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

Palmu, Sauli; Heikkilä, Paula; Uski, Virpi; Niitty, Siina; Kurikka, Sari; Korppi, Matti

doi:10.1111/apa.14083

Cited by 4 publications

(5 citation statements)

References 23 publications

(35 reference statements)

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“…and many of the unnecessary diets suspended in Step 2 of the study were attributed to avoidance of milk or egg. Our results show that these diets easily remain unmonitored even after tolerance to foods is achieved, as also demonstrated in a recent surveillance work 18. The reasons behind this phenomenon are most likelyhabitual and slow clinical follow-up.…”

supporting

confidence: 78%

Structured intervention plan including component‐resolved diagnostics helps reducing the burden of food allergy among school‐aged children

Savolainen

Mascialino

Pensamo

et al. 2018

Pediatric Allergy Immunology

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Background Food allergies can substantially burden patients and families by negatively affecting finances, social relationships, and personal perceptions of health. This study was performed under the Finnish Allergy Programme aimed at reducing avoidance diets to foods in schoolchildren by 50%. The main goal of this study was to investigate how many children could be freed from diet restrictions in a Finnish school district through a diagnostic algorithm including component‐resolved diagnostics and food challenge. The secondary aim was to provide a crude estimate of the burden of the elimination food diets in the region, and the savings associated with the proposed intervention. Methods A total of 205 children on a food avoidance diet according to the school register because of food allergy were invited into the study. One hundred and fifty‐seven children were interviewed, tested for IgE to extracts and allergen components and food challenged in respective order. Results After two years, 12 children still had an avoidance diet and three of them were treated successfully with sOTI; the rest suspended their avoidance diet (n = 134) or dropped out of the study (n = 11). The cost of the elimination diets was estimated in 172 700€ per year at start and 13 200€ per year at the end of the study; total savings were 128 400€ yearly. Conclusions The results demonstrate a 65% reduction of avoidance diets to foods in school‐aged children, exceeding the 50% aim of the Finnish Allergy Programme. Therefore, it is possible to actively reduce the number of food allergy diagnoses that remain unmonitored in the society through a tailored diagnostic work‐up.

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supporting

confidence: 78%

Structured intervention plan including component‐resolved diagnostics helps reducing the burden of food allergy among school‐aged children

Savolainen

Mascialino

Pensamo

et al. 2018

Pediatric Allergy Immunology

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“… The prevalence of self-reported wheat allergy; ( A ): the subgroup analysis for age; ( B ): the subgroup analysis for economy; ( C ): the subgroup analysis for region, ( D ): the subgroup analysis for timespan [ 18 , 19 , 21 , 23 , 26 , 27 , 28 , 30 , 31 , 32 , 34 , 35 , 36 , 37 , 41 , 42 , 44 , 46 , 47 , 49 , 50 , 51 , 54 , 55 , 56 , 57 , 59 , 62 , 63 , 66 , 67 , 68 , 70 , 71 , 72 ]. …”

Section: Figurementioning

confidence: 99%

A Meta-Analysis of the Prevalence of Wheat Allergy Worldwide

Liu

Wang

et al. 2023

Nutrients

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Wheat allergy is a primary disease of food allergy, and its global prevalence is unclear. This study aimed to characterize the latest worldwide prevalence of wheat allergy based on five different diagnostic methods. Study searches were conducted in Web of Science, PubMed, Ovid LWW, and Cochrane database, with a time limit of 1 January 2007 to 1 September 2022. The review and screening of the articles was undertaken by two independent reviewers. The statistical analysis was conducted by R. A total of 56 articles were finally included. The prevalence of wheat allergy was 0.63% (95% CI: 0.43–0.87%) for self-reported, 0.70% (95% CI: 0.18–1.22%) for self-reported physician-diagnosed, 0.22% (95%CI: 0.07–0.65%) for skin prick test positive, 0.97% (95% CI: 0.43–2.20%) for specific immunoglobulin E positive, and 0.04% (95% CI: 0–0.16%) for food challenge. However, food challenge can be largely subjective, and the results were only based two countries, so the prevalence of wheat allergy confirmed by food challenge may be not entirely trustworthy. In conclusion, investigating the prevalence of wheat allergy in the real world as accurately as possible will contribute to the prevention, management, and risk assessment of wheat allergy.

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“…Approximately half (48%) of children at risk for anaphylaxis may not possess/carry a designated AAI device [ 71 ], highlighting a need for stock AAI at schools. A 2019 cost-effectiveness study compared two school epinephrine supply strategies and demonstrated that stocking two unprescribed twin-pack units in addition to student’s individual AAI is cost-effective when total school adrenaline acquisition expenses do not exceed €311/school/year [ 72 ].…”

Section: Unique Considerations At Schoolsmentioning

confidence: 99%

The Economic Burden of Food Allergy: What We Know and What We Need to Learn

Fong

Ahlstedt

Golding

et al. 2022

Curr Treat Options Allergy

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Purpose of Review Food allergy management and treatment require dietary modification, are associated with significant burdens, and affect food choices and behaviours. Emerging therapies, such as oral immunotherapy (OIT), provide a glimmer of hope for those living with the condition. Some burdens have received substantial focus, whereas many knowledge gaps on the significance of other impacts, including economic burden, remain. Recent Findings Evidence from many countries, but disproportionately from the United States, supports that food allergy carries significant healthcare and societal costs. Early introduction for the prevention of food allergies is theoretically cost-effective, but remains largely undescribed. Unique considerations, such as those to cow’s milk protein allergy, which affects a substantial proportion of infants, and adrenaline autoinjectors, which have a high cost-per-use, require a balance between cost-effectiveness to the healthcare system and adverse outcomes. Household costs have largely been explored in two countries, but owing to different healthcare structures and costs of living, comparisons are difficult, as are generalisations to other countries. Stock epinephrine in schools may present a cost-effective strategy, particularly in economically disadvantaged areas. Costs relating to OIT must be examined within both immediate benefits, such as protection from anaphylaxis, and long-term benefits, such as sustained unresponsiveness. Summary Although the absolute costs differ by region/country and type of food allergy, a consistent pattern persists: food allergy is a costly condition, to those who live with it, and the multiple stakeholders with which they interact. Supplementary Information The online version contains supplementary material available at 10.1007/s40521-022-00306-5.

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

Cited by 4 publications

References 23 publications

Structured intervention plan including component‐resolved diagnostics helps reducing the burden of food allergy among school‐aged children

Structured intervention plan including component‐resolved diagnostics helps reducing the burden of food allergy among school‐aged children

A Meta-Analysis of the Prevalence of Wheat Allergy Worldwide

The Economic Burden of Food Allergy: What We Know and What We Need to Learn

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