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Progress of Home-Based Food Allergy Treatment during the Coronavirus Disease Pandemic in Japan: A Cross-Sectional Multicenter Survey

The coronavirus disease 2019 (COVID-19) pandemic’s impact on food allergy treatment such as home-based oral immunotherapy (OIT) is not known. This cross-sectional, questionnaire-based anonymized survey screened 2500 parents of children with allergic diseases and was conducted in the pediatric outpat...

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Autores principales: Maeta, Akihiro, Takaoka, Yuri, Nakano, Atsuko, Hiraguchi, Yukiko, Hamada, Masaaki, Takemura, Yutaka, Kawakami, Tomoko, Okafuji, Ikuo, Kameda, Makoto, Takahashi, Kyoko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535074/
https://www.ncbi.nlm.nih.gov/pubmed/34682185
http://dx.doi.org/10.3390/children8100919
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author Maeta, Akihiro
Takaoka, Yuri
Nakano, Atsuko
Hiraguchi, Yukiko
Hamada, Masaaki
Takemura, Yutaka
Kawakami, Tomoko
Okafuji, Ikuo
Kameda, Makoto
Takahashi, Kyoko
author_facet Maeta, Akihiro
Takaoka, Yuri
Nakano, Atsuko
Hiraguchi, Yukiko
Hamada, Masaaki
Takemura, Yutaka
Kawakami, Tomoko
Okafuji, Ikuo
Kameda, Makoto
Takahashi, Kyoko
author_sort Maeta, Akihiro
collection PubMed
description The coronavirus disease 2019 (COVID-19) pandemic’s impact on food allergy treatment such as home-based oral immunotherapy (OIT) is not known. This cross-sectional, questionnaire-based anonymized survey screened 2500 parents of children with allergic diseases and was conducted in the pediatric outpatient clinics of 24 hospitals. Basic clinical data of the children were collected along with the degree of allergy control, parental anxiety about emergency visits, and the risk of COVID-19 in the first state of emergency. A total of 2439 (97.6%) questionnaires were collected, and 1315 parents who were instructed to initiate home-based OIT for their children were enrolled (OIT group). Subjective OIT progress compared to before the COVID-19 pandemic was ascertained as “Full”, “Middle”, “Low”, “Little”, and “Stop” in 264 (20.1%), 408 (31.0%), 384 (29.2%), 203 (15.4%), and 56 (4.3%) participants, respectively. Anxiety about emergency visits and the risk of COVID-19 were negatively associated with the subjective OIT progress. In Japan, approximately half of the children continued smoothly the home-based OIT during the COVID-19 pandemic. Parents with high levels of anxiety about the disruption of the medical care system due to COVID-19 and the risk of COVID-19 did not experience a smooth continuation of home-based OIT.
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spelling pubmed-85350742021-10-23 Progress of Home-Based Food Allergy Treatment during the Coronavirus Disease Pandemic in Japan: A Cross-Sectional Multicenter Survey Maeta, Akihiro Takaoka, Yuri Nakano, Atsuko Hiraguchi, Yukiko Hamada, Masaaki Takemura, Yutaka Kawakami, Tomoko Okafuji, Ikuo Kameda, Makoto Takahashi, Kyoko Children (Basel) Article The coronavirus disease 2019 (COVID-19) pandemic’s impact on food allergy treatment such as home-based oral immunotherapy (OIT) is not known. This cross-sectional, questionnaire-based anonymized survey screened 2500 parents of children with allergic diseases and was conducted in the pediatric outpatient clinics of 24 hospitals. Basic clinical data of the children were collected along with the degree of allergy control, parental anxiety about emergency visits, and the risk of COVID-19 in the first state of emergency. A total of 2439 (97.6%) questionnaires were collected, and 1315 parents who were instructed to initiate home-based OIT for their children were enrolled (OIT group). Subjective OIT progress compared to before the COVID-19 pandemic was ascertained as “Full”, “Middle”, “Low”, “Little”, and “Stop” in 264 (20.1%), 408 (31.0%), 384 (29.2%), 203 (15.4%), and 56 (4.3%) participants, respectively. Anxiety about emergency visits and the risk of COVID-19 were negatively associated with the subjective OIT progress. In Japan, approximately half of the children continued smoothly the home-based OIT during the COVID-19 pandemic. Parents with high levels of anxiety about the disruption of the medical care system due to COVID-19 and the risk of COVID-19 did not experience a smooth continuation of home-based OIT. MDPI 2021-10-15 /pmc/articles/PMC8535074/ /pubmed/34682185 http://dx.doi.org/10.3390/children8100919 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Maeta, Akihiro
Takaoka, Yuri
Nakano, Atsuko
Hiraguchi, Yukiko
Hamada, Masaaki
Takemura, Yutaka
Kawakami, Tomoko
Okafuji, Ikuo
Kameda, Makoto
Takahashi, Kyoko
Progress of Home-Based Food Allergy Treatment during the Coronavirus Disease Pandemic in Japan: A Cross-Sectional Multicenter Survey
title Progress of Home-Based Food Allergy Treatment during the Coronavirus Disease Pandemic in Japan: A Cross-Sectional Multicenter Survey
title_full Progress of Home-Based Food Allergy Treatment during the Coronavirus Disease Pandemic in Japan: A Cross-Sectional Multicenter Survey
title_fullStr Progress of Home-Based Food Allergy Treatment during the Coronavirus Disease Pandemic in Japan: A Cross-Sectional Multicenter Survey
title_full_unstemmed Progress of Home-Based Food Allergy Treatment during the Coronavirus Disease Pandemic in Japan: A Cross-Sectional Multicenter Survey
title_short Progress of Home-Based Food Allergy Treatment during the Coronavirus Disease Pandemic in Japan: A Cross-Sectional Multicenter Survey
title_sort progress of home-based food allergy treatment during the coronavirus disease pandemic in japan: a cross-sectional multicenter survey
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535074/
https://www.ncbi.nlm.nih.gov/pubmed/34682185
http://dx.doi.org/10.3390/children8100919
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