World Allergy Organization Journal: the Editors Look Back at 2016

Jensen‐Jarolim, Erika; Fiocchi, Alessandro

doi:10.1186/s40413-017-0140-9

Cited by 1 publication

(1 citation statement)

References 33 publications

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“…Clinical practice guidelines are part of this mission. In the last 10 years, WAO produced guidelines on anaphylaxis, allergy prevention, urticaria, allergy training, hereditary angioedema, and molecular diagnosis [ 1 ]. All of these documents aim at deepening the clinician’s knowledge, improving the quality of diagnosis and care and reducing inappropriate variation in practice.…”

Section: Introductionmentioning

confidence: 99%

The global impact of the DRACMA guidelines cow’s milk allergy clinical practice

Fiocchi

Schünemann

Ansotegui

et al. 2018

World Allergy Organization Journal

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Background: The 2010 Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) guidelines are the only Grading of Recommendations Assessment, Development and Evaluation (GRADE) guidelines for cow's milk allergy (CMA). They indicate oral food challenge (OFC) as the reference test for diagnosis, and suggest the choice of specific alternative formula in different clinical conditions. Their recommendations are flexible, both in diagnosis and in treatment. Objectives & methods: Using the Scopus citation records, we evaluated the influence of the DRACMA guidelines on milk allergy literature. We also reviewed their impact on successive food allergy and CMA guidelines at national and international level. We describe some economic consequences of their application. Results: DRACMA are the most cited CMA guidelines, and the second cited guidelines on food allergy. Many subsequent guidelines took stock of DRACMA's metanalyses adapting recommendations to the local context. Some of these chose not to consider OFC as an absolute requirement for the diagnosis of CMA. Studies on their implementation show that in this case, the treatment costs may increase and there is a risk of overdiagnosis. Interestingly, we observed a reduction in the cost of alternative formulas following the publication of the DRACMA guidelines.

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Section: Introductionmentioning

confidence: 99%