Evidence map›Paper›PMID 36036235›Full record

ArticleClinical and translational allergy2022

The health economic impact of cow's milk allergy in childhood: A retrospective cohort study.

Abbie L Cawood, R Meyer, Kate E Grimshaw, Katy Sorensen, Dionisio Acosta-Mena, Rebecca J Stratton

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational allergy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 13 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

6 authors at 4 institutions in 2 countries.

Abbie L CawoodInstitute of Human Nutrition, Faculty of Medicine, Southampton General Hospital, Southampton, UK.
R MeyerDepartment of Paediatrics, St Mary's Hospital, London, UK.
Kate E GrimshawInstitute of Human Nutrition, Faculty of Medicine, Southampton General Hospital, Southampton, UK.
Katy SorensenMedical Affairs, Nutricia Ltd, White Horse Business Park, Trowbridge, UK.
Dionisio Acosta-MenaCegedim Health Data, Cegedim Rx, London, UK.
Rebecca J StrattonInstitute of Human Nutrition, Faculty of Medicine, Southampton General Hospital, Southampton, UK.
Nutricia (United Kingdom) · GBCegedim (France) · FRSouthampton General Hospital · GBSt. Mary's Hospital · GB

Funding

Nutricia Ltd.
6 · The paper itself

Abstract

backgroundCow's milk allergy (CMA) is one of the most common food allergies among children. Whilst avoidance of cow's milk protein is the cornerstone of management, further treatment of symptoms including those affecting the gastrointestinal, skin and respiratory systems plus other allergic comorbidities, maybe required. This study aimed to quantify the wider economic impact of CMA and its management in the United Kingdom (UK).

methodsWe conducted a retrospective matched cohort study on children with CMA (diagnosis read code and/or hypoallergenic formula prescription for ≥3 months) examining healthcare data (medication prescriptions and healthcare professional contacts) from case records within The Health Improvement Network (A Cegedim Proprietary Database) in the UK. A comparative cost analysis was calculated based on healthcare tariff and unit costs in the UK.

results6998 children (54% male; mean observation period 4.2 years) were included (n = 3499 with CMA, mean age at diagnosis 4.04 months; n = 3499 matched controls without CMA). Compared to those without CMA, medications were prescribed to significantly more children with CMA (p < 0.001) at a higher rate (p < 0.001). Children with CMA also required significantly more healthcare contacts (p < 0.001) at higher rate (p < 0.001) compared to those without CMA. CMA was associated with additional potential healthcare costs of £1381.53 per person per year.

conclusionThe findings of this large cohort study suggest that CMA and its associated co-morbidities presents a significant additional healthcare burden with economic impact due to higher prescribing of additional medications. Further research into management approaches that may impact these clinical and economic outcomes of CMA is warranted.

Indexed as

cow's milk allergyhealth economicsinfantsinfectionspaediatricsprimary care

Identifiers

PMID36036235
PMCPMC9412243
OpenAlexW4293194137

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.