Evidence map›Paper›PMID 34731517›Full record

ArticleAllergy2022

Measurement of IgE to hazelnut allergen components cannot replace hazelnut challenge in Dutch adults.

Sarah A Lyons, Paco M J Welsing, Mariam Hakobyan, Hannah M Kansen, Edward F Knol, Henny G Otten, Ronald van Ree, André C Knulst, Thuy-My Le

Open access · greenAbstract read
In one paragraph

Article in Allergy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 36% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  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

9 authors at 3 institutions in 1 country.

Sarah A LyonsDepartment of Dermatology and Allergology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.ORCID 0000-0001-7128-2699
Paco M J WelsingDivision of internal medicine and dermatology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Mariam HakobyanDepartment of Dermatology and Allergology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Hannah M KansenDepartment of Dermatology and Allergology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.ORCID 0000-0003-1446-7704
Edward F KnolDepartment of Dermatology and Allergology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Henny G OttenCenter of Translational Immunology, University Medical Center Utrecht, Utrecht, the Netherlands.
Ronald van ReeDepartment of experimental immunology, Amsterdam University Medical Centers, Amsterdam, the Netherlands.
André C KnulstDepartment of Dermatology and Allergology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Thuy-My LeDepartment of Dermatology and Allergology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Utrecht University · NLAmsterdam University Medical Centers · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComponent-resolved diagnostics (CRD) help predict hazelnut allergy (HA) in children, but are of unknown diagnostic value in adults. This study aimed to evaluate the diagnostic accuracy of IgE to hazelnut extract and components in adults.

methodsA Dutch population of consecutively presenting adults suspected of HA, who underwent a double-blind placebo-controlled food challenge, were included. Serum IgE to hazelnut extract and Cor a 1, 8, 9, and 14 was measured on ImmunoCAP. Diagnostic accuracy was assessed by area under the curve (AUC) analysis.

resultsOf 89 patients undergoing challenge, 46 had challenge-confirmed HA: 17 based on objective and 29 based on subjective symptoms. At commonly applied cutoffs 0.1 and 0.35 kU

conclusionsAlthough hazelnut allergic adults are generally sensitized to hazelnut extract and Cor a 1, and hazelnut tolerant adults are usually not sensitized to Cor a 8, 9, or 14, challenge testing is still needed to accurately discriminate between presence and absence of HA in adults from a birch-endemic country.

Indexed as

CorylusNut HypersensitivityAllergensAntigens, PlantHumansImmunoglobulin EPlant ExtractsAllergensAntigens, PlantImmunoglobulin EPlant Extractsadultscomponent-resolved diagnosticsdiagnostic valuehazelnut allergyIgE

Identifiers

PMID34731517
PMCPMC9298907
OpenAlexW3209206217

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.