular aspects of allergens in atopic dermatitis.Current opinion in allergy and clinical immunology · 2017
    Review
  15. 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

2 authors at 1 institution in 1 country.

Samuel F BremmerDepartment of Dermatology, Oregon Health & Science University, Portland, OR, USA.
Eric L SimpsonDepartment of Dermatology, Oregon Health & Science University, Portland, OR, USA.
Oregon Health & Science University · US

Funding

Oregon Clinical and Translational Science InstituteKL2RR024141 · NCRR · OREGON HEALTH & SCIENCE UNIVERSITY · PI ORWOLL, ERIC S. · 2006 to 2011
$3.6M
The Role of the Skin Barrier in Atopic Dermatitis Development and PreventionK23AR057486 · NIAMS · OREGON HEALTH & SCIENCE UNIVERSITY · PI SIMPSON, ERIC L · 2010 to 2013
$513k
NCRR NIH HHS 5 KL2 RR024141-04NCRR NIH HHS KL2 RR024141NIAMS NIH HHS 5K23AR057486NIAMS NIH HHS K23 AR057486NIAMS NIH HHS L30 AR050376
6 · The paper itself

Abstract

backgroundDust mite sensitization plays a controversial role in the development of atopic dermatitis. Despite a lack of evidence for its efficacy, dust mite avoidance is commonly recommended for the prevention and treatment of atopic dermatitis. We aimed to evaluate whether dust mite avoidance strategies reduce the risk of developing atopic dermatitis in high-risk infants compared to randomized controls.

methodsStudies were obtained by searching MEDLINE, PubMed, Scopus, The Cochrane Library, and The Global Resource of Eczema Trials databases. We included randomized, controlled trials of high-risk infants treated with a dust mite avoidance intervention and assessed for atopic dermatitis. Data were extracted independently by two reviewers using predefined criteria.

resultsSeven randomized controlled trials met our inclusion criteria (total n = 3040). Studies were largely unblinded but otherwise of reasonable quality. Three trials utilizing a dust mite avoidance approach but not additional interventions were combined in a meta-analysis. Dust mite avoidance provided no benefit in the prevention of atopic dermatitis (relative risk (RR) = 1.08, 95% confidence interval (CI) = 0.78-1.49, I(2) = 73%).

conclusionsDust mite avoidance strategies alone or in combination with additional allergen avoidance modalities do not decrease the risk of developing atopic dermatitis and, given the current state of the evidence, should not be recommended for this purpose. The utility of dust mite avoidance for the treatment of atopic dermatitis or for the prevention and treatment of asthma or seasonal rhinoconjunctivitis are outside the scope of this review.

Indexed as

PyroglyphidaeAllergensAnimalsAntigens, DermatophagoidesDermatitis, AtopicEnvironmental ExposureHumansModels, StatisticalPrimary PreventionTreatment OutcomeAllergensAntigens, Dermatophagoidesatopic dermatitisdust mitemeta-analysispreventionrandomized controlled trialsystematic review

Identifiers

PMID26235650
PMCPMC10775895
OpenAlexW1741792229

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.