Protocol for a systematic review of the diagnostic test accuracy of tests for IgE-mediated food allergy.

IgE-mediated basophil activation test component-resolved diagnostics diagnosis diagnostic tests food allergy mast cell activation test skin prick test specific IgE

Journal

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
ISSN: 1399-3038
Titre abrégé: Pediatr Allergy Immunol
Pays: England
ID NLM: 9106718

Informations de publication

Date de publication:
01 2022
Historique:
revised: 06 09 2021
received: 14 07 2021
accepted: 09 09 2021
pubmed: 22 10 2021
medline: 18 3 2022
entrez: 21 10 2021
Statut: ppublish

Résumé

The European Academy of Allergy and Clinical Immunology (EAACI) is in the process of updating the guidelines on the diagnosis and management of food allergy. The existing guidelines are based on a systematic review of the literature until 30 September 2012. Therefore, a new systematic review must be undertaken to inform the new guidelines. This systematic review aims to assess the accuracy of index tests to support the diagnosis of IgE-mediated food allergy. The databases Cochrane CENTRAL (Trials), MEDLINE (OVID) and Embase (OVID) will be searched for diagnostic test accuracy studies from 1 October 2012 to 30 June 2021. Inclusion and exclusion criteria will be used to select appropriate studies. Data from these studies will be extracted and tabulated, and then reviewed for risk of bias and applicability using the QUADAS-2 tool. All evaluations will be done in duplicate. Studies with a high risk of bias and low applicability will be excluded. Meta-analysis will be performed if there are three or more studies of the same index test and food. A protocol for the systematic review and meta-analyses is presented and was registered using Prospero prior to commencing the literature search. Oral food challenges are the reference standard for diagnosis but involve considerable risks and resources. This protocol for systematic review aims to assess the accuracy of various tests to diagnose food allergy, which can be useful in both clinical and research settings.

Sections du résumé

BACKGROUND
The European Academy of Allergy and Clinical Immunology (EAACI) is in the process of updating the guidelines on the diagnosis and management of food allergy. The existing guidelines are based on a systematic review of the literature until 30 September 2012. Therefore, a new systematic review must be undertaken to inform the new guidelines. This systematic review aims to assess the accuracy of index tests to support the diagnosis of IgE-mediated food allergy.
METHODS
The databases Cochrane CENTRAL (Trials), MEDLINE (OVID) and Embase (OVID) will be searched for diagnostic test accuracy studies from 1 October 2012 to 30 June 2021. Inclusion and exclusion criteria will be used to select appropriate studies. Data from these studies will be extracted and tabulated, and then reviewed for risk of bias and applicability using the QUADAS-2 tool. All evaluations will be done in duplicate. Studies with a high risk of bias and low applicability will be excluded. Meta-analysis will be performed if there are three or more studies of the same index test and food.
RESULTS
A protocol for the systematic review and meta-analyses is presented and was registered using Prospero prior to commencing the literature search.
DISCUSSION
Oral food challenges are the reference standard for diagnosis but involve considerable risks and resources. This protocol for systematic review aims to assess the accuracy of various tests to diagnose food allergy, which can be useful in both clinical and research settings.

Identifiants

pubmed: 34674299
doi: 10.1111/pai.13684
doi:

Substances chimiques

Allergens 0
Immunoglobulin E 37341-29-0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e13684

Subventions

Organisme : Medical Research Council
ID : G0902018
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/M008517/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/T032081/1
Pays : United Kingdom

Investigateurs

Cezmi A Akdis (CA)
Alberto Alvarez-Perea (A)
Montserrat Alvaro Lozano (MA)
Riccardo Asero (R)
Barbara Ballmer-Weber (B)
Domingo Barber (D)
Simona Barni (S)
Giovanni Battista Pajno (GB)
Kirsten Beyer (K)
Carsten Bindslev-Jensen (C)
Helen Brough (H)
Betul Buyuktiryaki (B)
Lucila Camargo Lopes de Oliveira (LCL)
Antonella Cianferoni (A)
R Sharon Chinthrajah (RS)
Sean N Parker (SN)
Stefano Del Giacco (SD)
Audrey DunnGalvin (A)
Bernadette Eberlein (B)
Motohiro Ebisawa (M)
Philippe Eigenmann (P)
Thomas Eiwegger (T)
Margaretha Faber (M)
Montserrat Fernandez-Rivas (M)
Mary Feeney (M)
Helen Fisher (H)
Mattia Giovannini (M)
Susanne Halken (S)
Karin Hoffmann-Sommergruber (K)
Hannah Jaumdally (H)
Christina J Jones (CJ)
Rebecca Knibb (R)
Edward Knol (E)
George N Konstantinou (GN)
Marta Krawiec (M)
Susanne Lau (S)
Lina Mayorga (L)
M Andreina Marques-Mejias (MA)
Rosan Meyer (R)
Beatriz Moya (B)
Charlotte G Mortz (CG)
Antonella Muraro (A)
Kari Nadeau (K)
N Parker (N)
Caroline Nilsson (C)
Liam O'Mahony (L)
Nikolaos G Papadopoulos (NG)
Kirsten Perrett (K)
Alexandre Piletta-Zanin (A)
Marcia Podestà (M)
Lars K Poulsen (LK)
Cristian Ricci (C)
Graham Roberts (G)
Hugh Sampson (H)
Sylwia Smolińska (S)
Jürgen Schwarze (J)
Eva Untersmayr (E)
Ronald Van Ree (RV)
Carina Venter (C)
Brian P Vickery (BP)
Berber Vlieg-Boerstra (B)

Informations de copyright

© 2021 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd.

Références

Gupta RS, Warren CM, Smith BM, et al. The public health impact of parent-reported childhood food allergies in the United States. Pediatrics. 2018;142(6):e20181235.
Baseggio Conrado A, Ierodiakonou D, Gowland MH, Boyle RJ, Turner PJ. Food anaphylaxis in the United Kingdom: analysis of national data, 1998-2018. BMJ. 2021;372:n251.
Sicherer SH, Sampson HA. Food allergy: a review and update on epidemiology, pathogenesis, diagnosis, prevention, and management. J Allergy Clin Immunol. 2018;141:41-58.
Grabenhenrich L, Trendelenburg V, Bellach J, et al. Frequency of food allergy in school-aged children in eight European countries - the EuroPrevall-iFAAM birth cohort. Allergy. 2020;75(9):2294-2308.
Tham EH, Leung DYM. How different parts of the world provide new insights into food allergy. Allergy Asthma Immunol Res. 2018;10:290-299.
Walsh J, Meyer R, Shah N, Quekett J, Fox AT. Differentiating milk allergy (IgE and non-IgE mediated) from lactose intolerance: understanding the underlying mechanisms and presentations. Br J Gen Pract. 2016;66:e609-e611.
Waserman S, Bégin P, Watson W. IgE-mediated food allergy. Allergy Asthma Clin Immunol. 2018;14:55.
Lopez CM, Yarrarapu SNS, Mendez MD. Food Allergies. StatPearls; 2021.
Dribin TE, Schnadower D, Spergel JM, et al. Severity grading system for acute allergic reactions: a multidisciplinary Delphi study. J Allergy Clin Immunol. 2021;148(1):173-181.
Foong RX, Dantzer JA, Wood RA, Santos AF. Improving diagnostic accuracy in food allergy. J Allergy Clin Immunol Pract. 2021;9:71-80.
Callery EL, Keymer C, Barnes NA, Rowbottom AW. Component-resolved diagnostics in the clinical and laboratory investigation of allergy. Ann Clin Biochem. 2020;57:26-35.
Soares-Weiser K, Takwoingi Y, Panesar SS, et al. The diagnosis of food allergy: a systematic review and meta-analysis. Allergy. 2014;69:76-86.
Whiting PF, Rutjes AW, Westwood ME, et al. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011;155:529-536.
Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336:924-926.
Schünemann HJ, Oxman AD, Brozek J, et al. Grading quality of evidence and strength of recommendations for diagnostic tests and strategies. BMJ. 2008;336:1106-1110.
Klemans RJ, van Os-Medendorp H, Blankestijn M, Bruijnzeel-Koomen CA, Knol EF, Knulst AC. Diagnostic accuracy of specific IgE to components in diagnosing peanut allergy: a systematic review. Clin Exp Allergy. 2015;45:720-730.
Nilsson C, Berthold M, Mascialino B, Orme ME, Sjolander S, Hamilton RG. Accuracy of component-resolved diagnostics in peanut allergy: systematic literature review and meta-analysis. Pediatr Allergy Immunol. 2020;31:303-314.
Nilsson C, Berthold M, Mascialino B, Orme M, Sjolander S, Hamilton R. Allergen components in diagnosing childhood hazelnut allergy: systematic literature review and meta-analysis. Pediatr Allergy Immunol. 2020;31:186-196.
Flores Kim J, McCleary N, Nwaru BI, Stoddart A, Sheikh A. Diagnostic accuracy, risk assessment, and cost-effectiveness of component-resolved diagnostics for food allergy: a systematic review. Allergy. 2018;73:1609-1621.
Santos AF, Douiri A, Bécares N, et al. Basophil activation test discriminates between allergy and tolerance in peanut-sensitized children. J Allergy Clin Immunol. 2014;134:645-652.
Santos AF, Bergmann M, Brough HA, et al. Basophil activation test reduces oral food challenges to nuts and sesame. J Allergy Clin Immunol Pract. 2020;9(5):2016-2027.e6.
Santos AF, Du Toit G, O’Rourke C, et al. Biomarkers of severity and threshold of allergic reactions during oral peanut challenges. J Allergy Clin Immunol. 2020;146(2):344-355.
Imakiire R, Fujisawa T, Nagao M, et al. Basophil activation test based on CD203c expression in the diagnosis of fish allergy. Allergy Asthma Immunol Res. 2020;12:641-652.
Mehlich J, Fischer J, Hilger C, et al. The basophil activation test differentiates between patients with alpha-gal syndrome and asymptomatic alpha-gal sensitization. J Allergy Clin Immunol. 2019;143:182-189.
Elizur A, Appel MY, Nachshon L, et al. NUT Co Reactivity - ACquiring Knowledge for Elimination Recommendations (NUT CRACKER) study. Allergy. 2018;73:593-601.
Schwager C, Kull S, Behrends J, et al. Peanut oleosins associated with severe peanut allergy-importance of lipophilic allergens for comprehensive allergy diagnostics. J Allergy Clin Immunol. 2017;140(5):1331-1338.e8.
Appel MY, Nachshon L, Elizur A, Levy MB, Katz Y, Goldberg MR. Evaluation of the basophil activation test and skin prick testing for the diagnosis of sesame food allergy. Clin Exp Allergy. 2018;48:1025-1034.
Wai CYY, Leung NYH, Leung ASY, et al. Cell-based functional IgE assays are superior to conventional allergy tests for shrimp allergy diagnosis. J Allergy Clin Immunol Pract. 2021;9(1):236-244.e9.
Santos AF, Couto-Francisco N, Becares N, Kwok M, Bahnson HT, Lack G. A novel human mast cell activation test for peanut allergy. J Allergy Clin Immunol. 2018;142(2):689-691.e9.

Auteurs

Jon Genuneit (J)

Pediatric Epidemiology, Department of Pediatrics, Medical Faculty, Leipzig University, Leipzig, Germany.

Sashini Jayasinghe (S)

Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.

Carmen Riggioni (C)

Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore city, Singapore.

Rachel Louise Peters (RL)

Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia.

Derek K Chu (DK)

Department of Medicine and Department of Health Research Methods, Evidence & Impact, McMaster University, Hamilton, Ontario, Canada.

Daniel Munblit (D)

Department of Paediatrics and Paediatric Infectious Diseases, Institute of Child's Health, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Inflammation, Repair and Development Section, National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, UK.

Robert J Boyle (RJ)

Inflammation, Repair and Development Section, National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, UK.

George Du Toit (G)

Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, UK.
Children's Allergy Service, Evelina London, Guy's and St Thomas' Hospital, London, UK.

Isabel Skypala (I)

Department of Allergy and Clinical Immunology, Royal Brompton and Harefield NHS Foundation Trust, London, UK.

Alexandra F Santos (AF)

Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
Peter Gorer Department of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, UK.
Children's Allergy Service, Evelina London, Guy's and St Thomas' Hospital, London, UK.
Asthma UK Centre in Allergic Mechanisms of Asthma, London, UK.

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