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Practical challenges in oral immunotherapy resolved through patient-centered care.
François Graham1,2, Douglas P Mack3, Philippe Bégin4,5
1Allergy and Immunology, Centre Hospitalier de L'Université de Montréal, Hôpital Notre-Dame, Montreal, QC, Canada.
Summary
Oral immunotherapy (OIT) for food allergies offers personalized treatment options. Shared decision-making ensures patient preferences guide OIT protocols, addressing real-world challenges effectively.
Area of Science:
- Allergy and Immunology
- Patient-Centered Care
- Clinical Decision-Making
Background:
- Oral immunotherapy (OIT) is an established treatment for IgE-mediated food allergies.
- Real-world OIT practice presents unique challenges and uncertainties.
- Patient-centered care principles emphasize individual needs and values in clinical decisions.
Purpose of the Study:
- To review the theoretical foundations of patient-centered care and shared decision-making.
- To explore their practical application in the delivery of OIT.
- To address challenges in personalizing OIT protocols.
Main Methods:
- Review of theoretical bases of patient-centered care and shared decision-making.
- Analysis of clinical cases in real-life OIT practice.
- Discussion of personalized management strategies for OIT.
Main Results:
- Patient-centered care and shared decision-making are crucial for effective OIT.
- Lack of awareness regarding OIT adaptability can hinder treatment personalization.
- Clinical cases illustrate common challenges and potential personalized solutions.
Conclusions:
- OIT delivery should be rooted in patient-centered care principles.
- Shared decision-making and treatment customization are key to navigating OIT uncertainties.
- Personalized OIT management enhances responsiveness to patient needs and preferences.
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