Evidence map›Paper›PMID 36636707›Full record

ArticleJournal of asthma and allergy2023

Budget Impact of Early Introduction of Amino Acid Formula in Managing Infants with Cow Milk Protein Allergy: Arabian Gulf Countries' Experience.

Mohamad Miqdady, Saif AlMutaeri, Najwa Alsawi, Loie Goronfolah, Christos Tzivinikos, Hamad Al Hameli, David Cremonesini, Mohammed Al-Enezi, Ahmad Hussain, Zainab Al Damerdash and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of asthma and allergy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 9 institutions in 5 countries.

Mohamad MiqdadyAmerican Board of Pediatrics Gastroenterology, Hepatology & Nutrition, Chief Pediatric Gastroenterologist, Hepatology & Nutrition Division, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Saif AlMutaeriKing Faisal Specialist Hospital & Research Centre, Riyadh, Kingdom of Saudi Arabia.
Najwa AlsawiSulaiman Al Habib Private Sector Hospital, Riyadh, Kingdom of Saudi Arabia.
Loie GoronfolahNational Guard Jeddah Government Hospital, Jeddah, Kingdom of Saudi Arabia.
Christos TzivinikosAl Jalila Children's Specialty Hospital, Dubai, United Arab Emirates.
Hamad Al HameliCleveland Clinic, Abu Dhabi, United Arab Emirates.ORCID 0000-0002-9528-5613
David CremonesiniAl Ain Hospital, Al Ain, Abu Dhabi, United Arab Emirates.
Mohammed Al-EneziDar Al-Shefa Hospital, Hawally, Kuwait.
Ahmad HussainAmiri Hospital/Salam Hospital, Kuwait City, Kuwait.
Zainab Al DamerdashAmiri Hospital, Kuwait City, Kuwait.
Mohammed Al-BiltagiFaculty of Medicine, Tanta University, Tanta, Egypt.ORCID 0000-0002-7761-9536
Amiri Hospital · KWAl Ain Hospital · AEAl Jalila Foundation · AEAmerican School of Kuwait · KWKhalifa University of Science and Technology · AEKing Fahad Hospital Jeddah · SAKing Faisal Specialist Hospital & Research Centre · SARiyadh Armed Forces Hospital · SATanta University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study estimates the budgetary impact of the introduction of amino-acid formula (AAF) as first-line management in the elimination diet of infants with suspected cow milk protein allergy (CMPA) in the Kingdom of Saudi Arabia (KSA), Kuwait, and the United Arab Emirates (UAE) from a health-care payer's perspective. Methods: A global decision tree model was adapted to compare estimated costs in current practice (extensively hydrolyzed formula [eHF] or soy formula [SF] with the proposed approach of early introduction of AAF as first-line treatment of CMPA in non-breast-fed infants). Model inputs were derived from explorative literature reviews and medical experts' opinions. All costs were reported in local currency, ie, Saudi Riyal (SAR) for KSA, Kuwaiti Dinar (KWD) for Kuwait, and United Arab Emirates Dirham (AED) for the UAE. Results: Cost savings with the early introduction of AAF were 10% (SAR 15102542) in KSA, 10% (KWD 306565) in Kuwait, 17% (AED 1842018) in the UAE government sector and 13% (AED 4232932) in the UAE private sector. The highest cost reduction was observed in the cost of soy formula (SF), with a 58% reduction both in KSA (SAR 4204540) and UAE public sector (AED 110331). A significant cost reduction in medication costs in Kuwait (37%; KWD 5630) and medical examination costs in the UAE private sector (50%; AED 1508918) was observed. Conclusion: Results indicated that the introduction of AAF as the first line in the management of CMPA is a cost-saving strategy for the Gulf Cooperation Council (GCC) countries-KSA, Kuwait, and UAE- from a health-care payer's perspective.

Indexed as

amino acid formulaArabian Gulfcow’s milk protein allergyinfantsKingdom of Saudi ArabiaKuwaitUnited Arab Emirates

Identifiers

PMID36636707
PMCPMC9831123
OpenAlexW4313576694

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.