Evidence map›Paper›PMID 33249121›Full record

ArticleThe journal of allergy and clinical immunology. In practice2021

Safety and Adherence to Venom Immunotherapy During COVID-19 Pandemic.

M Beatrice Bilò, M Chiara Braschi, Mario A Piga, Leonardo Antonicelli, Matteo Martini

Open access · bronzeAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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 at 3 institutions in 1 country.

M Beatrice BilòDepartment of Clinical and Molecular Sciences, Polytechnic University of Marche, Ancona, Italy; Allergy Unit, Department of Internal Medicine, University Hospital of Ancona, Ancona, Italy. Electronic address: m.b.bilo@univpm.it.
M Chiara BraschiAllergy Unit, Department of Internal Medicine, University Hospital of Ancona, Ancona, Italy.
Mario A PigaDepartment of Clinical and Molecular Sciences, Polytechnic University of Marche, Ancona, Italy.
Leonardo AntonicelliAllergy Unit, Department of Internal Medicine, University Hospital of Ancona, Ancona, Italy.
Matteo MartiniGlobal Clinical Development, Chiesi Farmaceutici, Parma, Italy.
Marche Polytechnic University · ITOspedali Riuniti di Ancona · ITChiesi (Italy) · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccording to expert consensus, the time interval between Hymenoptera venom immunotherapy (VIT) injections can be extended up to 12 weeks, without significant impact on efficacy and safety. However, the coronavirus disease 2019 pandemic caused longer delays, and no recommendations are available to manage this huge extension.

objectivesTo provide advice on how to resume VIT safely after a long delay from the last injection considering the potential risk factors for side effects, without starting again with the induction phase.

methodsAll the patients who delayed VIT because of the pandemic were consecutively enrolled in this single-center study. The time extension was decided according to their risk profile (eg, long prepandemic time interval, severe pre-VIT reaction, older age, multitreatments), and correlation analyses were performed to find potential risk factors of side effects.

resultsThe mean delay from the pre- (7 weeks) to the postpandemic VIT interval (15.5 weeks) was 8.5 weeks. The total amount of the prepandemic VIT maintenance dose was safely administered in 1 day in 78% of patients, whereas only 3, of 87, experienced side effects, and their potential risk factors were identified in bee venom allergy and recent VIT initiation.

conclusionsIn a real-world setting, long VIT delays may be safe and well tolerated, but more caution should be paid in resuming VIT in patients with long prepandemic maintenance interval, severe pre-VIT reaction, recent VIT initiation, older age, multidrug treatments, and bee venom allergy. This is useful in any case of long, unplanned, and unavoidable VIT delay.

Indexed as

PandemicsSARS-CoV-2AdultAgedBee VenomsCOVID-19Desensitization, ImmunologicFemaleHumansHypersensitivity, ImmediateMaleMiddle AgedTreatment Adherence and ComplianceBee VenomsCOVID-19 pandemicHymenoptera venom allergyMaintenance intervalSystemic reactionsVenom immunotherapy

Identifiers

PMID33249121
PMCPMC7690271
OpenAlexW3108751905

What OpenQuestion holds

Textmetadata
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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.