Evidence map›Paper›PMID 32884611›Full record

ReviewThe World Allergy Organization journal2020

Compromising between European and US allergen immunotherapy schools: Discussions from GUIMIT, the Mexican immunotherapy guidelines.

Désirée Larenas-Linnemann, Noel Rodríguez-Pérez, Jorge A Luna-Pech, Mónica Rodríguez-González, María Virginia Blandón-Vijil, Blanca E Del-Río-Navarro, María Del Carmen Costa-Domínguez, Elsy Maureen Navarrete-Rodríguez, Carlos Macouzet-Sánchez, José Antonio Ortega-Martell and 43 more

Open access · goldAbstract readReview
In one paragraph

Review in The World Allergy Organization journal, 2020. 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
0.8field-weighted citation impact, top 29% 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, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

53 authors at 20 institutions in 2 countries.

Désirée Larenas-LinnemannMédica Sur, Clinical Foundation and Hospital, Mexico City, Mexico.
Noel Rodríguez-PérezImmunology. Universidad Autonoma de Tamaulipas, Matamoros, Tamaulipas, Mexico.
Jorge A Luna-PechDepartamento de Disciplinas Filosóficas, Metodológicas e Instrumentales (CUCS), Universidad de Guadalajara, Guadalajara, Jalisco, Mexico.
Mónica Rodríguez-GonzálezHospital Españoly, Mexico City, Mexico.
María Virginia Blandón-VijilMédica Sur, Clinical Foundation and Hospital, Mexico City, Mexico.
Blanca E Del-Río-NavarroHospital Infantil de Mexico Federico Gomez, Mexico City, Mexico.
María Del Carmen Costa-DomínguezHospital Españoly, Mexico City, Mexico.
Elsy Maureen Navarrete-RodríguezHospital Infantil de Mexico Federico Gomez, Mexico City, Mexico.
Carlos Macouzet-SánchezState University of Nuevo León, School of Medicine and University Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, Mexico.
José Antonio Ortega-MartellInstituto de Ciencias de La Salud, Universidad Autónoma del Estado de Hidalgo, Pachuca, Hidalgo, Mexico.
César Fireth Pozo-BeltránHospital con Especialidades Juan María Salvatierra, La Paz, Baja California Sur, Mexico.
Alan Estrada-CardonaCostamed, Playa Del Carmen, Quintana Roo, Mexico.
Alfredo Arias-CruzState University of Nuevo León, School of Medicine and University Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, Mexico.
Karen Guadalupe Rodríguez GalvánHospital Infantil de Mexico Federico Gomez, Mexico City, Mexico.
Herson Brito-DíazHOSPITAL MATERNO INFANTIL. ISSEMyM, TOLUCA, Mexico.
María Del Rosario Canseco-RaymundoHospital de Especialidades, "Dr. Antonio Fraga Mouret". Centro Médico Nacional "La Raza", Mexico City, Mexico.
Enrique Emanuel Castelán-ChávezHospital San Ángel Inn Universidad, Mexico City, Mexico.
Alberto José Escalante-DomínguezHospital General de Tijuana, Servicio de Alergia, Tijuana, Baja California, Mexico.
José Luis Gálvez-RomeroHospital Regional ISSSTE Puebla, Puebla, Mexico.
Javier Gómez-VeraInstitute of Security and Social Services of State Workers, López Mateos Regional Hospital, Mexico City, Mexico.
Sandra Nora González-DíazState University of Nuevo León, School of Medicine and University Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, Mexico.
María Gracia Belinda Guerrero-NúñezClinica de Alergia Integral, Tampico, Tamaulipas, Mexico.
Dante Daniel Hernández-ColínHospital Civil de Guadalajara Juan I Menchaca, Guadalajara, Jalisco, Mexico.
Alejandra Macías-WeinmannState University of Nuevo León, School of Medicine and University Hospital "Dr. José Eleuterio González", Monterrey, Nuevo León, Mexico.
David Alejandro Mendoza-HernándezInstituto Nacional De Pediatria, Mexico City, Mexico.
Néstor Alejandro Meneses-SánchezCentro Médico Nacional Siglo Xxi. Unidad Médica De Alta Especialidad. Hospital De Pediatria Dr. Silvestre Frenk Freund., Mexico City, Mexico.
María Dolores Mogica-MartínezMexican Social Security Institute, La Raza National Medical Center, Mexico City, Mexico.
Carol Vivian Moncayo-CoelloHospital Juárez de México, Mexico City, Mexico.
Juan Manuel Montiel-HerreraThe American British Cowdray Medical Center I.A.P., Mexico City, Mexico.
Patricia María O'Farril-RomanillosMexican Social Security Institute, 21st Century National Medical Center (IMSS), Mexico City, Mexico.
Ernesto Onuma-TakaneFundación Clínica y Hospital Médica Sur, Ciudad de México, Mexico.
Margarita Ortega-CisnerosUMAE Hospital de Especialidades CMNO IMSS, Guadalajara, Jalisco, Mexico.
Lorena Rangel-GarzaPrivate Practice, San Luis Potosí, Mexico.
Héctor Stone-AguilarHospital San José de Hermosillo, Hermosillo, Sonora, Mexico.
Carlos Torres-LozanoUmae-Hecmno-IMSS, Guadalajara, Jalisco, Mexico.
Edna Venegas-MontoyaMexican Social Security Institute, High Specialty Medical Unit 25, Department of Clinical Immunology and Allergy, Monterrey, Nuevo León, Mexico.
Guillermo Wakida-KusunokiHospital Central sur Petroleoes Mexicanos, Mexico City, Mexico.
Armando Partida-GaytánGlaxoSmithKline Mexico, Healthy Kids Polanco, Mexico City, Mexico.
Aída Inés López-GarcíaHospital Universitario de Puebla, BUAP, Puebla, Mexico.
Ana Paola Macías-RoblesInstituto Mexicano del Seguro Social, Centro Medico Nacional de Occidente Unidad de Alta Especialidad Hospital de Pediatria, Guadalajara, Jalisco, Mexico.
María de Jesús Ambriz-MorenoHospital Alfredo Pumarejo, Matamoros, Tamaulipas, Mexico.
Amyra Ali Azamar-JácomeMédica Sur, Clinical Foundation and Hospital, Mexico City, Mexico.
Claudia Yusdivia Beltrán-De PazMexican Social Security Institute, 21st Century National Medical Center (IMSS), Mexico City, Mexico.
Chrystopherson Caballero-LópezHospital Universitario de Puebla, BUAP, Puebla, Mexico.
Juan Carlos Fernández de Córdova-AguirreHospital Del Instituto Ecuatoriano De Seguridad Social Cuenca, Cuenca, Azuay, Ecuador.
José Roberto Fernández-SotoInstituto Mexicano del Seguro Social, Hospital General Regional N. 58, León, Guanajuato, Mexico.
José Santos Lozano-SáenzPrivate Practice, San Luis Potosí, Mexico.
José Joel Oyoqui-FloresPrivate Practice, San Luis Potosí, Mexico.
Roberto Efrain Osorio-EscamillaPrivate Practice, San Luis Potosí, Mexico.
Fernando Ramírez-JiménezInstituto Nacional de Enfermedades Respiratorias Ismael Cosio Villegas, Mexico City, Mexico.
Daniela Rivero-YeverinoHospital Universitario De Puebla. Benemerita Universidad Autonoma De Puebla, Puebla, Mexico.
Eric Martínez InfanteMexican Social Security Institute, Zone 1 General Hospital, Oaxaca, Mexico.
Miguel Alejandro Medina-ÁvalosInstitute of Security and Social Services of State Workers (ISSSTE), Regional Hospital, Veracruz, Mexico.
Mexican Social Security Institute · MXHospital Médica Sur · MXPolytechnic University of San Luis Potosí · MXHospital Infantil de México Federico Gómez · MXHospital Español · MXInstitute for Social Security and Services for State Workers · MXInstituto Universitario Puebla · MXAutonomous University of Tamaulipas · MXBenemérita Universidad Autónoma de Puebla · MXBenemerito Hospital General con Especialidades "Juan Maria de Salvatierra" · MXCentro Médico ABC · MXCentro Médico Nacional La Raza · MXCentro Medico Nacional Siglo XXI · MXHospital Civil de Guadalajara · MXHospital de Especialidades · MXHospital Juárez de México · MXInstituto Ecuatoriano de Enfermedades Digestivas · ECInstituto Nacional de Enfermedades Respiratorias · MXInstituto Nacional de Pediatria · MXPemex (Mexico) · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAllergen immunotherapy (AIT) has a longstanding history and still remains the only disease-changing treatment for allergic rhinitis and asthma. Over the years 2 different schools have developed their strategies: the United States (US) and the European. Allergen extracts available in these regions are adapted to local practice. In other parts of the world, extracts from both regions and local ones are commercialized, as in Mexico. Here, local experts developed a national AIT guideline (GUIMIT 2019) searching for compromises between both schools.

methodsUsing ADAPTE methodology for transculturizing guidelines and AGREE-II for evaluating guideline quality, GUIMIT selected 3 high-quality Main Reference Guidelines (MRGs): the European Academy of Allergy, Asthma and Immunology (EAACI) guideines, the S2k guideline of various German-speaking medical societies (2014), and the US Practice Parameters on Allergen Immunotherapy 2011. We formulated clinical questions and based responses on the fused evidence available in the MRGs, combined with local possibilities, patient's preference, and costs. We came across several issues on which the MRGs disagreed. These are presented here along with arguments of GUIMIT members to resolve them. GUIMIT (for a complete English version, Supplementary data) concluded the following.

resultsRelated to the diagnosis of IgE-mediated respiratory allergy, apart from skin prick testing complementary tests (challenges,

conclusionsCountries where European and American AIT extracts are available should adjust AIT according to which school is followed.

Indexed as

AGREE-II, Appraisal of Guidelines for Research & Evaluation InstrumentAIT, Allergen immunotherapyAllergen extractAllergen immunotherapyAsthma and Immunology, DBPCCMICA, Colegio Mexicano de Inmunología Clínica y AlergiaCOMPEDIA, Colegio Mexicano de Pediatras Especialistas in Inmunología Clínica y Alergiadouble-blind, placebo controlledEAACI, European Academy of AllergyFASIT, Future of the Allergists and Specific ImmunotherapyGINA, Global Initiative for AsthmaGIN, Guidelines International NetworkGP, grass pollenGRADE, grading of recommendations assessment development and evaluationGuidelineGUIMIT, by its Spanish initials of Guía Mexicana de InmunoterapiaHDM, house dust miteIg, immunoglobulinMRG, main reference guidelinesPICO, Patient-Intervention-Comparator-OutcomeSCIT, subcutaneous allergen immunotherapySLIT, sublingual allergen immunotherapySubcutaneous immunotherapySublingual immunotherapyUS, United States of North America

Identifiers

PMID32884611
PMCPMC7451623
OpenAlexW3081030063

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.