Evidence map›Paper›PMID 28775845›Full record

ReviewClinical and translational allergy2017

Allergen immunotherapy for allergic asthma: a systematic overview of systematic reviews.

Felix Asamoah, Artemisia Kakourou, Sangeeta Dhami, Susanne Lau, Ioana Agache, Antonella Muraro, Graham Roberts, Cezmi Akdis, Matteo Bonini, Ozlem Cavkaytar and 6 more

Open access · goldAbstract readReview
In one paragraph

Review in Clinical and translational allergy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Sublingual immunotherapy for asthma.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Using Biologics in the Prevention of Anaphylaxis.Current allergy and asthma reports · 2025
    Review
  3. Asthma and stem cell therapy.World journal of stem cells · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Guideline on allergen immunotherapy in IgE-mediated allergic diseases: S2K Guideline of the German Society of Allergology and Clinical Immunology (DGAKI), Society of Pediatric Allergology and Environmental Medicine (GPA), Medical Association of German Allergologists (AeDA), Austrian Society of Allergology and Immunology (ÖGAI), Swiss Society for Allergology and Immunology (SSAI), German Dermatological Society (DDG), German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNO-KHC), German Society of Pediatrics and Adolescent Medicine (DGKJ), Society of Pediatric Pulmonology (GPP), German Respiratory Society (DGP), German Professional Association of Otolaryngologists (BVHNO), German Association of Paediatric and Adolescent Care Specialists (BVKJ), Federal Association of Pneumologists, Sleep and Respiratory Physicians (BdP), Professional Association of German Dermatologists (BVDD).Allergologie select · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Effect ofAllergy, asthma & immunology research · 2020
    Article
  14. Review
  15. Allergic Endotypes and Phenotypes of Asthma.The journal of allergy and clinical immunology. In practice · 2020
    Article
  16. Review
  17. Article
  18. Resolution of allergic asthma.Seminars in immunopathology · 2019
    Review
  19. Retrospective analysis of aeroallergen's sensitization patterns in Edmonton, Canada.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2019
    Article
  20. Review
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

16 authors at 13 institutions in 9 countries.

Felix Asamoah *Centre for Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, London, UK.
Artemisia Kakourou *Department of Hygiene and Epidemiology, University of Ioannina School of Medicine, Ioannina, Greece.
Sangeeta DhamiEvidence-Based Health Care Ltd, Edinburgh, UK.ORCID 0000-0002-2823-3258
Susanne LauCharite Medical University, Berlin, Germany.
Ioana AgacheDepartment of Allergy and Clinical Immunology, Faculty of Medicine, Transylvania University Brasov, Brasov, Romania.
Antonella MuraroFood Allergy Referral Centre Veneto Region, University Hospital of Padua, Padua, Italy.
Graham RobertsThe David Hide Asthma and Allergy Research Centre, St Mary's Hospital, Newport, Isle of Wight, UK.
Cezmi AkdisSwiss Institute for Allergy and Asthma Research, Davos, Switzerland.
Matteo BoniniSapienza University Rome, Rome, Italy.
Ozlem CavkaytarDepartment of Allergy and Clinical Immunology, Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey.
Breda FloodEuropean Federation of Allergy and Airways Diseases Patients Association, Brussels, Belgium.
Kenji IzuharaSaga Medical School, Saga, Japan.
Marek JutelWroclaw Medical University, Wrocław, Poland.
Ömer KalayciHacettepe University, Ankara, Turkey.
Oliver PfaarDepartment of Otorhinolaryngology, Head and Neck Surgery, Universitätsmedizin Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Aziz SheikhAsthma UK Centre for Applied Research, Usher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, UK.
Asthma UK · GBCharité - Universitätsmedizin Berlin · DEEuropean Federation of Allergy and Airways Diseases Patients Associations · BEHacettepe University · TRHeidelberg University · DEMinistry of Health · TRQueen Mary University of London · GBSaga Medical School Hospital · JPSapienza University of Rome · ITTransylvania University of Brașov · ROUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Ioannina · GRWroclaw Medical University · PL

Funding

Medical Research Council G1000758
6 · The paper itself

Abstract

backgroundThere is clinical uncertainty about the effectiveness and safety of allergen immunotherapy (AIT) for the treatment of allergic asthma.

objectivesTo undertake a systematic overview of the effectiveness, cost-effectiveness and safety of AIT for the treatment of allergic asthma.

methodsWe searched nine electronic databases from inception to October 31, 2015. Systematic reviews were independently screened by two reviewers against pre-defined eligibility criteria and critically appraised using the Critical Appraisal Skills Programme quality assessment tool for systematic reviews. Data were descriptively and thematically synthesized.

resultsWe identified nine eligible systematic reviews; these focused on delivery of AIT through the following routes: subcutaneous (SCIT; n = 3); sublingual (SLIT; n = 4); and both SCIT and SLIT (n = 2). This evidence found that AIT delivered by SCIT and SLIT can improve medication and symptom scores and measures of bronchial hyper-reactivity. The impact on measures of lung function or asthma control was however less clear. We found no systematic review level evidence on the cost-effectiveness of SCIT or SLIT. SLIT had a favorable safety profile when compared to SCIT, particularly in relation to the risk of systemic reactions.

conclusionsAIT has the potential to achieve reductions in symptom and medication scores, but there is no clear or consistent evidence that measures of lung function can be improved. Bearing in mind the limitations of synthesizing evidence from systematic reviews and the fact that these reviews include mainly dated studies, a systematic review of current primary studies is now needed to update this evidence base, estimate the effectiveness of AIT on asthma outcomes and to investigate the relative effectiveness, cost-effectiveness and safety of SCIT and SLIT.

Identifiers

PMID28775845
PMCPMC5539638
OpenAlexW2726251874

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.