Evidence map›Paper›PMID 40068800›Full record

Trial reportAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2025

Incidence of food allergic reactions among adolescents engaged in food allergy management.

Roxanne Dupuis, Jonathan M Spergel, Terri F Brown-Whitehorn, Andrea B Troxel, Erica L Kenney, Jason P Block, Rachel Feuerstein-Simon, Xochitl Luna Marti, Cynthia J Mollen, Zachary F Meisel and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03284372 (Safer Food Allergy Management for Adolescents), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT03284372 nacompletednot on this map

Safer Food Allergy Management for Adolescents

TypeinterventionalSponsorUniversity of PennsylvaniaRan2018 to 2020Enrolled138ConditionsFood Allergy, Adherence, MedicationArmsText Message Only, Text message + Incentive 1
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

13 authors.

Roxanne DupuisDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts. Electronic address: roxanne.dupuis@nyulangone.org.
Jonathan M SpergelDivision of Allergy and Immunology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Terri F Brown-WhitehornDivision of Allergy and Immunology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Andrea B TroxelDivision of Biostatistics, Department of Population Health, New York University Grossman School of Medicine, New York, New York.
Erica L KenneyDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Jason P BlockDepartment of Population Medicine, Harvard Pilgrim Health Care Institute/Harvard Medical School, Boston, Massachusetts.
Rachel Feuerstein-SimonDepartment of Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Xochitl Luna MartiDepartment of Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Cynthia J MollenDivision of Emergency Medicine, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Zachary F MeiselDepartment of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Kevin G VolppDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Steven L GortmakerDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Carolyn C CannuscioDepartment of Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

Funding

Safer Food Allergy Management for AdolescentsR21HD088941 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI CANNUSCIO, CAROLYN CHRISTA · 2017 to 2018
$461k
NICHD NIH HHS R21 HD088941
6 · The paper itself

Abstract

backgroundAlthough fatal food-induced anaphylaxis is rare, adolescence is the period of highest risk. However, we lack strong estimates of the incidence of food allergic reactions among adolescents.

objectiveTo estimate the incidence of food allergic and anaphylactic reactions among adolescents with food allergy who have a prescription for epinephrine.

methodsAs part of a cohort study that was embedded in a randomized trial to promote safe food allergy management, we followed adolescents aged 15 to 19 years with food allergy and a current prescription for epinephrine for a period of 15 months in 2019 to 2020. At monthly intervals, participants were asked, through text message check-ins, whether they had experienced a food allergic reaction due to accidental exposure to food allergens in the past month.

resultsAmong the cohort of 131 adolescents, 112 answered at least 1 of the 15 monthly check-ins. Together, these respondents contributed 742 person-months of follow-up data of a total possible 1680 person-months. In the 15-month study period, the incidence of food allergic reactions among adolescents with food allergy was 34.0 events per 100 person-years (95% CI: 21.0-51.9). The incidence of food allergic reactions meeting the criteria for anaphylaxis was 16.2 events per 100 person-years (95% CI: 7.8-29.7).

conclusionData on the incidence of food allergic reactions can help set expectations for safe food allergy management for adolescents and their families, and can help inform discussions between patients, families, and physicians regarding different treatment options available and their associated risks and benefits.

trial registrationClinicalTrials.gov Identifier: NCT03284372.

Indexed as

AnaphylaxisFood HypersensitivityAdolescentAllergensCohort StudiesEpinephrineFemaleHumansIncidenceMaleYoung AdultAllergensEpinephrine

Identifiers

PMID40068800
PMCPMC12137010

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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.