Evidence map›Paper›PMID 31120555›Full record

ArticleAllergy2019

Clinical factors associated with peanut allergy in a high-risk infant cohort.

Scott H Sicherer, Robert A Wood, Tamara T Perry, Stacie M Jones, Donald Y M Leung, Alice K Henning, Peter Dawson, A Wesley Burks, Robert Lindblad, Hugh A Sampson

Open access · greenAbstract read
In one paragraph

Article in Allergy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Epitope-Specific IgE at 1 Year of Age Can Predict Peanut Allergy Status at 5 Years.International archives of allergy and immunology · 2023
    Trial
  4. Trial
  5. Article
  6. Anti-allergic effect ofBioscience of microbiota, food and health · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Observational
  11. Early epitope-specific IgE antibodies are predictive of childhood peanut allergy.The Journal of allergy and clinical immunology · 2020
    Article
  12. Review
  13. Cutaneous barrier dysfunction in allergic diseases.The Journal of allergy and clinical immunology · 2020
    Review
  14. Food Allergy from Infancy Through Adulthood.The journal of allergy and clinical immunology. In practice · 2020
    Review
  15. 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

10 authors at 6 institutions in 1 country.

Scott H SichererDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York.ORCID 0000-0003-0036-0439
Robert A WoodDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Tamara T PerryDepartment of Pediatrics, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Stacie M JonesDepartment of Pediatrics, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Donald Y M LeungDepartment of Pediatrics, National Jewish Health, Denver, Colorado.
Alice K HenningThe EMMES Company, LLC, Rockville, Maryland.
Peter DawsonThe EMMES Company, LLC, Rockville, Maryland.
A Wesley BurksDepartment of Pediatrics, University of North Carolina, Chapel Hill, North Carolina.
Robert LindbladThe EMMES Company, LLC, Rockville, Maryland.
Hugh A SampsonDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York.
Emmes (United States) · USArkansas Children's Hospital · USIcahn School of Medicine at Mount Sinai · USJohns Hopkins University · USNational Jewish Health · USUniversity of North Carolina at Chapel Hill · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Mechanistic CoreU19AI066738 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI SICHERER, SCOTT H · 2005 to 2016
$43.6M
Expanding Translational Research in ArkansasUL1TR003107 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI JAMES, LAURA P · 2019 to 2023
$21.6M
Mount Sinai Institutes for Clinical and Translational SciencesUL1TR000067 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SAMPSON, HUGH A · 2012 to 2014
$16.5M
Food Allergy Research Consortium and Statistical CenterU01AI066560 · NIAID · THE EMMES COMPANY, LLC · PI DAWSON, PETER RUSSELL, LINDBLAD, ROBERT · 2005 to 2016
$12.8M
UNC Clinical and Translational Science AwardUL1TR000083 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$11.6M
Arkansas Center for Clinical and Translational ResearchUL1TR000039 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$10.0M
Institute for Clinical and Translational ResearchUL1TR000424 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2012 to 2012
$6.0M
Arkansas Center for Food Allergy Research (ArCOFAR)UM1AI130781 · NIAID · ARKANSAS CHILDREN'S HOSPITAL RES INST · PI JONES, STACIE M · 2017 to 2023
$1.6M
NCATS NIH HHS UL1 TR000039NCATS NIH HHS UL1 TR000067NCATS NIH HHS UL1 TR000083NCATS NIH HHS UL1 TR000424NCATS NIH HHS UL1 TR003107NCRR NIH HHS UL1 RR025780NIAID NIH HHS U01 AI066560NIAID NIH HHS U19 AI066738NIAID NIH HHS UM1 AI130781
6 · The paper itself

Abstract

backgroundPrognostication of peanut allergy (PNA) is relevant for early interventions. We aimed to determine baseline parameters associated with the development of PNA in 3- to 15-month-olds with likely egg and/or milk allergy, and/or moderate to severe atopic dermatitis (AD) and a positive egg/milk skin prick test (SPT), but no known PNA.

methodsThe primary endpoint was PNA [confirmed/convincing diagnosis or last classified as serologic PNA (<2 years, ≥5 kUA/L, otherwise ≥14 kUA/L, peanut IgE)] among 511 participants (median follow-up, 7.3 years). Associations were explored with univariate logistic regression; factors with P < 0.15 were analyzed by stepwise multiple logistic regression, using data stratified by PNA status and randomly assigned to development and validation datasets.

results205/511 (40.1%) had PNA. Univariate factors associated with PNA (P < 0.01) included increased AD severity, larger egg and peanut SPT, greater egg, milk, peanut, Ara h1-h3 IgE, higher peanut IgG and IgG4, and increased pregnancy peanut consumption. P-values were between 0.01 and 0.05 for younger age, non-white race, lack of breastfeeding, and increased lactation peanut consumption. Using a development dataset, the multivariate model identified younger age at enrollment, greater peanut and Ara h2 IgE, and lack of breastfeeding as prognosticators. The final model predicted 79% in the development and 75% in the validation dataset (AUC = 0.83 for both). Models using stricter or less strict PNA criteria both found Ara h2 as predictive.

conclusionsKey factors associated with PNA in this high-risk population included lack of breastfeeding, age, and greater Ara h2 and peanut-specific IgE, which can be used to prognosticate outcomes.

Indexed as

AllergensArachisFemaleFollow-Up StudiesHumansImmunoglobulin EImmunoglobulin GInfantInfant, NewbornMaleOdds RatioPeanut HypersensitivityRisk FactorsROC CurveSkin TestsAllergensImmunoglobulin EImmunoglobulin GIgEnatural historypeanut allergyskin prick test

Identifiers

PMID31120555
PMCPMC6817376
OpenAlexW2946551736

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.