The allergy in the community trial: Reducing the burden of food allergy care in tertiary services

Not Applicable

Completed

• Conditions: Food allergy; Digestive System; Food Allergy

• Registration Number: ISRCTN50355615
• Lead Sponsor: Murdoch Children's Research Institute

Brief Summary

2019 results in https://pubmed.ncbi.nlm.nih.gov/31714608/ (added 22/06/2020) 2020 results in https://pubmed.ncbi.nlm.nih.gov/32412683/ (added 22/06/2020)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-03-01
• Study Completion: 2018-07-01
• Last Update Posted: 6 July 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 373

Inclusion Criteria

1. Families of children aged 0 to 12 years
2. Referred to the RCH Allergy Clinic waitlist by GPs (or non-paediatrician specialists)
3. Suspected/known simple food allergy to the following foods: peanuts, soy, wheat, cow’s milk, egg, shellfish, sesame, and treenuts (i.e. cashew nuts, walnut, almond, pecan, pistachio)

Exclusion Criteria

1. Complex food allergy
1.1. History of anaphylaxis as the primary presentation for new assessment or review (difficulty breathing, persistent cough, wheeze, change in voice, or pale and floppy/collapse within 2 hours of food ingestion)
1.2. Severe eczema as the primary presentation (these children often have more complex allergies)
1.3. Multiple food group allergy (i.e. clinical reaction to > 3 foods; each treenut is treated as a different food)
2. Drug allergy, or any other non-food allergy (e.g. dust, chemicals)
3. Urticaria with no identified allergen (ie unknown if allergy is food or non-food related)
4. Insufficient English to complete questionnaires
5. Children referred by a pediatrician or allergist (these children are fast tracked for an allergy appointment at The RCH)
6. Children referred by The RCH Dermatology department (these children usually have severe eczema as the primary presentation)
7. Children referred specifically for oral food challenges. These challenges need to be done in a hospital setting. These include children who have been seen previously by an RCH allergy clinician, and have been referred for oral food challenge/s
8. Referrals initially made outside the study period

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time to assessment by an allergy clinician or general pediatrician is measured from the date of enrollment in the trial to the date of the first consultation as recorded on the community pediatrician-completed Consultation Records (new model) or the RCH electronic medical record system (IBA/EPIC, RCH Allergy Clinic) as soon as possible after the initial consultation has occurred.