Evidence map›Paper›PMID 28729318›Full record

ArticleBMJ open2017

A national survey of Russian physicians' knowledge of diagnosis and management of food-induced anaphylaxis.

Daniel Munblit, Marina Treneva, Ilya Korsunskiy, Alan Asmanov, Alexander Pampura, John O Warner

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 15 citations in OpenAlex.

  1. Physicians' knowledge and practice concerning diagnosis and management of anaphylaxis: The situation in Egypt.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021
    Article
  2. Review
  3. Anaphylaxis: Act Now or Never.JNMA; journal of the Nepal Medical Association · 2020
    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

6 authors at 3 institutions in 2 countries.

Daniel MunblitDepartment of Paediatrics, Imperial College London, London, UK.
Marina TrenevaInternational Inflammation (in-FLAME) Network of the World Universities Network, Perth, WA, Australia.
Ilya KorsunskiyFaculty of Pediatrics, I.M. Sechenov First Moscow State Medical University, Russia.
Alan AsmanovAllergy Department, Veltischev Clinical Pediatric Research Institute of Pirogov Russian National Research Medical University, Russia.
Alexander PampuraAllergy Department, Veltischev Clinical Pediatric Research Institute of Pirogov Russian National Research Medical University, Russia.
John O WarnerDepartment of Paediatrics, Imperial College London, London, UK.
Pirogov Russian National Research Medical University · RUImperial College London · GBSechenov University · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFood allergy is an increasing burden worldwide and is a common problem within paediatric populations, affecting 5%-8% of children. Anaphylaxis caused by food proteins is a potentially life-threatening condition and all healthcare practitioners should be aware of its recognition and management. Russia is the largest country in Europe but it is still unknown whether physicians are prepared to diagnose and manage food-induced anaphylaxis effectively. We aimed to examine physicians' knowledge of diagnosis and management of food-induced anaphylaxis. SETTING, POPULATION AND OUTCOMES: A survey was designed and published online at VrachiRF.ru website (for registered Russian-speaking practicing physicians). We obtained information on respondents' clinical settings, experience and specialty. Survey questions were based on a characteristic clinical scenario of anaphylaxis due to food ingestion. Outcome measures consisted of correct answers to the anaphylaxis diagnosis and management questions.

resultsFrom a total of 707 of physicians accessed in the survey, 315 (45%) responded to the clinical scenario. 16 respondents reported training in allergy-immunology and have been excluded from the analysis, leaving the final sample size of 299. Respondents were paediatricians (68%) and other specialties adult physicians (32%). Overall, 100 (33%) of respondents diagnosed anaphylaxis, but only 29% of those making the correct diagnosis administered adrenalin (1:1000) intramuscular. Respondents working in secondary/tertiary clinics diagnosed anaphylaxis significantly more often (p=0.04) when compared with primary care/private practice physicians. This difference was also apparent as the most important influence on responses in the multivariate analysis.

conclusionsIn this national sample of Russian physicians, we found poor knowledge in both anaphylaxis diagnosis and management. Our data show that the chance of being properly diagnosed with anaphylaxis is 33% and being appropriately treated with adrenalin is 10%. These findings highlight lack of anaphylaxis knowledge among Russian physicians, both paediatricians and other specialists and illustrates the urgent need for allergy/anaphylaxis training.

Indexed as

Clinical CompetenceHealth Knowledge, Attitudes, PracticePractice Patterns, Physicians'AdultCross-Sectional StudiesEpinephrineFemaleFood HypersensitivityHumansInjections, IntramuscularLogistic ModelsMaleMiddle AgedMultivariate AnalysisRussiaEpinephrineanaphylaxisanaphylaxis knowledgefood-induced anaphylaxissurvey

Identifiers

PMID28729318
PMCPMC5541513
OpenAlexW2739449407

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.