TY - JOUR
T1 - Varying Approaches to Management of IgE-Mediated Food Allergy in Children Around the World
AU - Lloyd, Melanie
AU - Loke, Paxton
AU - Mack, Douglas P.
AU - Sicherer, Scott H.
AU - Perkin, Michael R.
AU - Boyle, Robert
AU - Yin Leung, Agnes Sze
AU - Lee, Bee Wah
AU - Levin, Michael
AU - Blumchen, Katharina
AU - Fiocchi, Alessandro
AU - Ebisawa, Motohiro
AU - Oliveira, Lucila Camargo Lopes de
AU - Tang, Mimi L.K.
N1 - Publisher Copyright:
© 2023
PY - 2023/4
Y1 - 2023/4
N2 - Food allergy is a chronic disease that affects individuals of all ages and is a significant public health problem globally. This narrative overview examines clinical management strategies for IgE-mediated food allergy in children around the world to understand variations in practice. Information was drawn from clinical practice guidelines, recent research, the websites of professional and governmental bodies with expertise in food allergy, and clinical experts from a broad cross-section of geographical regions. The structure and delivery of clinical services, allergen avoidance and food labeling, and resources to support the management of allergic reactions in the community are discussed in detail. The adoption of emerging food immunotherapies is also explored. Wide variations in clinical management of food allergy were apparent across the different countries. Common themes were continuing issues with access to specialist care and recognition of the need to balance risk reduction with dietary and social restrictions to avoid unnecessary detrimental impacts on the quality of life of food allergy sufferers. Findings highlight the need for standardized presentation of practice and priorities, and may assist clinicians and researchers when engaging with government and funding agencies to address gaps.
AB - Food allergy is a chronic disease that affects individuals of all ages and is a significant public health problem globally. This narrative overview examines clinical management strategies for IgE-mediated food allergy in children around the world to understand variations in practice. Information was drawn from clinical practice guidelines, recent research, the websites of professional and governmental bodies with expertise in food allergy, and clinical experts from a broad cross-section of geographical regions. The structure and delivery of clinical services, allergen avoidance and food labeling, and resources to support the management of allergic reactions in the community are discussed in detail. The adoption of emerging food immunotherapies is also explored. Wide variations in clinical management of food allergy were apparent across the different countries. Common themes were continuing issues with access to specialist care and recognition of the need to balance risk reduction with dietary and social restrictions to avoid unnecessary detrimental impacts on the quality of life of food allergy sufferers. Findings highlight the need for standardized presentation of practice and priorities, and may assist clinicians and researchers when engaging with government and funding agencies to address gaps.
KW - IgE-mediated food allergy
KW - clinical variation
KW - food allergy management
KW - food immunotherapy
KW - patient-centered care
UR - http://www.scopus.com/inward/record.url?scp=85149653839&partnerID=8YFLogxK
U2 - 10.1016/j.jaip.2023.01.049
DO - 10.1016/j.jaip.2023.01.049
M3 - Review article
C2 - 36805346
AN - SCOPUS:85149653839
SN - 2213-2198
VL - 11
SP - 1010-1027.e6
JO - Journal of Allergy and Clinical Immunology: In Practice
JF - Journal of Allergy and Clinical Immunology: In Practice
IS - 4
ER -