Evidence map›Paper›PMID 31569825›Full record

ReviewMedicina (Kaunas, Lithuania)2019

Oral Food Challenge.

Mauro Calvani, Annamaria Bianchi, Chiara Reginelli, Martina Peresso, Alessia Testa

Abstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Cow milk protein allergy mimics in infancy.World journal of clinical pediatrics · 2025
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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

5 authors.

Mauro CalvaniOperative Unit of Paediatrics, S. Camillo-Forlanini Hospital, Circonvallazione Gianicolense 87, 00152 Rome, Italy. mi5660@mclink.it.
Annamaria BianchiOperative Unit of Paediatrics, S. Camillo-Forlanini Hospital, Circonvallazione Gianicolense 87, 00152 Rome, Italy. annamaria.bianchi9@yahoo.it.
Chiara ReginelliDepartment of Paediatrics, Sapienza University of Rome, Viale Del Policlinico 155, 00161 Roma, Italy. reginellichiara@gmail.com.
Martina PeressoDepartment of Paediatrics, Sapienza University of Rome, Viale Del Policlinico 155, 00161 Roma, Italy. peressovm@libero.it.
Alessia TestaDepartment of Paediatrics, Sapienza University of Rome, Viale Del Policlinico 155, 00161 Roma, Italy. alessiatesta92@live.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oral food challenge (OFC) is the gold standard for diagnosis of IgE-mediated and non-IgE mediated food allergy. It is usually conducted to make diagnosis, to monitor for resolution of a food allergy, or to identify the threshold of responsiveness. Clinical history and lab tests have poor diagnostic accuracy and they are not sufficient to make a strict diagnosis of food allergy. Higher concentrations of food-specific IgE or larger allergy prick skin test wheal sizes correlate with an increased likelihood of a reaction upon ingestion. Several cut-off values, to make a diagnosis of some food allergies (e.g., milk, egg, peanut, etc.) without performing an OFC, have been suggested, but their use is still debated. The oral food challenge should be carried out by experienced physicians in a proper environment equipped for emergency, in order to carefully assess symptoms and signs and correctly manage any possible allergic reaction. This review does not intend to analyse comprehensively all the issues related to the diagnosis of food allergies, but to summarize some practical information on the OFC procedure, as reported in a recent issue by The Expert Review of Food Allergy Committee of Italian Society of Pediatric Allergy and Immunology (SIAIP).

Indexed as

Administration, OralAllergensChildFood HypersensitivityHumansImmunoglobulin EImmunologic TestsPredictive Value of TestsSystematic Reviews as TopicAllergensImmunoglobulin Edouble-blindfood allergensfood allergyoral food challengeplacebo-controlled oral food challengesingle-blind

Identifiers

PMID31569825
PMCPMC6843825

What OpenQuestion holds

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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.