Document Detail


The RCPCH care pathway for food allergy in children: an evidence and consensus based national approach.
MedLine Citation:
PMID:  22053063     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
AIMS: The Royal College of Paediatrics and Child Health (RCPCH) Science and Research Department was commissioned by the Department of Health to develop national care pathways for children with allergies; food allergy is the second pathway. The pathways focus on defining the competences required to improve the equity of care received by children with allergic conditions.
METHOD: The food allergy pathway was developed by a multidisciplinary working group and was based on a comprehensive review of the evidence. The pathway was reviewed by a broad group of stakeholders including the public and approved by the Allergy Care Pathways Project Board and the RCPCH Clinical Standards Committee. The National Institute of Health and Clinical Excellence simultaneously established a short guideline review of community practice for children with food allergy; close communication was established between the two groups.
RESULTS: The results are presented in two sections: a pathway algorithm and the competences. The entry points are defined and the ideal pathway of care is described from initial recognition and confirmed diagnosis through to follow-up.
CONCLUSIONS: The range of manifestations of food allergy/intolerance is much more diverse than hitherto recognised and diagnosis can be problematic as many patients do not have classical IgE mediated disease. The pathway provides a guide for training and development of services to facilitate improvements in delivery as close to the patient's home as possible. The authors recommend that this pathway is implemented locally by a multidisciplinary team with a focus on creating networks.
Authors:
Adam T Fox; Kate Lloyd; Peter D Arkwright; Debi Bhattacharya; Trevor Brown; Philip Chetcuti; Mandy East; Jackie Gaventa; Rosie King; Ana Martinez; Rosan Meyer; Ami Parikh; Michael Perkin; Neil Shah; David Tuthill; Joanne Walsh; Lisa Waddell; John Warner;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of disease in childhood     Volume:  96 Suppl 2     ISSN:  1468-2044     ISO Abbreviation:  Arch. Dis. Child.     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372434     Medline TA:  Arch Dis Child     Country:  England    
Other Details:
Languages:  eng     Pagination:  i25-9     Citation Subset:  AIM; IM    
Affiliation:
Paediatric Allergy, St Thomas' Hospital, London SE1 7EH, UK. adam.fox@gstt.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Grant Support
ID/Acronym/Agency:
//Department of Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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