AAAAI Work Group Report: Trends in Oral Food Challenge Practices Among Allergists in the United States

AAAAI Work Group Report: Trends in Oral Food Challenge Practices Among Allergists in the United States
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DOI:
10.1016/j.jaip.2020.07.035
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发表时间:
2020-11-01
影响因子:
9.4
通讯作者:
Greenhawt, Matthew
Greenhawt, Matthew
中科院分区:
医学1区
文献类型:
--
作者:
Greiwe, Justin;Oppenheimer, John;Greenhawt, Matthew

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口服食物挑战(OFC)是诊断食物过敏的标准,但先前的研究表明,许多过敏症专科医生可能出于各种原因而不使用OFC。为了更好地了解OFC当前的趋势、做法和障碍,美国过敏、哮喘和免疫学学会(AAAAI)食品不良反应委员会小组委员会更新了一份包含19个项目的调查(之前在2009年进行),并将其发送给AAAAI和美国过敏、哮喘和免疫学学会(ACAAI)成员。总共有546名受访者,他们的回复率约为10%。在546名受访者中,与2009年相比,提供离岸金融服务(95%比84.5%)、每月提供10家离岸金融服务(17%比5.6%)、获得知情同意(82.2%比53.6%)、以团契形式提供离岸金融服务(71%比45%)(均为P<.001)的提供商显著增加。OFC培训的团契有限,56%的学员进行了培训
The oral food challenge (OFC) is the criterion standard for diagnosing food allergy, but prior studies indicate many allergists may not be using OFCs for various reasons. To better understand current OFC trends, practices, and barriers, the American Academy of Allergy Asthma and Immunology (AAAAI) Adverse Reactions to Foods Committee subcommittee updated a 19-item survey (previously administered in 2009) and sent it to AAAAI and American College of Allergy, Asthma, and Immunology (ACAAI) membership. There were a total of 546 respondents who represented approximately a 10% response rate. Among the 546 respondents, compared with 2009, significantly more providers offer OFCs (95% vs 84.5%), offer >10 OFCs per month (17% vs 5.6%), obtain informed consent (82.2% vs 53.6%), and performed OFCs in fellowship (71% vs 45%) (all P < .001). Fellowship OFC training was limited, with 56% performing