Evidence map›Paper›PMID 30609142›Full record

Trial reportClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2019

Parent experiences with paediatric allergy pathways in the West Midlands: A qualitative study.

Lavanya Diwakar, Carole Cummins, Scott Hackett, Martyn Rees, Lynette Charles, Caroline Kerrigan, Helen Creed, Tracy Roberts

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2019. 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
0.7field-weighted citation impact, top 31% 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, 8 citations in OpenAlex.

  1. Parent experiences with paediatric allergy pathways in the West Midlands: A qualitative study.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2019
    Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Lavanya DiwakarDepartment of Health Economics, University of Birmingham, Birmingham, UK.ORCID 0000-0003-4369-6637
Carole CumminsInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Scott HackettDepartment of Paediatric Immunodeficiency and Allergy, Birmingham Heartlands Hospital NHS Trust, Birmingham, UK.
Martyn ReesDepartment of Paediatric Respiratory Medicine, Royal Shrewsbury and Telford Hospitals NHS Trust, Shrewsbury, UK.
Lynette CharlesDepartment of Paediatric Respiratory Medicine, Royal Shrewsbury and Telford Hospitals NHS Trust, Shrewsbury, UK.
Caroline KerriganDepartment of Paediatric Immunodeficiency and Allergy, Birmingham Heartlands Hospital NHS Trust, Birmingham, UK.
Helen CreedDepartment of Paediatric Immunodeficiency and Allergy, Birmingham Heartlands Hospital NHS Trust, Birmingham, UK.
Tracy RobertsDepartment of Health Economics, University of Birmingham, Birmingham, UK.
Heartlands Hospital · GBRoyal Shrewsbury Hospital · GBUniversity of Birmingham · GBUniversity Hospitals of North Midlands NHS Trust · GB

Funding

Wellcome Trust 100064/Z/12/Z
6 · The paper itself

Abstract

backgroundThe prevalence, severity and complexity of allergic diseases have been increasing steadily in the United Kingdom over the last few decades. Primary care physicians are often not adequately trained in allergy management while specialist services for allergy are scarce and heterogeneous. Services, therefore, have been unable to meet the rising demand. This is particularly true for paediatric allergy services in the United Kingdom.

objectiveTo understand parent experiences with paediatric allergy pathways in the West Midlands (WM) region of the United Kingdom.

methodsParents of children aged between 0 and 16 years from the WM region were recruited opportunistically until thematic saturation was achieved. Eighteen semi-structured interviews were carried out and transcribed verbatim. Data were analysed on NVivo software using the framework method. Themes were identified from the transcripts as well as from existing literature.

resultsParents highlighted numerous issues related to allergy services in the region including difficulties with being taken seriously by their physicians, problems with accessing health care and issues with information and the need for additional supportive care for allergies. CONCLUSIONS AND CLINICAL RELEVANCE: Primary care for children with allergies in the WM is disparate. Parents experience difficulties in accessing primary and secondary care services and also obtaining timely and appropriate information regarding their child's allergies. Most parents were happy to be reviewed by either specialist nurses or by consultants in the hospital. Improving accessibility and availability of reliable information as well as provision of additional services (such as psychologists and dietetics) were highlighted by parents as being important to allergy services in the region. These findings can help inform future planning and commissioning of allergy services.

Indexed as

Health Services AccessibilityParentsPrimary Health CareSurveys and QuestionnairesAdolescentChildChild, PreschoolFemaleHumansHypersensitivityInfantInfant, NewbornMaleQualitative ResearchUnited Kingdom

Identifiers

PMID30609142
PMCPMC6446821
OpenAlexW2906806406

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.