Household Costs Associated with Objectively Diagnosed Allergy to Staple Foods in Children and Adolescents

Protudjer, Jennifer L. P.; Jansson, Sven-Arne; Arnlind, Marianne Heibert; Bengtsson, Ulf; Kallström-Bengtsson, Ingrid; Marklund, Birgitta; Middelveld, Roelinde; Rentzos, Georgios; Sundqvist, Ann-Charlotte; Åkerström, Johanna; Östblom, Eva; Dahlén, Sven‐Erik; Ahlstedt, S.

doi:10.1016/j.jaip.2014.09.021

Cited by 63 publications

(98 citation statements)

References 27 publications

(37 reference statements)

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“…In addition, a Swedish questionnaire study that included 144 children and adolescents with food allergies and 150 nonallergic controls reported higher total household costs for those with allergies (22). The annual total household costs were €3961 higher for children and €4792 higher for adolescents than for the controls (22). In addition, the higher annual healthcare costs were associated with food allergies in a European patient-based, cost-of-illness study (23).…”

Section: Discussionmentioning

confidence: 98%

National allergy programme had little impact on parent‐reported food allergies in children aged 6–7 years

Palmu

Heikkilä

Uski³

et al. 2017

Acta Paediatrica

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Section: Discussionmentioning

confidence: 98%

National allergy programme had little impact on parent‐reported food allergies in children aged 6–7 years

Palmu

Heikkilä

Uski³

et al. 2017

Acta Paediatrica

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“…purchasing special food, direct and indirect medical costs and time off work) translating to $21.8 billion/year for the United States alone . A questionnaire‐based European study estimated that total household costs were higher by €3961 for children with confirmed food allergy and €4792 for adolescents compared with controls, with higher costs associated with a diagnosis of anaphylaxis . The EuroPrevall study examined the additional cost of care in those diagnosed with self‐reported food allergy in nine European countries, estimating an additional cost of International $927 per adult per year, with higher costs in those with more severe disease …”

Section: Counting the Economic Costmentioning

confidence: 99%

Food allergy: is prevalence increasing?

Tang

Mullins

2017

Internal Medicine Journal

215

154

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It is generally accepted that the prevalence of food allergy has been increasing in recent decades, particularly in westernised countries, yet high‐quality evidence that is based on challenge confirmed diagnosis of food allergy to support this assumption is lacking because of the high cost and potential risks associated with conducting food challenges in large populations. Accepting this caveat, the use of surrogate markers for diagnosis of food allergy (such as nationwide data on hospital admissions for food anaphylaxis or clinical history in combination with allergen‐specific IgE (sIgE) measurement in population‐based cohorts) has provided consistent evidence for increasing prevalence of food allergy at least in western countries, such as the UK, United States and Australia. Recent reports that children of East Asian or African ethnicity who are raised in a western environment (Australia and United States respectively) have an increased risk of developing food allergy compared with resident Caucasian children suggest that food allergy might also increase across Asian and African countries as their economies grow and populations adopt a more westernised lifestyle. Given that many cases of food allergy persist, mathematical principles would predict a continued increase in food allergy prevalence in the short to medium term until such time as an effective treatment is identified to allow the rate of disease resolution to be equal to or greater than the rate of new cases.

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“…Yet, health-related quality of life does not appear to differ between the phenotypes [18]. Moreover, both phenotypes burden healthcare systems [19, 20], society [21] and households [21, 22]. …”

Section: Introductionmentioning

confidence: 99%

Food-Related Symptoms and Food Allergy in Swedish Children from Early Life to Adolescence

et al. 2016

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BackgroundRisk factors for persistence of food-related symptoms (FRS) and food allergy (FA) from early life to adolescence are incompletely understood. The aim of this study was to identify risk factors for FRS and FA in adolescence amongst children with FRS or FA in the first four years of life (early life).MethodsIn children enrolled in a Swedish birth cohort and followed to 16 years (n = 2572), we defined children with early life FRS in the absence of FA, and FA. Corresponding phenotypes were defined at 16 years. Associations between potential risk factors at 4 years and FRS and FA at 16 years were investigated using logistic regression.ResultsEarly life FRS and FA prevalences were 12.2% and 6.8%, respectively. Amongst children with early life FRS, 35.7% had FRS or FA at 16 years, whereas 74.3% of the children with early life FA had FA at 16 years. For each of the early life phenotypes, parental allergy, early life allergic multimorbidity, early life reactions to peanuts/tree nuts and IgE reactivity at 4 years were statistically significantly associated with FRS or FA at 16 years. In contrast, male sex was associated with an increased risk of FA at 16 years among children with early life FA only.ConclusionsIn early life, food-related symptoms are twice as common as food allergy. Unlike food allergy, food-related symptoms often remit by adolescence. Yet, these phenotypes have many common risk factors for persistence to adolescence.

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Household Costs Associated with Objectively Diagnosed Allergy to Staple Foods in Children and Adolescents

Cited by 63 publications

References 27 publications

National allergy programme had little impact on parent‐reported food allergies in children aged 6–7 years

National allergy programme had little impact on parent‐reported food allergies in children aged 6–7 years

Food allergy: is prevalence increasing?

Food-Related Symptoms and Food Allergy in Swedish Children from Early Life to Adolescence

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