Evidence map›Paper›PMID 36822320›Full record

ReviewThe journal of allergy and clinical immunology. In practice2023

Will Oral Food Challenges Still Be Part of Allergy Care in 10 Years' Time?

Nandinee Patel, Wayne G Shreffler, Adnan Custovic, Alexandra F Santos

Open access · hybridAbstract readReview
In one paragraph

Review in The journal of allergy and clinical immunology. In practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Component testing at diagnosis does not predict ladder outcome in IgE mediated egg allergy.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  4. Article
  5. Article
  6. Cow milk protein allergy mimics in infancy.World journal of clinical pediatrics · 2025
    Review
  7. US food allergy patients' experiences, priorities, and needs: A qualitative study.The journal of allergy and clinical immunology. Global · 2025
    Article
  8. Article
  9. Review
  10. Omalizumab Implementation in Practice: Lessons Learned From the OUtMATCH Study.The journal of allergy and clinical immunology. In practice · 2024
    Article
  11. The future of food allergy diagnosis.Frontiers in allergy · 2024
    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

4 authors at 3 institutions in 2 countries.

Nandinee PatelNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Wayne G ShrefflerFood Allergy Center and Center for Immunology and Inflammatory Disease, Massachusetts General Hospital/Harvard Medical School, Boston, Mass.
Adnan CustovicNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Alexandra F SantosDepartment of Women and Children's Health (Pediatric Allergy), School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom; Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, United Kingdom; Children's Allergy Service, Evelina London, Guy's and St Thomas' Hospital, London, United Kingdom. Electronic address: alexandra.santos@kcl.ac.uk.
Imperial College London · GBHarvard University · USKing's College London · GB

Funding

Medical Research Council MR/K002449/1Medical Research Council MR/K002449/2Medical Research Council MR/M008517/1Medical Research Council MR/S002359/1Medical Research Council MR/S025340/1Medical Research Council MR/T031565/1Medical Research Council MR/T032081/1Medical Research Council MR/W028352/1
6 · The paper itself

Abstract

Oral food challenges (OFCs) are currently the definitive diagnostic procedure in food allergy. Their design has evolved over the decades to maximize safety, optimize convenience, and address several specific clinical questions. However, they are a resource-intensive investigation that carry a risk for severe allergic reaction in which fatal outcomes, although rare, have been reported. In this review, we explore the many roles that OFC fulfil in the clinical and research settings. We also discuss progress that has been made in developing alternative diagnostic tools and how far these have reached in offering a viable replacement to OFC in clinical practice. Finally, we discuss the ongoing importance of research OFC to improve the future diagnostic capabilities of novel diagnostic tools.

Indexed as

Food HypersensitivityAllergensFoodHumansSkin TestsAllergensAnaphylaxisBasophil activation testDouble-blind placebo-controlled food challengeFood allergyIgEOral food challenge

Identifiers

PMID36822320
PMCPMC10698627
OpenAlexW4321502961

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.