Evidence map›Paper›PMID 34390722›Full record

ArticleThe Journal of allergy and clinical immunology2022

Anaphylaxis knowledge gaps and future research priorities: A consensus report.

Timothy E Dribin, David Schnadower, Julie Wang, Carlos A Camargo, Kenneth A Michelson, Marcus Shaker, Susan A Rudders, David Vyles, David B K Golden, Jonathan M Spergel and 18 more

Abstract readConsensus Statement
In one paragraph

Article in The Journal of allergy and clinical immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Lactate in Anaphylaxis: 100 Years On.Sports medicine (Auckland, N.Z.) · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Epinephrine and anaphylaxis outcomes: Does timing matter?Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2024
    Article
  11. How to define severity: A review of allergic reaction severity scoring systems.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2023
    Review
  12. The need to link anaphylaxis signs and symptoms with targeted therapeutic strategies.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2023
    Article
  13. Refractory Anaphylaxis: A New Entity for Severe Anaphylaxis.The journal of allergy and clinical immunology. In practice · 2023
    Review
  14. Article
  15. Recent insights into the mechanisms of anaphylaxis.Current opinion in immunology · 2023
    Review
  16. Trends and Variation in Pediatric Anaphylaxis Care From 2016 to 2022.The journal of allergy and clinical immunology. In practice · 2023
    Article
  17. Article
  18. Anaphylaxis: Data Gaps and Research Needs.Immunology and allergy clinics of North America · 2022
    Review
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

28 authors.

Timothy E DribinDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, and the Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio. Electronic address: Timothy.Dribin@cchmc.org.
David SchnadowerDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, and the Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Julie WangDivision of Allergy and Immunology, Icahn School of Medicine at Mount Sinai, New York, NY.
Carlos A CamargoDepartment of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Kenneth A MichelsonDivision of Emergency Medicine, Boston Children's Hospital, and the Department of Pediatrics, Harvard Medical School, Boston, Mass.
Marcus ShakerDartmouth Geisel School of Medicine, and Dartmouth-Hitchcock Medical Center, Hanover and Lebanon, NH.
Susan A RuddersDivision of Immunology, Boston Children's Hospital, and the Department of Pediatrics, Harvard Medical School, Boston, Mass.
David VylesSection of Pediatric Emergency Medicine, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wis.
David B K GoldenDivision of Allergy and Clinical Immunology, Johns Hopkins University School of Medicine, Baltimore, Md.
Jonathan M SpergelDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania, Philadelphia, Pa.
Ronna L CampbellDepartment of Emergency Medicine, Mayo Clinic, Rochester, NY.
Mark I NeumanDivision of Emergency Medicine, Boston Children's Hospital, and the Department of Pediatrics, Harvard Medical School, Boston, Mass.
Peter S CapucilliRochester Regional Health, Rochester, NY.
Michael PistinerDepartment of Pediatrics, Massachusetts General Hospital for Children, Harvard Medical School, Boston, Mass.
Mariana CastellsDivision of Allergy and Clinical Immunology, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Juhee LeeDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania, Philadelphia, Pa.
David C BrousseauSection of Pediatric Emergency Medicine, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wis.
Lynda C SchneiderDivision of Immunology, Boston Children's Hospital, and the Department of Pediatrics, Harvard Medical School, Boston, Mass.
Amal H Assa'adDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, and the Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Kimberly A RismaDivision of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, and the Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Rakesh D MistrySection of Emergency Medicine, Department of Pediatrics, Children's Hospital Colorado, Aurora, Colo.
Dianne E CampbellSydney Medical School, University of Sydney, Sydney, Australia; Department of Allergy and Immunology, Children's Hospital at Westmead, Sydney, Australia.
Margitta WormDivision of Allergy and Immunology, Department of Dermatology and Allergology, Charite-Universitätsmedizin Berlin, Berlin, Germany.
Paul J TurnerNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
John K WitryDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Yin ZhangDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio; Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Brad SobolewskiDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center, and the Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Hugh A SampsonDivision of Allergy and Immunology, Icahn School of Medicine at Mount Sinai, New York, NY.

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
KL2 Training ProgramKL2TR001426 · NCATS · UNIVERSITY OF CINCINNATI · PI ZELLER, MARGARET H · 2015 to 2024
$6.8M
Delayed Diagnosis of Serious Pediatric Emergency ConditionsK08HS026503 · AHRQ · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI MICHELSON, KENNETH · 2019 to 2023
$763k
AHRQ HHS K08 HS026503Medical Research Council MR/K010468/1NCATS NIH HHS KL2 TR001426NCATS NIH HHS UL1 TR001425
6 · The paper itself

Abstract

backgroundDespite a better understanding of the epidemiology, pathogenesis, and management of patients with anaphylaxis, there remain knowledge gaps. Enumerating and prioritizing these gaps would allow limited scientific resources to be directed more effectively.

objectiveWe sought to systematically describe and appraise anaphylaxis knowledge gaps and future research priorities based on their potential impact and feasibility.

methodsWe convened a 25-member multidisciplinary panel of anaphylaxis experts. Panelists formulated knowledge gaps/research priority statements in an anonymous electronic survey. Four anaphylaxis themed writing groups were formed to refine statements: (1) Population Science, (2) Basic and Translational Sciences, (3) Emergency Department Care/Acute Management, and (4) Long-Term Management Strategies and Prevention. Revised statements were incorporated into an anonymous electronic survey, and panelists were asked to rate the impact and feasibility of addressing statements on a continuous 0 to 100 scale.

resultsThe panel generated 98 statements across the 4 anaphylaxis themes: Population Science (29), Basic and Translational Sciences (27), Emergency Department Care/Acute Management (24), and Long-Term Management Strategies and Prevention (18). Median scores for impact and feasibility ranged from 50.0 to 95.0 and from 40.0 to 90.0, respectively. Key statements based on median rating for impact/feasibility included the need to refine anaphylaxis diagnostic criteria, identify reliable diagnostic, predictive, and prognostic anaphylaxis bioassays, develop clinical prediction models to standardize postanaphylaxis observation periods and hospitalization criteria, and determine immunotherapy best practices.

conclusionsWe identified and systematically appraised anaphylaxis knowledge gaps and future research priorities. This study reinforces the need to harmonize scientific pursuits to optimize the outcomes of patients with and at risk of anaphylaxis.

Indexed as

AnaphylaxisHospitalizationHumansResearchSurveys and QuestionnairesAllergyanaphylaxisbasic scienceemergency departmentfeasibilityimpactpopulation scienceresearchtranslational science

Identifiers

PMID34390722
PMCPMC8837706

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.