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https://www.readbyqxmd.com/read/27799804/relative-cost-effectiveness-of-using-an-extensively-hydrolyzed-casein-formula-in-managing-infants-with-cow-s-milk-allergy-in-brazil
#1
Julian F Guest, Ariana C Yang, Jane Oba, Maraci Rodrigues, Rosane Caetano, Lilian Polster
OBJECTIVE: To estimate the cost-effectiveness of three alternative dietetic strategies for cow's milk allergy in Brazil: 1) using an extensively hydrolyzed casein formula (eHCF; Nutramigen) as a first-line formula, but switching to an amino acid formula (AAF) if infants remain symptomatic; 2) using an AAF as a first-line formula and then switching to an eHCF after 4 weeks once infants are symptom-free, but switching back to an AAF if infants become symptomatic; and 3) using an AAF as a first-line formula and keeping all infants on that formula...
2016: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/27685484/cows-milk-allergy-a-cohort-of-patients-from-a-university-hospital
#2
A Reynolds, J O'Driscoll, S Quinn, D Coughlan
The study illustrates advantages of Fiberoptic Bronchoscopy, a new service started at St. Lukes General Hospital in patient care since April 2014. Retrospective review of Bronchoscopies and referrals to Tertiary care unit for Bronchoscopy, prior and after initiation of service at St. Lukes Hospital were studied. Total 106 procedures were performed out of which 103(98%) were for diagnostic purpose. Common Indications for bronchoscopy were functional airway assessment in 38 cases (35%) of chronic cough, 26 cases (24...
2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27441755/amino-acid-formula-as-a-new-strategy-for-diagnosing-cow-s-milk-allergy-in-infants-is-it-cost-effective
#3
Mauro Batista de Morais, José Vicente Spolidoro, Mário César Vieira, Ary Lopes Cardoso, Otavio Clark, Alvaro Nishikawa, Ana Paula Moschione Castro
AIMS: To estimate the cost-effectiveness of a new strategy that uses an amino acid formula in the elimination diet of infants with suspected cow's milk allergy (CMA). MATERIALS AND METHODS: This pharmacoeconomic study was developed from the perspective of the Brazilian Public Healthcare System. The new strategy proposes using an amino acid formula in the diagnostic elimination diet of infants (≤24 months) with suspected CMA. The rationale is that infants who do not respond to the amino acid formula do not suffer from CMA...
July 21, 2016: Journal of Medical Economics
https://www.readbyqxmd.com/read/27418845/relative-cost-effectiveness-of-using-an-extensively-hydrolyzed-casein-formula-containing-the-probiotic-lactobacillus-rhamnosus-gg-in-managing-infants-with-cow-s-milk-allergy-in-poland
#4
Julian F Guest, Diana Weidlich, Maciej Kaczmarski, Elzbieta Jarocka-Cyrta, Natalia Kobelska-Dubiel, Agnieszka Krauze, Iwona Sakowska-Maliszewska, Anna Zawadzka-Krajewska
OBJECTIVE: To estimate the cost-effectiveness of using an extensively hydrolyzed casein formula (eHCF) containing the probiotic Lactobacillus rhamnosus GG (eHCF + LGG; Nutramigen LGG) as an initial treatment for cow's milk allergy compared with eHCF alone and amino acid formulas (AAF) in Poland from the perspective of the Polish National Health Fund (Narodowy Fundusz Zdrowia [NFZ]) and parents. METHODS: Decision modeling was used to estimate the probability of cow's milk allergic infants developing tolerance to cow's milk by 18 months...
2016: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/27336594/hydrolyzed-formula-for-every-infant
#5
David M Fleischer, Carina Venter, Yvan Vandenplas
Presently, hydrolyzed formulas (HF) are used primarily in infants that cannot be exclusively breastfed, those with cow's milk allergy and for primary prevention of allergic disease, but HFs are increasingly being used worldwide, begging the question if they may be recommended as the optimal choice for all standard-risk, full-term, non-exclusively breastfed infants. Data regarding the nutritional adequacy of modern-day HFs are scarce and lack long-term data suggesting that growth in infants fed HF versus an intact protein formula (IPF) is different...
2016: Nestlé Nutrition Institute Workshop Series
https://www.readbyqxmd.com/read/27152743/amino-acid-formula-as-a-new-strategy-for-diagnosing-cow%C3%A2-s-milk-allergy-in-infants-is-it-cost-effective
#6
Mauro Batista de Morais, José Vicente Spolidoro, Mário César Vieira, Ary Lopes Cardoso, Otavio Clark, Alvaro Nishikawa, Ana Paula Moschione Castro
OBJECTIVE: To estimate the cost-effectiveness of a new strategy that uses an amino acid formula in the elimination diet of infants with suspected cow's milk allergy (CMA). METHODS: This pharmacoeconomic study was developed from the perspective of the Brazilian Public Healthcare System. The new strategy proposes using an amino acid formula in the diagnostic elimination diet of infants (≤ 24 months) with suspected CMA. Our rationale is that infants who do not respond to the amino acid formula do not suffer from CMA...
May 6, 2016: Journal of Medical Economics
https://www.readbyqxmd.com/read/26648744/relative-cost-effectiveness-of-using-an-extensively-hydrolyzed-casein-formula-containing-the-probiotic-lactobacillus-rhamnosus-gg-in-managing-infants-with-cow-s-milk-allergy-in-spain
#7
Julian F Guest, Diana Weidlich, J Ignacio Mascuñan Díaz, Juan J Díaz, Pedro Manuel Ojeda, J Pablo Ferrer-González, David Gil, Isabel Onrubia, Pedro Rincón Victor
OBJECTIVE: To estimate the cost-effectiveness of using an extensively hydrolyzed casein formula containing the probiotic Lactobacillus rhamnosus GG (eHCF + LGG; Nutramigen LGG) as a first-line management for cow's milk allergy compared with eHCF alone, and amino acid formulae in Spain, from the perspective of the Spanish National Health Service (SNS). METHODS: Decision modeling was used to estimate the probability of immunoglobulin E (IgE)-mediated and non-IgE-mediated allergic infants developing tolerance to cow's milk by 18 months...
2015: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/26628440/cow-s-milk-allergy-prescribing-is-influenced-by-regional-and-national-guidance
#8
Lucas Wauters, Trevor Brown, Carina Venter, Robert Dziubak, Rosan Meyer, Breege Brogan, Joanne Walsh, Adam T Fox, Neil Shah
OBJECTIVES: Cow's milk allergy (CMA) is the most common food allergy in children with many clinical manifestations, leading to misdiagnoses such as gastro-oesophageal reflux, infantile colic, and lactose intolerance with inappropriate prescribing. We aimed to determine the impact of infant feeding guidelines on CMA prescribing in UK primary care using a simple and inexpensive training package. METHODS: Prospectively collected data of infant feeding prescriptions in Northern Ireland from June 2012 to March 2014 were analysed with the intervention period between November 2012 and March 2013...
May 2016: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/26089692/relative-cost-effectiveness-of-an-extensively-hydrolyzed-casein-formula-containing-the-probiotic-lactobacillus-rhamnosus-gg-in-managing-infants-with-cow-s-milk-allergy-in-italy
#9
Julian F Guest, Monica Panca, Olga Ovcinnikova, Rita Nocerino
OBJECTIVE: To estimate the cost-effectiveness of using an extensively hydrolyzed casein formula (eHCF) containing the probiotic Lactobacillus rhamnosus GG, (eHCF + LGG; Nutramigen LGG) as first-line management for cow's milk allergy (CMA) compared with eHCF alone, soy-based formulae (SBF), hydrolyzed rice formulae (HRF), and amino acid formulae (AAF) in Italy, from the perspective of the Italian National Health Service (INHS) and parents. METHODS: Decision modeling was used to estimate the probability of infants developing tolerance to cow's milk by 18 months, based on an observational study dataset...
2015: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/25959479/research-and-commentary
#10
(no author information available yet)
Aim To estimate the direct, indirect and intangible costs of confirmed allergy to food staples (cow's milk, hen's egg, wheat) in households with a child or young person.
May 2015: Nursing Children and Young People
https://www.readbyqxmd.com/read/25767400/cost-effectiveness-of-using-an-extensively-hydrolyzed-casein-formula-plus-the-probiotic-lactobacillus-rhamnosus-gg-compared-to-an-extensively-hydrolyzed-formula-alone-or-an-amino-acid-formula-as-first-line-dietary-management-for-cow-s-milk-allergy-in-the-us
#11
Olga Ovcinnikova, Monica Panca, Julian F Guest
OBJECTIVES: The aim was to estimate the cost-effectiveness of using an extensively hydrolyzed casein formula (eHCF) plus the probiotic Lactobacillus rhamnosus GG (eHCF + LGG; Nutramigen LGG) compared to an eHCF alone (Nutramigen) and an amino acid formula (AAF; Neocate) as first-line dietary management for cow's milk allergy (CMA) in the US. METHODS: Using a cohort study design, the analysis was based on the case records of 136 eHCF-fed, 59 eHCF + LGG-fed, and 217 matched AAF-fed infants extracted from the Truven Health MarketScan(®) Commercial Claims Database (a nationally representative database of the commercially insured population of the US)...
2015: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/25577621/household-costs-associated-with-objectively-diagnosed-allergy-to-staple-foods-in-children-and-adolescents
#12
Jennifer L P Protudjer, Sven-Arne Jansson, Marianne Heibert Arnlind, Ulf Bengtsson, Ingrid Kallström-Bengtsson, Birgitta Marklund, Roelinde Middelveld, Georgios Rentzos, Ann-Charlotte Sundqvist, Johanna Åkerström, Eva Östblom, Sven-Erik Dahlén, Staffan Ahlstedt
BACKGROUND: We previously reported that indirect and intangible costs burden households with a food allergic adult. We now extend our investigation to households with food allergic children and adolescents. OBJECTIVE: The objective of this study was to estimate direct, indirect, and intangible costs of food allergy in households with a child and/or adolescent with objectively diagnosed allergy to staple foods (cow's milk, hen's egg, and/or wheat), and to compare these costs with age- and sex-matched controls...
January 2015: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/24931315/socioeconomic-evaluation-of-well-characterized-allergy-to-staple-foods-in-adults
#13
S-A Jansson, J L P Protudjer, M Arnlind Heibert, U Bengtsson, I Kallström-Bengtsson, B Marklund, R J M Middelveld, G Rentzos, A C Sundqvist, J Akerström, E Ostblom, S-E Dahlén, S Ahlstedt
BACKGROUND: The aim of the present study was to evaluate if total, direct, indirect, and intangible costs differ between a cohort of adults with well-characterized allergy to staple foods ('cases') and controls. METHODS: Swedish adults with objectively diagnosed food allergy to cow's milk, hen's egg, and/or wheat were recruited at an outpatient allergy clinic. Controls age- and sex-matched to cases were recruited from the same geographic area. For assessing the household costs of food allergy, a disease-specific socioeconomic questionnaire, developed within EuroPrevall, was utilized...
September 2014: Allergy
https://www.readbyqxmd.com/read/24433563/primary-prevention-of-food-allergy-in-children-and-adults-systematic-review
#14
REVIEW
D de Silva, M Geromi, S Halken, A Host, S S Panesar, A Muraro, T Werfel, K Hoffmann-Sommergruber, G Roberts, V Cardona, A E J Dubois, L K Poulsen, R Van Ree, B Vlieg-Boerstra, I Agache, K Grimshaw, L O'Mahony, C Venter, S H Arshad, A Sheikh
BACKGROUND: Food allergies can have serious physical, social, and financial consequences. This systematic review examined ways to prevent the development of food allergy in children and adults. METHODS: Seven bibliographic databases were searched from their inception to September 30, 2012, for systematic reviews, randomized controlled trials, quasi-randomized controlled trials, controlled clinical trials, controlled before-and-after studies, interrupted time series studies, and prospective cohort studies...
May 2014: Allergy
https://www.readbyqxmd.com/read/24184302/gastroesophageal-reflux-disease-exaggerations-evidence-and-clinical-practice
#15
REVIEW
Cristina Targa Ferreira, Elisa de Carvalho, Vera Lucia Sdepanian, Mauro Batista de Morais, Mário César Vieira, Luciana Rodrigues Silva
OBJECTIVE: there are many questions and little evidence regarding the diagnosis and treatment of gastroesophageal reflux disease (GERD) in children. The association between GERD and cow's milk protein allergy (CMPA), overuse of abdominal ultrasonography for the diagnosis of GERD, and excessive pharmacological treatment, especially proton-pump inhibitors (PPIs) are some aspects that need clarification. This review aimed to establish the current scientific evidence for the diagnosis and treatment of GERD in children...
March 2014: Jornal de Pediatria
https://www.readbyqxmd.com/read/23106663/individual-cow-s-milk-allergens-as-prognostic-markers-for-tolerance-development
#16
B Ahrens, L C Lopes de Oliveira, L Grabenhenrich, G Schulz, B Niggemann, U Wahn, K Beyer
BACKGROUND: Cow's milk allergy (CMA) is one of the most common causes of food allergy in the first years of life. Fortunately, the majority of children with CMA develop clinical tolerance with time. However, no good individual markers exist to predict whether this will occur. Therefore, a prognosis to identify children with persistent CMA at diagnosis would be helpful. OBJECTIVE: In this study, we sought to assess whether measurement of IgE to individual allergens of cow's milk (CM) would separate patients with persistent CMA from those who became clinically tolerant to CM over time...
November 2012: Clinical and Experimental Allergy: Journal of the British Society for Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/23036776/costs-of-allergic-diseases-from-birth-to-two-years-in-finland
#17
S Alanne, A Maskunitty, M Nermes, K Laitinen, M Pekurinen
OBJECTIVES: Costing studies are needed to identify the resources used for treatment and inform payers of the costs incurred. The objectives were to determine the costs of diagnosing and treating atopic dermatitis, food allergy and asthma, and to compare the share of costs to society and to the family during the first two years of life. STUDY DESIGN: The data were obtained from an ongoing mother-infant nutrition study. The sample comprised 60 infants who developed allergic disease by the age of 24 months and 56 healthy infants with no allergic disease...
October 2012: Public Health
https://www.readbyqxmd.com/read/22642533/direct-medical-costs-associated-with-atopic-diseases-among-young-children-in-thailand
#18
Jarungchit Ngamphaiboon, Thitima Kongnakorn, Patrick Detzel, Krittawan Sirisomboonwong, Radek Wasiak
OBJECTIVE: Allergic diseases are the most common childhood illness in Thailand. Their prevalence has been rising over time, with several studies having revealed substantial economic burden. However, no such study had yet been conducted for Thailand. The aim of this study was to estimate direct medical costs associated with atopic diseases among children aged 0-5 years in Thailand. RESEARCH DESIGN AND METHODS: A cost-of-illness model was constructed to estimate the total direct medical costs of atopic diseases comprising atopic dermatitis, chronic rhinitis, asthma (i...
2012: Journal of Medical Economics
https://www.readbyqxmd.com/read/22569527/diagnostic-approach-and-management-of-cow-s-milk-protein-allergy-in-infants-and-children-espghan-gi-committee-practical-guidelines
#19
S Koletzko, B Niggemann, A Arato, J A Dias, R Heuschkel, S Husby, M L Mearin, A Papadopoulou, F M Ruemmele, A Staiano, M G Schäppi, Y Vandenplas
OBJECTIVES: This guideline provides recommendations for the diagnosis and management of suspected cow's-milk protein allergy (CMPA) in Europe. It presents a practical approach with a diagnostic algorithm and is based on recently published evidence-based guidelines on CMPA. DIAGNOSIS: If CMPA is suspected by history and examination, then strict allergen avoidance is initiated. In certain circumstances (eg, a clear history of immediate symptoms, a life-threatening reaction with a positive test for CMP-specific IgE), the diagnosis can be made without a milk challenge...
August 2012: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/22544227/how-dracma-changes-clinical-decision-for-the-individual-patient-in-cma-therapy
#20
REVIEW
Luigi Terracciano, Holger Schünemann, Jan Brozek, Carlo Agostoni, Alessandro Fiocchi
PURPOSE OF REVIEW: To describe the impact of the diagnosis and rationale for action against cow's milk allergy (DRACMA) guidelines on the decision process in the therapy of cow's milk allergy (CMA). RECENT FINDINGS: We report here the experience of a 2-year application of DRACMA worldwide. Variations in the socioeconomic profile of CMA sufferers and their context can modify the application of DRACMA recommendations. As an example, we use the country-by-country modifications of the social structure and the modifications of the prices for special formula in Italy...
June 2012: Current Opinion in Allergy and Clinical Immunology
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