Evidence map›Paper›PMID 36986127›Full record

ReviewNutrients2023

'Early Introduction' of Cow's Milk for Children with IgE-Mediated Cow's Milk Protein Allergy: A Review of Current and Emerging Approaches for CMPA Management.

Caoimhe Cronin, Yukta Ramesh, Carlo De Pieri, Roberto Velasco, Juan Trujillo

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
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

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. [Diagnostic value of fecal calprotectin detection in infants with milk protein-allergic enteritis].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025
    Article
  5. Article
  6. Review
  7. Eating away at food allergy.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Review
  8. Cow milk protein allergy mimics in infancy.World journal of clinical pediatrics · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. 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

5 authors at 3 institutions in 3 countries.

Caoimhe CroninDepartment of Paediatrics and Child Health, University College Cork, T12 DC4A Cork, Ireland.ORCID 0000-0001-8121-7436
Yukta RameshDepartment of Paediatrics and Child Health, University College Cork, T12 DC4A Cork, Ireland.
Carlo De PieriDepartment of Pediatrics, Azienda ULSS2 Marca Trevigiana, 31100 Treviso, Italy.ORCID 0000-0002-3138-3070
Roberto VelascoGerencia de Atención Primaria Valladolid Este, 54, 47010 Valladolid, Spain.ORCID 0000-0003-0073-2650
Juan TrujilloDepartment of Paediatrics and Child Health, University College Cork, T12 DC4A Cork, Ireland.ORCID 0000-0001-6369-6218
University College Cork · IEAULSS 2 Marca Trevigiana · ITUniversidad de Valladolid · ES

Funding

National Dairy Council and Dairy Research Ireland n/a
6 · The paper itself

Abstract

IgE-mediated cow's milk protein allergy (CMPA) is one of the most prevalent food allergies in early childhood. Though the cornerstone of management involves the strict avoidance of milk products while awaiting natural tolerance, research increasingly shows that the rates of resolution are slowing down. Therefore, there is a need to explore alternative pathways to promote tolerance to cow's milk in pediatric populations. This review aims to combine and appraise the scientific literature regarding the three CMPA management methods: avoidance, the milk ladder, and oral immunotherapy (OIT) and their outcomes in terms of efficacy, safety, and immunological effects. Cow's milk (CM) avoidance virtually protects against allergic reaction until natural tolerance occurs, with hypoallergenic substitutes available in the market, but accidental ingestion represents the main issue for this strategy. Introduction to baked milk using the milk ladder was designed, with most CMPA patients successfully completing the ladder. Similar to baked milk treatment, many OIT protocols also demonstrated decreased IgE and increased IgG4 levels post protocol, as well as a reduction in wheal size diameter. Though these strategies are shown to be safe and effective in CMPA, future clinical trials should compare the safety and effectiveness of these three management strategies.

Indexed as

Food HypersensitivityMilk HypersensitivityAllergensAnimalsCattleChildChild, PreschoolFemaleHumansImmunoglobulin EMilkMilk ProteinsAllergensImmunoglobulin EMilk Proteinschildrencow’s milk protein allergyimmunotherapytolerance

Identifiers

PMID36986127
PMCPMC10057913
OpenAlexW4324192664

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.