Evidence map›Paper›PMID 41110838›Full record

ArticlePediatrics2025

Guidelines for Early Food Introduction and Patterns of Food Allergy.

Stanislaw J Gabryszewski, Jesse Dudley, Jennifer A Faerber, Robert W Grundmeier, Alexander G Fiks, Jonathan M Spergel, David A Hill

Abstract read
In one paragraph

Article in Pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Stanislaw J GabryszewskiDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Jesse DudleyClinical 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.
Jonathan M SpergelDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
David A HillDivision of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Funding

Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI Trevor M Penning · 2006 to 2026
$35.3M
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
Modeling and prediction of allergic trajectories in childrenK08AI182477 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI Stanislaw J Gabryszewski · 2025 to 2026
$302k
NHLBI NIH HHS R01 HL162715NIAID NIH HHS K08 AI182477NICHD NIH HHS T32 HD043021NIEHS NIH HHS P30 ES013508
6 · The paper itself

Abstract

objectiveWe aimed to determine whether rates of peanut (or any) immunoglobulin E-mediated food allergy (IgE-FA) changed following the publication of early peanut introduction guidelines and/or addendum guidelines.

methodsUsing electronic health record data from the multistate, primary care-based American Academy of Pediatrics Comparative Effectiveness Research through Collaborative Electronic Reporting (CER2) network, we defined preguidelines, postguidelines, and postaddendum guidelines cohorts (cohort entry during September 1, 2012, to August 31, 2014; September 1, 2015, to August 31, 2017; and February 1, 2017, to January 31, 2019, respectively). We determined the cumulative incidence of IgE-FA and/or atopic dermatitis (AD) in children aged 0-3 years, observed for either at least 1 or 2 years. Diagnosis rates during pre- vs postguidelines periods were compared using logistic regression, Cox proportional hazards modeling, and interrupted time series analysis.

resultsThe cumulative incidence and risk of development of peanut IgE-FA (0.79%-0.53%; hazard ratio [HR], 0.65; 95% CI, 0.55-0.77) and any IgE-FA (1.46%-1.02%; HR, 0.69; 95% CI, 0.61-0.78) decreased significantly (P < .0001) from the preguidelines to postguidelines period. Furthermore, the cumulative incidence and risk of development of peanut IgE-FA (0.79%-0.45%; HR, 0.55; 95% CI, 0.46-0.66) and any IgE-FA (1.46%-0.93%; HR, 0.63; 95% CI, 0.55-0.72) decreased significantly (P < .0001) from the preguidelines to postaddendum guidelines period. A decline in IgE-FA diagnosis postguidelines was confirmed in the interrupted time series analysis.

conclusionWe detected decreased rates of peanut or any IgE-FA in the period following the publication of early introduction guidelines and addendum guidelines. Our results are supportive of the intended effect of these landmark public health recommendations.

Indexed as

Food HypersensitivityPeanut HypersensitivityPractice Guidelines as TopicChild, PreschoolDermatitis, AtopicFemaleHumansImmunoglobulin EIncidenceInfantInfant, NewbornMaleUnited StatesImmunoglobulin E

Identifiers

PMID41110838
PMCPMC12614487

What OpenQuestion holds

Textmetadata
LicenceTDM
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.