Evidence map›Paper›PMID 27499764›Full record

ArticleAllergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology2016

Reproducibility of serum IgE, Ara h2 skin prick testing and fraction of exhaled nitric oxide for predicting clinical peanut allergy in children.

Elizabeth Percival, Rani Bhatia, Kahn Preece, Patrick McElduff, Mark McEvoy, Adam Collison, Joerg Mattes

Open access · goldAbstract read
In one paragraph

Article in Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Change in exhaled nitric oxide during peanut challenge is related to severity of reaction.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2020
    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

7 authors at 3 institutions in 1 country.

Elizabeth PercivalExperimental & Translational Respiratory Medicine Group, Hunter Medical Research Institute, University of Newcastle, Lookout Road, New Lambton, Newcastle, NSW 2305 Australia ; Department of Paediatric Medicine, John Hunter Children's Hospital, Newcastle, NSW Australia ; School of Medicine and Public Health, University of Newcastle, Newcastle, NSW Australia.
Rani BhatiaDepartment of Paediatric Allergy & Immunology, John Hunter Children's Hospital, Newcastle, NSW Australia ; School of Medicine and Public Health, University of Newcastle, Newcastle, NSW Australia.
Kahn PreeceExperimental & Translational Respiratory Medicine Group, Hunter Medical Research Institute, University of Newcastle, Lookout Road, New Lambton, Newcastle, NSW 2305 Australia ; Department of Paediatric Immunology & Allergy, Starship Children's Health, Auckland, New Zealand.
Patrick McElduffSchool of Medicine and Public Health, University of Newcastle, Newcastle, NSW Australia.
Mark McEvoySchool of Medicine and Public Health, University of Newcastle, Newcastle, NSW Australia.
Adam CollisonExperimental & Translational Respiratory Medicine Group, Hunter Medical Research Institute, University of Newcastle, Lookout Road, New Lambton, Newcastle, NSW 2305 Australia ; School of Medicine and Public Health, University of Newcastle, Newcastle, NSW Australia.
Joerg MattesExperimental & Translational Respiratory Medicine Group, Hunter Medical Research Institute, University of Newcastle, Lookout Road, New Lambton, Newcastle, NSW 2305 Australia ; School of Medicine and Public Health, University of Newcastle, Newcastle, NSW Australia ; Department of Paediatric Respiratory & Sleep Medicine, John Hunter Children's Hospital, Newcastle, NSW Australia.
University of Newcastle Australia · AUHunter Medical Research Institute · AUJohn Hunter Children's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAra h2 sIgE serum levels improve the diagnostic accuracy for predicting peanut allergy, but the use of Ara h2 purified protein as a skin prick test (SPT), has not been substantially evaluated. The fraction of exhaled nitric oxide (FeNO) shows promise as a novel biomarker of peanut allergy. Reproducibility of these measures has not been determined. The aim was to assess the accuracy and reproducibility (over a time-period of at least 12 months) of SPT to Ara h2 in comparison with four predictors of clinical peanut allergy (Peanut SPT, Ara h2 specific Immunoglobulin E (sIgE), Peanut sIgE and FeNO).

methodsTwenty-seven children were recruited in a follow-up of a prospective cohort of fifty-six children at least 12 months after an open-labelled peanut food challenge. Their repeat assessment involved a questionnaire, SPT to peanut and Ara h2 purified protein, FeNO and sIgE to peanut and Ara h2 measurements.

resultsAra h2 SPT was no worse in accuracy when compared with peanut SPT, FeNO, Ara h2 sIgE and peanut sIgE (AUC 0.908 compared with 0.887, 0.889, 0.935 and 0.804 respectively) for predicting allergic reaction at previous food challenge. SPT for peanut and Ara h2 demonstrated limited reproducibility (ICC = 0.51 and 0.44); while FeNO demonstrated good reproducibility (ICC = 0.73) and sIgE for peanut and Ara h2 were highly reproducible (ICC = 0.81 and 0.85).

conclusionsIn this population, Ara h2 SPT was no worse in accuracy when compared with current testing for the evaluation of clinical peanut allergy, but had-like peanut SPT-poor reproducibility. FeNO, peanut sIgE and Ara h2 sIgE were consistently reproducible despite an interval of at least 12 months between the repeated measurements.

Indexed as

AllergyAnaphylaxisAra h2Ara h2 sIgEFraction exhaled nitric oxidePeanutPeanut sIgEPredictReproducibilitySkin prick test

Identifiers

PMID27499764
PMCPMC4975907
OpenAlexW2504503659

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.