Evidence map›Paper›PMID 28065278›Full record

GuidelineThe Journal of allergy and clinical immunology2017

Addendum guidelines for the prevention of peanut allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases-sponsored expert panel.

Alkis Togias, Susan F Cooper, Maria L Acebal, Amal Assa'ad, James R Baker, Lisa A Beck, Julie Block, Carol Byrd-Bredbenner, Edmond S Chan, Lawrence F Eichenfield and 20 more

3 registry-linked trialsAbstract readPractice Guideline
In one paragraph

Guideline in The Journal of allergy and clinical immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 188 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
188citing papers in PubMed, 3 pooled it
40.0field-weighted citation impact, top 1% 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.

NCT04801823 phase3completednot on this mapstarted 2021, after this paper: background citation

Can Early Introduction of Tree Nuts Prevent Tree Nut Allergy in Infants at High Risk of Tree Nut Allergy: The TreEat Study: a Randomised, Open-label Controlled Trial

TypeinterventionalSponsorMurdoch Childrens Research InstituteRan2021 to 2025Enrolled212ConditionsFood Allergy in Infants, Nut AllergyArmsHome introduction, Multi Nut oral food challenge
NCT05662800 unknown statusnot on this mapstarted 2023, after this paper: background citation

Development of Peanut, Sesame, and Tree Nut Allergy in Polish Children at High Risk of Food Allergy

TypeobservationalSponsorMedical University of WarsawRan2023 to 2025Enrolled240ConditionsAtopic Dermatitis, Food Allergy, Peanut Allergy, Tree Nut AllergyArmsAssessment of peanut, tree nuts and sesame allergy
NCT07321522 narecruitingnot on this mapstarted 2026, after this paper: background citation

Early Introduction and Sustained Ingestion (EISI) Using Two Educational Opportunities - A Pilot Study

TypeinterventionalSponsorStanford UniversityRan2026 to 2028Enrolled92ConditionsFood AllergyArmsEducation and Opportunities on Early Introduction, Clinician Supervised Feeding of Known Allergenic Food
3 · Its place in the literature

Who cites it

188 citing papers in PubMed, 3 syntheses or guidelines pooled it, 486 citations in OpenAlex.

  1. Pooled it
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  4. Dosing Reactions and Missed Doses Affect Peanut Oral Immunotherapy Outcomes.The journal of allergy and clinical immunology. In practice · 2026
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  18. Implementation of early peanut introduction among providers in a southern US state.The journal of allergy and clinical immunology. Global · 2026
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128 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 20 institutions in 3 countries.

Alkis TogiasNational Institute of Allergy and Infectious Diseases, Bethesda, Md.
Susan F CooperNational Institute of Allergy and Infectious Diseases, Bethesda, Md. Electronic address: coopersu@niaid.nih.gov.
Maria L AcebalBoard of Directors, Food Allergy Research & Education, McLean, Va.
Amal Assa'adDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio.
James R BakerFood Allergy Research & Education, McLean, and the Division of Allergy and Clinical Immunology, University of Michigan Health System, Ann Arbor, Mich.
Lisa A BeckDepartment of Dermatology, University of Rochester Medical Center, NY.
Julie BlockNational Eczema Association, San Rafael, Calif.
Carol Byrd-BredbennerDepartment of Nutritional Sciences, Rutgers University, New Brunswick, NJ.
Edmond S ChanDivision of Allergy and Immunology, Department of Pediatrics, BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Lawrence F EichenfieldDepartments of Dermatology and Pediatrics, University of California, San Diego School of Medicine, Rady Children's Hospital, San Diego, Calif.
David M FleischerSection of Allergy and Immunology, Department of Pediatrics, Children's Hospital Colorado, University of Colorado Denver School of Medicine, Aurora, Colo.
George J FuchsDivision of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, University of Kentucky College of Medicine, Kentucky Children's Hospital, Lexington, Ky.
Glenn T FurutaDigestive Health Institute, Children's Hospital Colorado, Aurora, and the Section of Pediatric Gastroenterology, University of Colorado Denver School of Medicine, Aurora, Colo.
Matthew J GreenhawtSection of Allergy and Immunology, Department of Pediatrics, Children's Hospital Colorado, University of Colorado Denver School of Medicine, Aurora, Colo.
Ruchi S GuptaDivision of Academic General Pediatrics and Primary Care, Department of Pediatrics, and the Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Michele HabichNorthwestern Medicine, Central DuPage Hospital, Winfield, Ill.
Stacie M JonesDivision of Allergy and Immunology, Department of Pediatrics, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, Ark.
Kari KeatonMetro DC Food Allergy Support Group, Rockville, Md.
Antonella MuraroFood Allergy Referral Centre, Department of Women and Child Health, Padua University Hospital, Padua, Italy.
Marshall PlautNational Institute of Allergy and Infectious Diseases, Bethesda, Md.
Lanny J RosenwasserUniversity of Missouri-Kansas City School of Medicine, Kansas City, Mo.
Daniel RotrosenNational Institute of Allergy and Infectious Diseases, Bethesda, Md.
Hugh A SampsonDivision of Allergy and Immunology, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY.
Lynda C SchneiderDivision of Allergy and Immunology, Boston Children's Hospital, Boston, Mass.
Scott H SichererDivision of Pediatric Allergy and Immunology, Icahn School of Medicine at Mount Sinai, New York, NY.
Robert SidburyDepartment of Pediatrics, Division of Dermatology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Wash.
Jonathan SpergelDivision of Allergy and Immunology, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania, Philadelphia, Pa.
David R StukusDepartment of Pediatrics, Section of Allergy and Immunology, Nationwide Children's Hospital, Ohio State University College of Medicine, Columbus, Ohio.
Carina VenterDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Joshua A BoyceDepartments of Medicine and Pediatrics, Harvard Medical School, Boston, Mass.
National Institute of Allergy and Infectious Diseases · USChildren's Hospital Colorado · USIcahn School of Medicine at Mount Sinai · USArkansas Children's Hospital · USBC Children's Hospital · CABoston Children's Hospital · USChildren's Hospital of Philadelphia · USCincinnati Children's Hospital Medical Center · USENT and Allergy · USFood Allergy Research and Education · USHarvard University · USLurie Children's Hospital · USMichigan Medicine · USNational Eczema Association · USNationwide Children's Hospital · USNorthwestern Medicine · USRady Children's Hospital-San Diego · USRutgers, The State University of New Jersey · USSeattle Children's Hospital · USUniversity of Cincinnati · US

Funding

Determining Tradeoffs Among Health Benefits, Adverse Events, and Resource Use Associated with Food Allergy TreatmentK08HS024599 · AHRQ · UNIVERSITY OF COLORADO DENVER · PI GREENHAWT, MATTHEW JASON · 2016 to 2018
$450k
AHRQ HHS K08 HS024599Intramural NIH HHS Z99 AI999999
6 · The paper itself

Abstract

backgroundFood allergy is an important public health problem because it affects children and adults, can be severe and even life-threatening, and may be increasing in prevalence. Beginning in 2008, the National Institute of Allergy and Infectious Diseases, working with other organizations and advocacy groups, led the development of the first clinical guidelines for the diagnosis and management of food allergy. A recent landmark clinical trial and other emerging data suggest that peanut allergy can be prevented through introduction of peanut-containing foods beginning in infancy.

objectivesPrompted by these findings, along with 25 professional organizations, federal agencies, and patient advocacy groups, the National Institute of Allergy and Infectious Diseases facilitated development of addendum guidelines to specifically address the prevention of peanut allergy.

resultsThe addendum provides 3 separate guidelines for infants at various risk levels for the development of peanut allergy and is intended for use by a wide variety of health care providers. Topics addressed include the definition of risk categories, appropriate use of testing (specific IgE measurement, skin prick tests, and oral food challenges), and the timing and approaches for introduction of peanut-containing foods in the health care provider's office or at home. The addendum guidelines provide the background, rationale, and strength of evidence for each recommendation.

conclusionsGuidelines have been developed for early introduction of peanut-containing foods into the diets of infants at various risk levels for peanut allergy.

Indexed as

AllergensArachisEczemaEgg HypersensitivityHumansImmunoglobulin EInfantNational Institute of Allergy and Infectious Diseases (U.S.)Peanut HypersensitivitySkin TestsUnited StatesAllergensImmunoglobulin EallergyFoodguidelinespeanutprevention

Identifiers

PMID28065278
PMCPMC5226648
OpenAlexW2570180294

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.