Evidence map›Paper›PMID 35441718›Full record

SynthesisAllergy2022

Risk factors for severe reactions in food allergy: Rapid evidence review with meta-analysis.

Paul J Turner, Stefania Arasi, Barbara Ballmer-Weber, Alessia Baseggio Conrado, Antoine Deschildre, Jennifer Gerdts, Susanne Halken, Antonella Muraro, Nandinee Patel, Ronald Van Ree and 5 more

Open access · hybridAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Allergy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
17.6field-weighted citation impact, top 1% 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

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 133 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Hazelnut oral immunotherapy in children: An Italian single-center retrospective cohort study.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Anaphylaxis and pregnancy: Epidemiology, elicitors, and recurrences.The World Allergy Organization journal · 2025
    Article
  16. Review
  17. Article
  18. Lactate in Anaphylaxis: 100 Years On.Sports medicine (Auckland, N.Z.) · 2025
    Review
  19. Review
  20. Observational
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

15 authors at 10 institutions in 8 countries.

Paul J TurnerNational Heart & Lung Institute, Imperial College London, London, UK.ORCID 0000-0001-9862-5161
Stefania ArasiTranslational Research in Paediatric Specialities Area, Division of Allergy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-8135-0568
Barbara Ballmer-WeberClinic for Dermatology and Allergology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Alessia Baseggio ConradoNational Heart & Lung Institute, Imperial College London, London, UK.ORCID 0000-0001-5775-424X
Antoine DeschildreCHU Lille, Univ. Lille, Pediatric Pulmonology and Allergy Department, Hôpital Jeanne de Flandre, Lille, France.
Jennifer GerdtsFood Allergy Canada, Toronto, Ontario, Canada.
Susanne HalkenHans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark.
Antonella MuraroFood Allergy Centre, Padua General University Hospital, Padua, Italy.
Nandinee PatelNational Heart & Lung Institute, Imperial College London, London, UK.ORCID 0000-0002-4997-9411
Ronald Van ReeDepartments of Experimental Immunology and of Otorhinolaryngology, Amsterdam University Medical Centers, location AMC, Amsterdam, The Netherlands.
Debra de SilvaThe Evidence Centre, London, UK.ORCID 0000-0001-8413-5487
Margitta WormDivision of Allergy and Immunology, Department of Dermatology, Venerology and Allergy, Charité, Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0002-3449-1245
Torsten ZuberbierDivision of Allergy and Immunology, Department of Dermatology, Venerology and Allergy, Charité, Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0002-1466-8875
Graham RobertsNIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID 0000-0003-2252-1248
Global Allergy, Asthma European Network (GA2LEN) Food Allergy Guideline Group
Imperial College London · GBCharité - Universitätsmedizin Berlin · DEAllerGen · CAAmsterdam University Medical Centers · NLBambino Gesù Children's Hospital · ITKantonsspital St. Gallen · CHOdense University Hospital · DKUniversité de Lille · FRUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Padua · IT

Funding

Department of HealthMedical Research Council MR/K010468/1Medical Research Council MR/W018616/1
6 · The paper itself

Abstract

This rapid review summarizes the most up to date evidence about the risk factors for severe food-induced allergic reactions. We searched three bibliographic databases for studies published between January 2010 and August 2021. We included 88 studies and synthesized the evidence narratively, undertaking meta-analysis where appropriate. Significant uncertainties remain with respect to the prediction of severe reactions, both anaphylaxis and/or severe anaphylaxis refractory to treatment. Prior anaphylaxis, an asthma diagnosis, IgE sensitization or basophil activation tests are not good predictors. Some molecular allergology markers may be helpful. Hospital presentations for anaphylaxis are highest in young children, yet this age group appears at lower risk of severe outcomes. Risk of severe outcomes is greatest in adolescence and young adulthood, but the contribution of risk taking behaviour in contributing to severe outcomes is unclear. Evidence for an impact of cofactors on severity is lacking, although food-dependent exercise-induced anaphylaxis may be an exception. Some medications such as beta-blockers or ACE inhibitors may increase severity, but appear less important than age as a factor in life-threatening reactions. The relationship between dose of exposure and severity is unclear. Delays in symptom recognition and anaphylaxis treatment have been associated with more severe outcomes. An absence of prior anaphylaxis does not exclude its future risk.

Indexed as

AnaphylaxisFood HypersensitivityAdolescentAdultAllergensChildChild, PreschoolFoodHumansRisk FactorsYoung AdultAllergensanaphylaxisbiomarkersfood allergyrisk assessmentseverity

Identifiers

PMID35441718
PMCPMC9544052
OpenAlexW4224219536

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.