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Published on: April 21, 2019
Allergen immunotherapy practice patterns: a worldwide survey.
Punita Ponda1, Sima Mithani, Yelena Kopyltsova
1North Shore-Long Island Jewish Health System, 865 Northern Boulevard, Great Neck, NY 11021, USA. pponda@nshs.edu
Allergists show varied approaches to adjusting allergen immunotherapy (IT) during pollen seasons. Experience influences dose and frequency adjustments, highlighting a need for standardized guidelines in allergy treatment.
Area of Science:
- Allergy and Immunology
- Clinical Practice Research
Background:
- Subcutaneous aeroallergen immunotherapy (IT) administration varies globally during peak pollen seasons.
- Current immunotherapy practice parameters lack specific guidance on dose/frequency adjustments during pollen seasons.
Purpose of the Study:
- To investigate differences in how allergists administer immunotherapy during allergy seasons.
- To quantify practice styles regarding allergen immunotherapy adjustments.
Main Methods:
- A self-reported electronic survey was sent to members of the American Academy of Allergy, Asthma and Immunology (AAAAI).
- Responses from 1,201 allergists were analyzed based on demographic information and practice characteristics.
Main Results:
- Most respondents practice in urban/suburban nonacademic settings in the US and have over 10 years of experience.
- Allergists with more than 10 years of practice experience were more likely to adjust immunotherapy dose and frequency during pollen seasons.
Conclusions:
- Significant variability exists in how allergists adjust immunotherapy during pollen seasons, potentially linked to demographic factors.
- Establishing clear guidelines for immunotherapy adjustments could standardize patient treatment delivery.
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