Evidence map›Paper›PMID 28577971›Full record

ArticleThe Journal of allergy and clinical immunology2017

Prevalence of food allergies and intolerances documented in electronic health records.

Warren W Acker, Joseph M Plasek, Kimberly G Blumenthal, Kenneth H Lai, Maxim Topaz, Diane L Seger, Foster R Goss, Sarah P Slight, David W Bates, Li Zhou

Open access · greenAbstract read
In one paragraph

Article 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. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% 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

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Food Safety-Transcriptomics and Proteomics.International journal of molecular sciences · 2023
    Article
  9. Review
  10. Review
  11. The SunBEAm birth cohort: Protocol design.The journal of allergy and clinical immunology. Global · 2023
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Sex Differences in Mast Cell-Associated Disorders: A Life Span Perspective.Cold Spring Harbor perspectives in biology · 2022
    Review
  17. Review
  18. Burden of allergic disease among ethnic minority groups in high-income countries.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2022
    Review
  19. Article
  20. 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

10 authors at 6 institutions in 2 countries.

Warren W AckerDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Mass; Geisinger Commonwealth School of Medicine, Scranton, Pa.
Joseph M PlasekDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Mass; Department of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, Utah.
Kimberly G BlumenthalHarvard Medical School, Boston, Mass; Division of Rheumatology, Allergy, and Immunology, Department of Medicine, Massachusetts General Hospital, Boston, Mass; Medical Practice Evaluation Center, Department of Medicine, Massachusetts General Hospital, Boston, Mass; Edward P. Lawrence Center for Quality and Safety, Massachusetts General Hospital, Boston, Mass.
Kenneth H LaiClinical & Quality Analysis, Partners HealthCare System, Boston, Mass.
Maxim TopazDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Mass; Harvard Medical School, Boston, Mass.
Diane L SegerDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Mass; Clinical & Quality Analysis, Partners HealthCare System, Boston, Mass.
Foster R GossDepartment of Emergency Medicine, University of Colorado, Aurora, Colo.
Sarah P SlightDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Mass; Newcastle University, Newcastle upon Tyne, United Kingdom; Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, United Kingdom.
David W BatesDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Mass; Harvard Medical School, Boston, Mass.
Li ZhouDivision of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Mass; Harvard Medical School, Boston, Mass; Clinical Informatics, Partners eCare, Partners HealthCare System, Boston, Mass. Electronic address: lzhou@bwh.harvard.edu.
Brigham and Women's Hospital · USHarvard University · USMass General Brigham · USNewcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversity of Colorado Anschutz Medical Campus · USUniversity of Utah · US

Funding

Encoding and Processing Patient Allergy Information in EHRsR01HS022728 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI ZHOU, LI · 2013 to 2016
$2.0M
Improving Allergy Documentation and Clinical Decision Support in the EHRR01HS025375 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI ZHOU, LI · 2018 to 2021
$1.6M
AHRQ HHS R01 HS022728AHRQ HHS R01 HS025375
6 · The paper itself

Abstract

backgroundFood allergy prevalence is reported to be increasing, but epidemiological data using patients' electronic health records (EHRs) remain sparse.

objectiveWe sought to determine the prevalence of food allergy and intolerance documented in the EHR allergy module.

methodsUsing allergy data from a large health care organization's EHR between 2000 and 2013, we determined the prevalence of food allergy and intolerance by sex, racial/ethnic group, and allergen group. We examined the prevalence of reactions that were potentially IgE-mediated and anaphylactic. Data were validated using radioallergosorbent test and ImmunoCAP results, when available, for patients with reported peanut allergy.

resultsAmong 2.7 million patients, we identified 97,482 patients (3.6%) with 1 or more food allergies or intolerances (mean, 1.4 ± 0.1). The prevalence of food allergy and intolerance was higher in females (4.2% vs 2.9%; P < .001) and Asians (4.3% vs 3.6%; P < .001). The most common food allergen groups were shellfish (0.9%), fruit or vegetable (0.7%), dairy (0.5%), and peanut (0.5%). Of the 103,659 identified reactions to foods, 48.1% were potentially IgE-mediated (affecting 50.8% of food allergy or intolerance patients) and 15.9% were anaphylactic. About 20% of patients with reported peanut allergy had a radioallergosorbent test/ImmunoCAP performed, of which 57.3% had an IgE level of grade 3 or higher.

conclusionsOur findings are consistent with previously validated methods for studying food allergy, suggesting that the EHR's allergy module has the potential to be used for clinical and epidemiological research. The spectrum of severity observed with food allergy highlights the critical need for more allergy evaluations.

Indexed as

EthnicitySex FactorsAllergensAnaphylaxisElectronic Health RecordsFemaleFood HypersensitivityHumansImmunoglobulin EMalePrevalenceRadioallergosorbent TestRiskShellfishUnited StatesAllergensImmunoglobulin Eallergy and immunologyanaphylaxiselectronic health recordsepidemiologyFood hypersensitivityprevalence

Identifiers

PMID28577971
PMCPMC7059078
OpenAlexW2617591017

What OpenQuestion holds

Textmetadata
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.