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Considerations for a shared decision-making conversation when initiating food oral immunotherapy
Matthew Greenhawt1, David Fleischer1
1From the Food Challenge and Research Unit, Children's Hospital of Colorado, Section of Allergy and Immunology, University of Colorado School of Medicine, Aurora, Colorado.
Journal of Food Allergy
|July 18, 2024
Summary
Oral immunotherapy (OIT) offers potential desensitization for food allergies but carries risks like reactions and uncertain outcomes. Shared decision-making is crucial for informed consent regarding OIT risks and benefits.
Area of Science:
- Allergy and Immunology
- Clinical Medicine
Background:
- Food allergy affects many, with oral immunotherapy (OIT) emerging as a treatment option.
- OIT aims to desensitize patients, potentially reducing reaction severity, but is not a cure.
Purpose of the Study:
- To outline key considerations for shared decision-making before initiating OIT.
- To facilitate informed consent by discussing OIT risks and benefits with patients and families.
Main Methods:
- Review of OIT benefits, risks, and decision-making processes.
- Emphasis on shared decision-making involving patients, families, and clinicians.
Main Results:
- OIT can shift reaction thresholds and decrease severity but has risks including anaphylaxis and eosinophilic esophagitis.
- Long-term outcomes of OIT remain uncertain, posing logistical challenges.
Conclusions:
- The decision to pursue OIT is complex and requires thorough discussion of all factors.
- Shared decision-making empowers patients and families to make informed choices aligned with their values and preferences.
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