Evidence map›Paper›PMID 37489286›Full record

ArticlePediatrics2023

Patterns in the Development of Pediatric Allergy.

Stanislaw J Gabryszewski, Jesse Dudley, Di Shu, Jennifer A Faerber, Robert W Grundmeier, Alexander G Fiks, David A Hill

Abstract read
In one paragraph

Article in Pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

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  14. The efficacy and safety of stepwise oral food challenge in children with hen's egg allergy.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
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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

7 authors.

Stanislaw J GabryszewskiDivision of Allergy and Immunology.
Jesse DudleyClinical Futures, Department of Biomedical and Health Informatics, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Di ShuClinical Futures, Department of Biomedical and Health Informatics, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Jennifer A FaerberClinical Futures, Department of Biomedical and Health Informatics, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Robert W GrundmeierClinical Futures, Department of Biomedical and Health Informatics, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Alexander G FiksClinical Futures, Department of Biomedical and Health Informatics, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
David A HillDivision of Allergy and Immunology.

Funding

T32 Institutional Pediatric ResearchT32HD043021 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI Joseph W. St. Geme · 2002 to 2026
$6.4M
Impact of Obesity on Lung Macrophage Metabolism and InflammationR01HL162715 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI David Andrew Hill · 2023 to 2026
$2.4M
The role of unique adipose tissue macrophage populations in obesityK08DK116668 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI HILL, DAVID ANDREW · 2018 to 2022
$770k
NHLBI NIH HHS R01 HL162715NICHD NIH HHS T32 HD043021NIDDK NIH HHS K08 DK116668
6 · The paper itself

Abstract

objectivesDescribe clinical and epidemiologic patterns of pediatric allergy using longitudinal electronic health records (EHRs) from a multistate consortium of US practices.

methodsUsing the multistate Comparative Effectiveness Research through Collaborative Electronic Reporting EHR database, we defined a cohort of 218 485 children (0-18 years) who were observed for ≥5 years between 1999 and 2020. Children with atopic dermatitis (AD), immunoglobulin E-mediated food allergy (IgE-FA), asthma, allergic rhinitis (AR), and eosinophilic esophagitis (EoE) were identified using a combination of diagnosis codes and medication prescriptions. We determined age at diagnosis, cumulative incidence, and allergic comorbidity.

resultsAllergic disease cumulative (and peak age of) incidence was 10.3% (4 months) for AD, 4.0% (13 months) for IgE-FA, 20.1% (13 months) for asthma, 19.7% (26 months) for AR, and 0.11% (35 months) for EoE. The most diagnosed IgE-FAs were peanut (1.9%), egg (0.8%), and shellfish (0.6%). A total of 13.4% of children had ≥2 allergic conditions, and respiratory allergies (ie, asthma, AR) were commonly comorbid with each other, and with other allergic conditions.

conclusionsWe detail pediatric allergy patterns using longitudinal, health care provider-based data from EHR systems across multiple US states and varied pediatric practice types. Our results support the population-level allergic march progression and indicate high rates of comorbidity among children with food and respiratory allergies.

Indexed as

AsthmaDermatitis, AtopicEosinophilic EsophagitisFood HypersensitivityRhinitis, AllergicChildHumansImmunoglobulin EInfantImmunoglobulin E

Identifiers

PMID37489286
PMCPMC10389774

What OpenQuestion holds

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Registered trials

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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.