Evidence map›Paper›PMID 30721764›Full record

ArticleThe Journal of allergy and clinical immunology2019

Mining social media data to assess the risk of skin and soft tissue infections from allergen immunotherapy.

Kimberly G Blumenthal, Maxim Topaz, Li Zhou, Tyler Harkness, Roee Sa'adon, Ofrit Bar-Bachar, Aidan A Long

Open access · greenAbstract read
In one paragraph

Article in The Journal of 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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Natural language processing in dermatology: A systematic literature review and state of the art.Journal of the European Academy of Dermatology and Venereology : JEADV · 2024
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. [Utilizing social media data in post-market safety surveillance].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2021
    Article
  8. Identifying Urinary Tract Infection-Related Information in Home Care Nursing Notes.Journal of the American Medical Directors Association · 2021
    Article
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Kimberly G BlumenthalDivision of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass.
Maxim TopazCheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel; Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Mass.
Li ZhouHarvard Medical School, Boston, Mass; Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Mass.
Tyler HarknessDivision of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, Mass.
Roee Sa'adonTreato Ltd, Or Yehuda, Israel.
Ofrit Bar-BacharCheryl Spencer Department of Nursing, University of Haifa, Haifa, Israel.
Aidan A LongDivision of Rheumatology, Allergy and Immunology, Massachusetts General Hospital, Boston, Mass; Harvard Medical School, Boston, Mass. Electronic address: aalong@mgh.harvard.edu.
Harvard University · USUniversity of Haifa · ILBrigham and Women's Hospital · USMassachusetts General Hospital · US

Funding

Improving Allergy Documentation and Clinical Decision Support in the EHRR01HS025375 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI ZHOU, LI · 2018 to 2021
$1.6M
The Clinical and Economic Impact of Penicillin AllergyK01AI125631 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI BLUMENTHAL, KIMBERLY GOLD · 2016 to 2021
$779k
AHRQ HHS R01 HS025375NIAID NIH HHS K01 AI125631
6 · The paper itself

Abstract

backgroundAllergen immunotherapy (AIT) treatment for allergic rhinitis and asthma is used by 2.6 million Americans annually. Clinical and sterility testing studies identify no risk of contamination or infection from extracts prepared using recommended aseptic techniques, but regulatory concerns persist. Social media can be used to investigate rare adverse effects not captured by traditional studies.

objectiveWe sought to investigate large social media databases for suggestion of AIT skin and soft tissue infection (SSTI) risk and compare this risk to a comparator procedure with a sterile pharmaceutical.

methodsWe analyzed US-restricted data from more than 10 common text-based social media platforms including Facebook, Twitter, and Reddit between 2012 and 2016. We used natural language processing (NLP) to identify posts related to AIT and, separately, influenza vaccination (comparator procedure). NLP was followed by manual review to identify posts suggesting a possible SSTI associated with either AIT or influenza vaccination. SSTI frequencies with 95% CIs were compared.

resultsWe identified 25,126 AIT posts, which were matched by social media platform to 25,126 influenza vaccination-related posts. NLP identified 4088 (16.3%) AIT posts that required manual review, with 6 posts (0.02%; 95% CI, 0.005%-0.043%) indicative of possible AIT-related SSTI. NLP identified 2689 (10.7%) influenza posts that required manual review, with 7 posts (0.03%; 95% CI, 0.007%-0.048%) indicative of possible influenza vaccination-related SSTI.

conclusionsSocial media data suggest that SSTI from AIT and influenza vaccination are equally rare events. Given that AIT's SSTI risk appears comparable to the risk using a sterile pharmaceutical based on social media data, current aseptic technique procedures seem safe.

Indexed as

Data MiningDesensitization, ImmunologicHumansInfluenza VaccinesRiskSkin DiseasesSocial MediaSoft Tissue InfectionsUnited StatesInfluenza Vaccinesallergen immunotherapyasepticcompoundinginfectioninfluenzaInformaticsNLPpostspreparationsafetyshotvaccination

Identifiers

PMID30721764
PMCPMC6612292
OpenAlexW2913054822

What OpenQuestion holds

Textmetadata
LicenceTDM
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.