加拿大过敏和临床免疫学学会立场声明:食物过敏的小组测试。

IF 2.6 4区 医学 Q2 ALLERGY Allergy Asthma and Clinical Immunology Pub Date : 2024-11-29 DOI:10.1186/s13223-024-00937-0
Abdulrahman Al Ghamdi, Elissa M Abrams, Stuart Carr, Mariam A Hanna, Sari M Herman, Elana Lavine, Harold Kim, Timothy K Vander Leek, Douglas P Mack
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引用次数: 0

摘要

本立场声明针对使用面板食品检测诊断食物过敏的关键问题和建议做法。食物过敏是一个重要的公共卫生问题,食物过敏的误诊仍然是一个普遍的问题,而持续使用的面板食品检测使情况变得更糟。对患者进行多种食物过敏原筛查的做法,无论是否与临床相关,通常被称为“面板食物测试”。从根本上说,面板食品测试不是简单的单一测试;面板食品测试是针对多种食品的一系列不同测试,每个测试都有自己的可变预测值。这些试验作为筛选试验还没有得到充分的验证,并且有相当大的假阳性率。由此产生的错误诊断导致了不必要的饮食限制,增加了医疗保健费用,并给患者及其家属带来了严重的社会心理困扰。
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Canadian Society of Allergy and Clinical Immunology position statement: panel testing for food allergies.

This position statement addresses the critical concerns and recommended practices surrounding the use of panel food testing for diagnosing food allergies. Food allergies are a significant public health concern, and the misdiagnosis of food allergies remains a prevalent concern, made worse by the ongoing use of panel food testing. The practice of screening patients for multiple food allergens, regardless of clinical relevance, is commonly referred to as "panel food testing." Fundamentally, a panel food test is not simply a single test; a panel food test is a series of several distinct tests for multiple foods, each with its own variable predictive value. These tests have not been adequately validated as screening tests and carry a considerable false positive rate. The resulting false diagnoses lead to unnecessary dietary restrictions, increased healthcare costs, and significant psychosocial distress for patients and their families.

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来源期刊
CiteScore
4.30
自引率
3.70%
发文量
96
审稿时长
12 weeks
期刊介绍: Allergy, Asthma & Clinical Immunology (AACI), the official journal of the Canadian Society of Allergy and Clinical Immunology (CSACI), is an open access journal that encompasses all aspects of diagnosis, epidemiology, prevention and treatment of allergic and immunologic disease. By offering a high-visibility forum for new insights and discussions, AACI provides a platform for the dissemination of allergy and clinical immunology research and reviews amongst allergists, pulmonologists, immunologists and other physicians, healthcare workers, medical students and the public worldwide. AACI reports on basic research and clinically applied studies in the following areas and other related topics: asthma and occupational lung disease, rhinoconjunctivitis and rhinosinusitis, drug hypersensitivity, allergic skin diseases, urticaria and angioedema, venom hypersensitivity, anaphylaxis and food allergy, immunotherapy, immune modulators and biologics, immune deficiency and autoimmunity, T cell and B cell functions, regulatory T cells, natural killer cells, mast cell and eosinophil functions, complement abnormalities.
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