Evidence map›Paper›PMID 28794855›Full record

ReviewClinical and translational allergy2017

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

Ulugbek Nurmatov, Sangeeta Dhami, Stefania Arasi, Graham Roberts, Oliver Pfaar, Antonella Muraro, Ignacio J Ansotegui, Moises Calderon, Cemal Cingi, Stephen Durham and 23 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 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
6.0field-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

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Clinical Practice Guideline: Immunotherapy for Inhalant Allergy.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2024
    Guideline
  3. Ragweed sublingual immunotherapy (SLIT) tablets in allergic rhinoconjunctivitis: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Review
  11. 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
  12. Review
  13. Article
  14. Review
  15. The World Allergy Organization journal · 2020
    Article
  16. Review
  17. Article
  18. EAACI Allergen Immunotherapy User's Guide.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2020
    Review
  19. Article
  20. Allergo Journal : interdisziplinare Zeitschrift fur Allergologie und Umweltmedizin : Organ der Deutschen Gesellschaft fur Allergie- und Immunitatsforschung · 2020
    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

33 authors at 20 institutions in 15 countries.

Ulugbek NurmatovDivision of Population Medicine, School of Medicine, Cardiff University, Wales, UK.
Sangeeta DhamiEvidence-Based Health Care Ltd, Edinburgh, UK.ORCID 0000-0002-2823-3258
Stefania ArasiAllergy Unit - Department of Pediatrics, University of Messina, Via Consolare Valeria - Gazzi, Messina, Italy.
Graham RobertsThe David Hide Asthma and Allergy Research Centre, St Mary's Hospital, Newport Isle of Wight, UK.
Oliver PfaarDepartment of Otorhinolaryngology, Head and Neck Surgery, Universitätsmedizin Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Antonella MuraroFood Allergy Referral Centre Veneto Region, Department of Women and Child Health, Padua General University Hospital, Padua, Italy.
Ignacio J AnsoteguiHospital Quiron Bizkair, Bilbao, Spain.
Moises CalderonNational Heart and Lung Institute, Imperial College, London, UK.
Cemal CingiDepartment of ENT, Eskisehir Osmangazi University Medical Faculty, Eskisehir, Turkey.
Stephen DurhamNational Heart and Lung Institute, Imperial College, London, UK.
Roy Gerth van WijkSection of Allergology, Department of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Susanne HalkenHans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark.
Eckard HamelmannChildren's Center Bethel, EvKB, Bieledelf and Allergy Center, Buhr-University, Bochum, Germany.
Peter HellingsLaboratory of Experimental Immunology, University Hospitals Leuven, Louvain, Belgium.
Lars JacobsenALCAllergy Learning and Consulting, Copenhagen, Denmark.
Edward KnolUniversity Medical Center, Utrecht, The Netherlands.
Desiree Larenas-LinnemannHospital Medica Sur, Mexico City, Mexico.
Sandra Y LinDepartment of Otolaryngology-Head & Neck Surgery, John Hopkins, Baltimore, MD USA.
Vivian MagginaAllergy and Clinical Immunology Unit, 2nd Department of Pediatrics, University of Athens, P&A Kiriakou Children's Hospital, Athens, Greece.
Hanneke Oude-ElberinkDepartment of Allergology, Groningen Research Institute for Asthma and COPD (GRIAC), University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Giovanni PajnoAllergy Unit - Department of Pediatrics, University of Messina, Via Consolare Valeria - Gazzi, Messina, Italy.
Ruby PanwankarDepartment of Pediatrics, Nippon Medical School, Tokyo, Japan.
Elideanna PastorelloUniversity of Milano, Milan, Italy.
Constantinos PitsiosMedical School, University of Cyprus, Nicosia, Cyprus.
Giuseppina RotirotiThe Royal National Throat, Nose and Ear Hospital, University College London, London, UK.
Frans TimmermansNetherlands Anafylaxis Network, Dordrecht, The Netherlands.
Olympia TsilochristouDepartment of Paediatrics, Respiratory and Allergic Disease Division, Medical University Graz, Graz, Austria.
Eva-Maria VargaDepartment of Paediatrics, Respiratory and Allergic Disease Division, Medical University Graz, Graz, Austria.
Jamie WilkinsonPharmaceutical Group of the European Union, Brussels, Belgium.
Andrew WilliamsGuy's and St Thomas' NHS Foundation Trust, London, UK.
Margitta WormCharitie-Universitatsmedizin, Berlin, Germany.
Luo ZhangBeijing Institute of Otolaryngology, Beijing, China.
Aziz SheikhAllergy and Respiratory Research Group, The University of Edinburgh, Edinburgh, UK.
Imperial College London · GBMedical University of Graz · ATUniversity of Messina · ITBeijing Institute of Neurosurgery · CNCardiff University · GBCharité - Universitätsmedizin Berlin · DEErasmus MC · NLEskişehir Osmangazi University · TREuropean Union · BEGuy's and St Thomas' NHS Foundation Trust · GBHeidelberg University · DEHospital Médica Sur · MXHospital Quirónsalud Barcelona · ESJohns Hopkins University · USKU Leuven · BENational and Kapodistrian University of Athens · GRNippon Medical School · JPOdense University Hospital · DKRoyal National Throat Nose and Ear Hospital · GBUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

Medical Research Council G1000758
6 · The paper itself

Abstract

backgroundThe European Academy of Allergy and Clinical Immunology (EAACI) is developing Guidelines on Allergen Immunotherapy (AIT) for Allergic Rhinoconjunctivitis (ARC). To inform the development of recommendations, we sought to critically assess the systematic review evidence on the effectiveness, safety and cost-effectiveness of AIT for ARC.

methodsWe undertook a systematic overview, which involved searching nine international biomedical databases from inception to October 31, 2015. Studies were independently screened by two reviewers against pre-defined eligibility criteria and critically appraised using the Critical Appraisal Skills Programme (CASP) Systematic Review Checklist for systematic reviews. Data were descriptively synthesized.

resultsOur searches yielded a total of 5932 potentially eligible studies, from which 17 systematic reviews met our inclusion criteria. Eight of these were judged to be of high, five moderate and three low quality. These reviews suggested that, in carefully selected patients, subcutaneous (SCIT) and sublingual (SLIT) immunotherapy resulted in significant reductions in symptom scores and medication requirements. Serious adverse outcomes were rare for both SCIT and SLIT. Two systematic reviews reported some evidence of potential cost savings associated with use of SCIT and SLIT.

conclusionsWe found moderate-to-strong evidence that SCIT and SLIT can, in appropriately selected patients, reduce symptoms and medication requirements in patients with ARC with reassuring safety data. This evidence does however need to be interpreted with caution, particularly given the heterogeneity in the populations, allergens and protocols studied. There is a lack of data on the relative effectiveness, cost-effectiveness and safety of SCIT and SLIT. We are now systematically reviewing all the primary studies, including recent evidence that has not been incorporated into the published systematic reviews.

Indexed as

Allergen immunotherapyAllergic rhinitisAllergic rhinoconjuctivitisAllergyHay feverRhinitis

Identifiers

PMID28794855
PMCPMC5547534
OpenAlexW2732964511

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.