Evidence map›Paper›PMID 38566365›Full record

ArticlePediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2024

Design of the Intervention to Reduce Early Peanut Allergy in Children (iREACH): A practice-based clinical trial.

Lucy A Bilaver, Adolfo J Ariza, Helen J Binns, Jialing Jiang, Rich Cohn, Samantha Sansweet, Haley Hultquist, Joy Laurienzo Panza, Alkis Togias, Ruchi S Gupta

Registry-linked trialOpen access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04604431 (Intervention to Reduce Early), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.8field-weighted citation impact, top 6% 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.

NCT04604431 nacompletednot on this map

Intervention to Reduce Early (Peanut) Allergy in Children

TypeinterventionalSponsorAnn & Robert H Lurie Children's Hospital of ChicagoRan2020 to 2024Enrolled30ConditionsFood Allergy Peanut, Food Allergy in InfantsArmsiREACH CDS Tool
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Implementation of early peanut introduction among providers in a southern US state.The journal of allergy and clinical immunology. Global · 2026
    Article
  4. Review
  5. 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

10 authors at 2 institutions in 1 country.

Lucy A BilaverNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Adolfo J ArizaNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0002-1655-9760
Helen J BinnsNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Jialing JiangNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Rich CohnIndependent Consultant, Chapel Hill, North Carolina, USA.
Samantha SansweetNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Haley HultquistNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Joy Laurienzo PanzaNational Institute of Allergy and Infectious Diseases, Bethesda, Maryland, USA.
Alkis TogiasNational Institute of Allergy and Infectious Diseases, Bethesda, Maryland, USA.
Ruchi S GuptaNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID 0000-0001-9949-2129
Northwestern University · USNational Institute of Allergy and Infectious Diseases · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Intervention to Reduce Early (Peanut) Allergy in Children (iREACH)U01AI138907 · NIAID · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI GUPTA, RUCHI S · 2019 to 2023
$8.0M
National Institute of Allergy and Infectious Diseases U01AI138907NCATS NIH HHS UL1 TR001422NIAID NIH HHS U01 AI138907
6 · The paper itself

Abstract

backgroundIntroducing peanut products early can prevent peanut allergy (PA). The "Addendum guidelines for the prevention of PA in the United States" (PPA guidelines) recommend early introduction of peanut products to low and moderate risk infants and evaluation prior to starting peanut products for infants at high risk for PA (those with severe eczema and/or egg allergy). Rapid adoption of guidelines could aid in lowering the prevalence of PA. The Intervention to Reduce Early (Peanut) Allergy in Children (iREACH) trial was designed to promote PPA guideline adherence by pediatric clinicians.

methodsA two-arm, cluster-randomized, controlled clinical trial was designed to measure the effectiveness of an intervention that included clinician education and accompanying clinical decision support tools integrated in electronic health records (EHR) versus standard care. Randomization was at the practice level (n = 30). Primary aims evaluated over an 18-month trial period assess adherence to the PPA guidelines using EHR documentation at 4- and 6-month well-child care visits aided by natural language processing. A secondary aim will evaluate the effectiveness in decreasing the incidence of PA by age 2.5 years using EHR documentation and caregiver surveys. The unit of observation for evaluations are individual children with clustering at the practice level.

conclusionApplication of this intervention has the potential to inform the development of strategies to speed implementation of PPA guidelines.

Indexed as

Egg HypersensitivityPeanut HypersensitivityArachisChildChild, PreschoolHumansImmunoglobulin EInfantRandomized Controlled Trials as TopicUnited StatesImmunoglobulin Eclinical trialpeanut allergy preventionpediatric primary carepractice‐based research

Identifiers

PMID38566365
PMCPMC11268822
OpenAlexW4393866650

What OpenQuestion holds

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Registered trials

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.