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References
Nozawa, A., Okamoto, Y., Moverare, R., Borres, M.P., & Kurihara, K. (2014). Monitoring Ara
10
11
Appendix
NUR 4122:Nursing Research
Table of Evidence
12
Conce
ptual
Frame
work
Design/
Method
Samp
le/
Settin
g
Noza
wa et
al.
(2014
)
n/a
Random
ized
controlle
d study;
measure
ments of
antibody
response
s
18
Japan
ese
childr
en, 514
yrs.
Old
Salmi
vesi
et al.
(2012
)
n/a
Random
ized
controlle
d study;
increasin
g cow
milk
protein
ingested
Savil
ahti
n/a
Experim
ental;
24
school
age
childr
en in
Tamp
ere
Unive
rsity
Hospi
tal of
Finlan
d
32
childr
Major
Varia
bles
Studie
d (and
their
definit
ion)
Increa
sing
peanut
dose
vs.
placeb
o
Measure
ment
Data
Analysis
Findings
Appraisa
l: Worth
to
practice
IgG4 and
IgE
antibodie
s
measure
d
Wilcoxon
signedrank test
and
Spearman
s rank
correlatio
n test; two
sided pvalue
<0.05
Fishers
exact test
16
children
desensitiz
ed; IgE
and IgG4
levels
increased
during
OIT.
OIT
protocol
for
peanut
allergy is
effective
and safe.
81% of
the
participan
ts were
able to
use milk
product
daily and
had
desensitiz
ation for
up to 3
yrs.
IgE
binding
OIT is
effective
for
school
age
children
with cow
milk
allergy.
Placeb
o vs.
cow
milk
protei
n
(increa
sing
levels
throug
h
study)
Parent
reports
of
allergic
symptom
s
IgE
and
Lab
values
Normaliz
ed
This
could be
13
analyzed
IgE and
IgG4
antibodi
es before
and after
therapy
for
binding
Varsh n/a
ney et
al.
(2011
)
Random
ized
controlle
d study;
lab
studies
and skin
prick
test used
Yeun
g et
al.
(2012
)
Review;
database
search
for
articles
(only
used
RCTs)
Review
en
from
outpat
ient
clinic
IgG4
levels
in
respon
se to
increa
sing
cows
milk
protei
n
ingest
ed
(bindi
ng
standardiz
ations
from
peptide
fluorescen
ce
intensities
; binding
frequenci
es; twotailed
Wilcoxon
rank-sum
test or
Wilcoxon
signedrank test
(when
applicable
)
28
Peanut SPT and Fishers
childr flour
lab
exact test,
en
doses studies at Wilcoxon
betwe vs.
regular
Ranken 1placeb intervals Sum Test,
16
o
througho p values
years
ut study <0.05
from
considere
outpat
d
ient
significan
clinics
t
Childr OIT
Depende Statistical
en
treatm nt on
heterogen
with
ent vs. article
eity
milk
placeb
assessed
allerg o vs.
with I2
y
avoida
test;
nce
pooled
strateg
risk ratio
y
for each
outcome
decreased
and IgG4
binding
increased
after OIT,
indicating
analysis
of these
antibodie
s binding
can
predict
OIT
success.
a good
way to
measure
whether
OIT is
successfu
l. It could
improve
the safety
of OIT.
This
study
lacks a
control
group.
Decrease
d SPT
size, IL5, and IL13 and
increased
IgG4
Peanut
OIT
results in
desensitiz
ation,
demonstr
ating
efficacy.
Studies
had
inconsiste
nt
methodol
ogical
rigor,
quality of
evidence
was low,
OIT has
been
shown to
be
effective,
but there
is a lack
of long
term
studies.
14
and
patients
usually
had mild
allergic
reactions
with OIT.
Adverse
effects
(usually
mild) are
common.