SynthesisBMJ open2017
Systematic review of pathways for the delivery of allergy services.
Synthesis in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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.
Who cites it
19 citing papers in PubMed, 56 citations in OpenAlex.
- Parent experiences with paediatric allergy pathways in the West Midlands: A qualitative study.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2019Trial
- Direct Oral Challenge for Penicillin Allergy: The International Network of Antibiotic Allergy Nations (iNAAN) Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026Observational
- Patient perspectives of allergic rhinitis and allergen immunotherapy: A qualitative study.The journal of allergy and clinical immunology. Global · 2026Article
- TeleAllergy: Potential of Telemedicine in Management of Patients With Allergies.JMIR human factors · 2025Article
- Mapping allergy research: A comprehensive visual and bibliometric analysis of socioeconomic and quality-of-life dimensions.The journal of allergy and clinical immunology. Global · 2025Article
- Review
- Long waitlists for outpatient drug allergy referrals: An Australian tertiary centre experience.The World Allergy Organization journal · 2024Article
- The role of pediatricians in the diagnosis and management of IgE-mediated food allergy: a review.Frontiers in pediatrics · 2024Review
- Clinical review: The suggested management pathway for urticaria in primary care.Clinical and translational allergy · 2022Review
- A novel allergist-integrative model for vaccine allergy safety.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2022Article
- Mixed-methods evaluation of a nurse-led allergy clinic model in primary care: Feasibility trial.Clinical and translational allergy · 2022Article
- Harmonizing allergy care-integrated care pathways and multidisciplinary approaches.The World Allergy Organization journal · 2021Review
- Parent-directed intervention versus controls whilst their child waits for diagnostic assessment: a systematic review protocol.Systematic reviews · 2021Article
- Googling Allergy in Ireland: Content Analysis.Journal of medical Internet research · 2020Article
- Asthma and allergy crisis in Puerto Rico: a must do proposal.Journal of thoracic disease · 2020Article
- Article
- Development and implementation of a nurse-led allergy clinic model in primary care: feasibility trial protocol.NPJ primary care respiratory medicine · 2019Article
- Development of algorithms for the diagnosis and management of acute allergy in primary practice.The World Allergy Organization journal · 2019Article
- Parent Perspectives on the Quality of a Paediatric Allergy Service in North Wales.Sage open pediatricsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThe incidence and prevalence of allergies worldwide has been increasing and allergy services globally are unable to keep up with this increase in demand. This systematic review aims to understand the delivery of allergy services worldwide, challenges faced and future directions for service delivery.
methodsA systematic scoping review of Ovid, EMBASE, HMIC, CINAHL, Cochrane, DARE, NHS EED and INAHTA databases was carried out using predefined inclusion and exclusion criteria. Data on the geographical region, study design and treatment pathways described were collected, and the findings were narratively reported. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines.
results205 publications were screened and 27 selected for review. Only 3 were prospective studies, and none included a control group. There were no eligible publications identified from North America, Africa, Australia and most parts of Asia. Most publications relate to allergy services in the UK. In general, allergy services globally appear not to have kept pace with increasing demand. The review suggests that primary care practitioners are not being adequately trained in allergy and that there is a paucity of appropriately trained specialists, especially in paediatric allergy. There appear to be considerable barriers to service improvement, including lack of political will and reluctance to allocate funds from local budgets.
conclusionsDemand for allergy services appears to have significantly outpaced supply. Primary and secondary care pathways in allergy seem inadequate leading to poor referral practices, delays in patient management and consequently poor outcomes. Improvement of services requires strong public and political engagement. There is a need for well-planned, prospective studies in this area and a few are currently underway. There is no evidence to suggest that any given pathway of service provision is better than another although data from a few long-term, prospective studies look very promising.
Indexed as
Identifiers
What OpenQuestion holds
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.