Herbert Linda, Marchisotto Mary Jane, Vickery Brian
Children's National Hospital, 111 Michigan Ave, NW, Washington, DC 20010 USA.
George Washington University School of Medicine, Washington, DC USA.
Curr Treat Options Allergy. 2021;8(1):9-20. doi: 10.1007/s40521-020-00274-8. Epub 2021 Jan 23.
Food allergy management places a daily psychosocial burden on patients and their caregivers. New food allergy treatments may positively impact their lives, but also introduce new stressors. The purpose of this paper is to provide an overview of the current state of the literature regarding patients' and caregivers' food allergy experiences and needs within the United States as well as a set of recommendations regarding how best to proceed with patient-centered development and evaluation of new food allergy treatments.
The first pharmaceutical-grade product for peanut oral immunotherapy was approved in the United States for children aged 4-17 years following a successful international Phase 3 trial. This new treatment is only the first of several food allergy treatments currently under development. Patients will soon be presented with multiple options for food allergy treatment and will need to make decisions about what treatment is best for them.
Allergy researchers and providers are encouraged to consider patients' perspectives and needs when developing and evaluating new food allergy treatments. Recommendations regarding next steps include the development of new patient-reported outcome tools, focus on psychosocial support, health disparities, and financial implications, and research harmonization and interdisciplinary collaboration.
食物过敏管理给患者及其护理人员带来了日常的心理社会负担。新的食物过敏治疗方法可能会对他们的生活产生积极影响,但也会带来新的压力源。本文旨在概述美国国内关于患者及其护理人员食物过敏经历和需求的文献现状,并就如何以患者为中心开展新的食物过敏治疗方法的开发和评估提出一系列建议。
一种用于花生口服免疫疗法的首个医药级产品在美国一项成功的国际3期试验后,被批准用于4至17岁的儿童。这种新疗法只是目前正在研发的几种食物过敏疗法中的第一种。患者很快将面临多种食物过敏治疗选择,并且需要决定哪种治疗方法最适合自己。
鼓励过敏症研究人员和医疗服务提供者在开发和评估新的食物过敏治疗方法时考虑患者的观点和需求。关于下一步的建议包括开发新的患者报告结局工具、关注心理社会支持、健康差异和经济影响,以及研究协调和跨学科合作。