Evidence map›Paper›PMID 28677662›Full record

ReviewInternational journal of molecular sciences2017

Pro and Contra: Provocation Tests in Drug Hypersensitivity.

Ozge Soyer, Umit Murat Sahiner, Bulent Enis Sekerel

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
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  8. Article
  9. Review
  10. 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

3 authors.

Ozge SoyerDepartment of Pediatric Allergy Ankara, School of Medicine, Hacettepe University, Ankara 06100, Turkey. ozgeusoyer@gmail.com.
Umit Murat SahinerDepartment of Pediatric Allergy Ankara, School of Medicine, Hacettepe University, Ankara 06100, Turkey. umsahner@yahoo.com.
Bulent Enis SekerelDepartment of Pediatric Allergy Ankara, School of Medicine, Hacettepe University, Ankara 06100, Turkey. b_sekerel@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug provocation test (DPT) is the controlled administration of a drug to diagnose immune- or non-immune-mediated drug hypersensitivity and the last step for accurate recognition of drug hypersensitivity reactions when the previous diagnostic evaluations are negative or unavailable. A DPT is performed only if other conventional tests fail to yield conclusive results. In each clinical presentation, "to provoke or not to provoke" a patient should be decided after careful assessment of the risk-benefit ratio. Well-defined benefits of DPT include confirmative exclusion of diagnoses of drug hypersensitivity and provision of safe alternatives. However, disadvantages such as safety, difficulty in interpretations of results, lack of objective biomarkers, risks of resensitization, efficiency in daily practice, and lack of standardized protocols, are poorly debated. This review summarizes the current published research concerning DPT, with particular emphasis on the advantages and disadvantages of DPT in an evidence-based manner.

Indexed as

Bronchial Provocation TestsDrug-Related Side Effects and Adverse ReactionsAnaphylaxisCross ReactionsDisease ManagementDrug HypersensitivityFemaleHumansPrevalenceReproducibility of Resultsanaphylaxisdrug hypersensitivity reactionprovocation test

Identifiers

PMID28677662
PMCPMC5535928

What OpenQuestion holds

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Registered trials

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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.