ArticleJournal of asthma and allergy2017
Development of an allergy management support system in primary care.
Article in Journal of asthma and allergy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Dose adjustment of rheumatology and allergy/immunology medications in chronic kidney disease: awareness and knowledge among internal medicine housestaff.Proceedings (Baylor University. Medical Center) · 2023Article
- Allergic and hypersensitivity conditions in non-specialist care: Flow diagrams to support clinical practice.Allergy · 2022Article
- Digital health for allergen immunotherapy.Allergologie select · 2022Review
- Early Peanut Introduction and Testing: A Framework for General Pediatrician Beliefs and Practices.Pediatric allergy, immunology, and pulmonology · 2021Article
- Food allergy, airborne allergies, and allergic sensitisation among adolescents living in two disparate socioeconomic regions in Ecuador: A cross-sectional study.The World Allergy Organization journal · 2020Article
- Knowledge and awareness of nasal allergy among patients in a developing country.Journal of family medicine and primary care · 2020Article
- The Potential of Clinical Decision Support Systems for Prevention, Diagnosis, and Monitoring of Allergic Diseases.Frontiers in immunology · 2020Review
- Likely questionnaire-diagnosed food allergy in 78, 890 adults from the northern Netherlands.PloS one · 2020Article
- Development of algorithms for the diagnosis and management of acute allergy in primary practice.The World Allergy Organization journal · 2019Article
- A patient-centric analysis to identify key influences in allergic rhinitis management.NPJ primary care respiratory medicine · 2018Article
- The feasibility of an allergy management support system (AMSS) for IgE-mediated allergy in primary care.Clinical and translational allergy · 2018Article
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Authors and funding
11 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundManagement of allergic patients in the population is becoming more difficult because of increases in both complexity and prevalence. Although general practitioners (GPs) are expected to play an important role in the care of allergic patients, they often feel ill-equipped for this task. Therefore, the aim of this study was to develop an allergy management support system (AMSS) for primary care.
methodsThrough literature review, interviewing and testing in secondary and primary care patients, an allergy history questionnaire was constructed by allergists, dermatologists, GPs and researchers based on primary care and specialists' allergy guidelines and their clinical knowledge. Patterns of AMSS questionnaire responses and specific immunoglobulin E (sIgE)-test outcomes were used to identify diagnostic categories and develop corresponding management recommendations. Validity of the AMSS was investigated by comparing specialist (gold standard) and AMSS diagnostic categories.
resultsThe two-page patient-completed AMSS questionnaire consists of 12 (mainly) multiple choice questions on symptoms, triggers, severity and medication. Based on the AMSS questionnaires and sIgE-test outcome of 118 patients, approximately 150 diagnostic categories of allergic rhinitis, asthma, atopic dermatitis, anaphylaxis, food allergy, hymenoptera allergy and other allergies were identified, and the corresponding management recommendations were formulated. The agreement between the allergy specialists' assessments and the AMSS was 69.2% (CI 67.2-71.2).
conclusionUsing a systematic approach, it was possible to develop an AMSS that allows for the formulation of diagnostic and management recommendations for GPs managing allergic patients. The AMSS thus holds promise for the improvement of the quality of primary care for this increasing group of patients.
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