Evidence map›Paper›PMID 40919791›Full record

SynthesisAllergy2025

Systematic Review and Meta-Analysis of Oral Immunotherapy Effect on Food Allergy-Related Quality of Life.

Sophie A Rosser, Melanie Lloyd, Ping Tang, Audrey M Walsh, Rachel L Peters, Rushani Wijesuriya, Catherine J Hornung, Jennifer J Koplin, Amalia Karahalios, Mimi L K Tang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  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

10 authors.

Sophie A RosserAllergy Immunology, Murdoch Children's Research Institute, Parkville, Australia.ORCID https://orcid.org/0009-0002-1810-8450
Melanie LloydAllergy Immunology, Murdoch Children's Research Institute, Parkville, Australia.
Ping TangAllergy Immunology, Murdoch Children's Research Institute, Parkville, Australia.ORCID https://orcid.org/0009-0008-8259-1524
Audrey M WalshDepartment of Paediatrics, The University of Melbourne, Parkville, Australia.
Rachel L PetersDepartment of Paediatrics, The University of Melbourne, Parkville, Australia.ORCID https://orcid.org/0000-0002-2411-6628
Rushani WijesuriyaDepartment of Paediatrics, The University of Melbourne, Parkville, Australia.
Catherine J HornungNational Allergy Centre of Excellence (NACE), Parkville, Australia.
Jennifer J KoplinNational Allergy Centre of Excellence (NACE), Parkville, Australia.ORCID https://orcid.org/0000-0002-7576-5142
Amalia KarahaliosNational Allergy Centre of Excellence (NACE), Parkville, Australia.
Mimi L K TangAllergy Immunology, Murdoch Children's Research Institute, Parkville, Australia.

Funding

Australian Commonwealth Government Research Training Program (RTP)Centre for Food Allergy Research Postdoctoral FellowshipNational Allergy Centre of Excellence (NACE) Postgraduate ScholarshipVictorian Government's Operational Infrastructure Program
6 · The paper itself

Abstract

backgroundUncertainty exists regarding the health-related quality of life (HRQL) benefits of food allergen oral immunotherapy (OIT). Up-to-date meta-analyses incorporating HRQL data from recent randomised trials are lacking.

methodsSystematic searches of MEDLINE, Embase, CENTRAL and Google Scholar were conducted for food OIT randomised trials (versus any comparator) that measured HRQL with a validated instrument (27 July 2023). Hedges' g standardised mean differences in HRQL between OIT and comparator were analysed by allergen, reporting perspective, and treatment/post-treatment periods, and synthesised using random-effects meta-analysis models when results from multiple trials were available.

resultsTen trials (nine peanut, one baked milk; N = 1330) were included. No between-group differences were observed in parent-reported child HRQL (g = -0.07, 95% CI: -0.19 to 0.04, 9 trials, N = 1259), self-reported child HRQL (g = -0.23, 95% CI: -0.73 to 0.27, 5 trials, N = 435), or self-reported teenager HRQL (g = 0.00, 95% CI: -0.41 to 0.40, 3 trials, N = 209) during peanut OIT treatment. However, 12 months post-treatment, improved parent-reported child HRQL was observed (g = -0.51, 95% CI: -0.84 to -0.19, 3 comparisons from 2 trials, N = 213). No between-group differences were observed in the baked milk OIT trial in children (g = 0.118, 95% CI: -0.63 to 0.87, N = 26).

conclusionHRQL benefits were observed after OIT protocol completion, with limited evidence of benefit during active treatment.

Indexed as

AllergensDesensitization, ImmunologicFood HypersensitivityQuality of LifeAdministration, OralChildHumansTreatment OutcomeAllergensfood allergyoral immunotherapyquality of life

Identifiers

PMID40919791
PMCPMC12486368

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.