Evidence map›Paper›PMID 38597862›Full record

ArticleThe Journal of allergy and clinical immunology2024

Preparing Patients for Oral Immunotherapy (PPOINT): International Delphi consensus for procedural preparation and consent.

Douglas P Mack, Timothy E Dribin, Paul J Turner, Richard L Wasserman, Mariam A Hanna, Marcus Shaker, Mimi L K Tang, Pablo Rodríguez Del Río, Brad Sobolewski, Elissa M Abrams and 28 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in The Journal of allergy and clinical immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
13.0field-weighted citation impact, top 1% 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

14 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Taste aversion and adverse events contribute equally to OIT discontinuation in children: A real-world multi-allergen analysis.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Observational
  3. Article
  4. Wheat allergy, a new and emerging threat of food allergy for children.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
  5. Eating away at food allergy.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Review
  6. Article
  7. Review
  8. Evolving Food Allergy Clinical Trials to Become More Patient-Centered.The journal of allergy and clinical immunology. In practice · 2025
    Review
  9. Article
  10. Article
  11. Zéro allergie research clinic: a clinical and research initiative in oral immunotherapy for managing IgE-mediated food allergy.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Article
  12. Real-world experience: a retrospective pediatric chart review to determine why patients and caregivers discontinue oral immunotherapy.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Article
  13. Article
  14. Selecting patients for food allergy therapy.Journal of food allergy · 2024
    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

38 authors at 20 institutions in 11 countries.

Douglas P MackDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada. Electronic address: mackd1@mcmaster.ca.
Timothy E DribinDivision of Emergency Medicine, Cincinnati Children's Hospital Medical Center; and the Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Paul J TurnerNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Richard L WassermanMedical City Children's Hospital, Dallas, Tex.
Mariam A HannaMcMaster University, Hamilton, Ontario, Canada.
Marcus ShakerDartmouth-Hitchcock Medical Center; and Geisel School of Medicine at Dartmouth, Lebanon, NH.
Mimi L K TangDepartment of Allergy Immunology, Murdoch Children's Research Institute; the Department of Paediatrics, University of Melbourne, Australia; and the Department of Allergy and Immunology, the Royal Children's Hospital Melbourne, Melbourne, Australia.
Pablo Rodríguez Del RíoHospital Infantil Universitario Niño Jesús, Madrid, Spain.
Brad SobolewskiDepartment of Pediatrics, Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, Ohio.
Elissa M AbramsDepartment of Pediatrics, Section of Allergy and Clinical Immunology, University of Manitoba, Winnipeg, Canada.
Aikaterini AnagnostouTexas Children's Hospital, Baylor College of Medicine, Houston, Tex.
Stefania ArasiPediatric Allergology Unit of the Allergy Diseases Research Area, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.
Sakina BajowalaKaneland Allergy and Asthma Center, North Aurora, Ill.
Philippe BéginDepartment of Pediatrics, Section of Allergy, CHU Sainte-Justine; and the Department of Medicine, Section of Allergy, CHUM, Montreal, Canada.
Scott B CameronDepartment of Pediatrics, Division of Allergy and Immunology, University of British Columbia, Vancouver, Canada.
Edmond S ChanDepartment of Pediatrics, Division of Allergy, University of British Columbia, BC Children's Hospital, Vancouver, Canada.
Sharon ChinthrajahSean N. Parker Center for Allergy and Asthma Research, Stanford University, Stanford, Calif.
Andrew T ClarkCambridge University Hospitals NHS Trust, Cambridge, United Kingdom.
Paul DetjenKenilworth Medical, Kenilworth, Ill.
George du ToitDepartment of Paediatric Allergy, Division of Asthma, Allergy and Lung Biology, MRC and Asthma UK Centre in Allergic Mechanisms of Asthma, King's College London; and the Evelina London Children's Hospital, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Motohiro EbisawaNational Hospital Organization, Sagamihara National Hospital, Yokosuka, Japan.
Arnon ElizurInstitute of Allergy, Immunology and Pediatric Pulmonology, Yitzhak Shamir Medical Center; and the Department of Pediatrics, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Jeffrey M FactorDepartment of Pediatrics, University of Connecticut School of Medicine, Farmington, Conn.
Justin GreiweBernstein Allergy Group; the Department of Internal Medicine, Division of Immunology/Allergy Section, the University of Cincinnati College of Medicine, Cincinnati, Ohio.
Jonathan O'B HourihanePaediatrics and Child Health, Royal College of Surgeons in Ireland; and Children's Health Ireland, Dublin, Ireland.
Sarah W HughesDartmouth-Hitchcock Medical Center, Lebanon, NH.
Douglas H JonesGlobal Food Initiative, Clearfield, Utah.
Antonella MuraroFood Allergy Referral Centre Padua, University Hospital, Padua, Italy.
Anna Nowak-WegrzynNYU Grossman School of Medicine, Hassenfeld Children's Hospital, New York; and the Department of Pediatrics, Gastroenterology, and Nutrition, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland.
Nandinee B PatelNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Amy M ScurlockDepartment of Pediatrics, University of Arkansas for Medical Sciences, Arkansas Children's Hospital and Research Institute, Little Rock, Ark.
Atul N ShahCenter for Asthma & Allergy, New York Food Allergy & Wellness, New York, NY.
Sayantani B SindherSean N. Parker Center for Allergy and Asthma Research, Stanford University School of Medicine, Stanford, Calif.
Stephen TillesAimmune Therapeutics, Brisbane; and the University of Washington, Seattle, Wash.
Brian P VickeryEmory University School of Medicine; and Children's Healthcare of Atlanta, Atlanta, Ga.
Julie WangDepartment of Pediatrics, Division of Allergy & Immunology, Icahn School of Medicine at Mount Sinai, New York, NY.
Hugh H WindomWindom Asthma Allergy & Sinus, Sarasota, Fla.
Matthew GreenhawtChildren's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colo.
Cincinnati Children's Hospital Medical Center · USImperial College London · GBMcMaster University · CAStanford University · USUniversity of British Columbia · CAArkansas Children's Hospital · USAsthma Association · BGBambino Gesù Children's Hospital · ITBaylor College of Medicine · USBernstein Clinical Research Center · USCambridge University Hospitals NHS Foundation Trust · GBCentre Hospitalier Universitaire Sainte-Justine · CAChildren's Hospital Colorado · USClearfield (United States) · USDartmouth College · USDartmouth–Hitchcock Medical Center · USEmory University · USHospital Infantil Universitario Niño Jesús · ESIcahn School of Medicine at Mount Sinai · USKing's College London · GB

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
KL2 Training ProgramKL2TR001426 · NCATS · UNIVERSITY OF CINCINNATI · PI ZELLER, MARGARET H · 2015 to 2024
$6.8M
Improving Anaphylaxis Outcomes Through Personalized Care StrategiesK23AI175525 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI Timothy Erick Dribin · 2024 to 2026
$577k
NCATS NIH HHS KL2 TR001426NCATS NIH HHS UL1 TR001425NIAID NIH HHS K23 AI175525
6 · The paper itself

Abstract

backgroundDespite the promise of oral immunotherapy (OIT) to treat food allergies, this procedure is associated with potential risk. There is no current agreement about what elements should be included in the preparatory or consent process.

objectiveWe developed consensus recommendations about the OIT process considerations and patient-specific factors that should be addressed before initiating OIT and developed a consensus OIT consent process and information form.

methodsWe convened a 36-member Preparing Patients for Oral Immunotherapy (PPOINT) panel of allergy experts to develop a consensus OIT patient preparation, informed consent process, and framework form. Consensus for themes and statements was reached using Delphi methodology, and the consent information form was developed.

resultsThe expert panel reached consensus for 4 themes and 103 statements specific to OIT preparatory procedures, of which 76 statements reached consensus for inclusion specific to the following themes: general considerations for counseling patients about OIT; patient- and family-specific factors that should be addressed before initiating OIT and during OIT; indications for initiating OIT; and potential contraindications and precautions for OIT. The panel reached consensus on 9 OIT consent form themes: benefits, risks, outcomes, alternatives, risk mitigation, difficulties/challenges, discontinuation, office policies, and long-term management. From these themes, 219 statements were proposed, of which 189 reached consensus, and 71 were included on the consent information form.

conclusionWe developed consensus recommendations to prepare and counsel patients for safe and effective OIT in clinical practice with evidence-based risk mitigation. Adoption of these recommendations may help standardize clinical care and improve patient outcomes and quality of life.

Indexed as

Delphi TechniqueDesensitization, ImmunologicFood HypersensitivityInformed ConsentAdministration, OralHumansAllergyanaphylaxisconsentDelphifood allergyoral immunotherapypatient preparationrisk mitigationshared decision making

Identifiers

PMID38597862
PMCPMC11461787
OpenAlexW4394563685

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.