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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 2 of 2 Research Studies DisplayedIglesia EGA, Kwan M, Virkud YV
Management of food allergies and food-related anaphylaxis.
This paper discusses the management of IgE-mediated food-protein allergies that may cause anaphylaxis and death in addition to the allergic response to the food-carbohydrate galactose-α-1,3-galactose (alpha-gal) in mammalian meat. In the United States, 9 foods account for more than 90% of IgE-mediated food allergies: crustacean shellfish, dairy, peanut, tree nuts, fin fish, egg, wheat, soy, and sesame. Peanut allergies are the leading food-related cause of fatal and near-fatal anaphylaxis in the US, followed by tree nuts and shellfish. The estimated fatality rate from anaphylaxis is estimated to be 0.04 per million per year. Alpha-gal syndrome has been rising with a seroprevalence of 20% to 31% in the southeastern US. While avoidance of the culprit food is the main management strategy, if there is exposure use of the self-injectable epinephrine pen is the first-line treatment for food-related anaphylaxis. The FDA has just approved an oral immunotherapy product for treatment of peanut allergy, with other immunotherapies currently in development to desensitive one or more foods.
AHRQ-funded; HS026395.
Citation: Iglesia EGA, Kwan M, Virkud YV .
Management of food allergies and food-related anaphylaxis.
JAMA 2024 Feb 13; 331(6):510-21. doi: 10.1001/jama.2023.26857.
Keywords: Care Management
Taliani CA, Bricker PL, Adelman AM
Implementing effective care management in the patient-centered medical home.
The investigators explored how a disparate group of patient-centered medical homes (PCMHs) embedded care management in their team care environment to identify best practices. They concluded that PCMHs may want to ensure that care managers are available to meet with patients during visits, support patient self-management, fully leverage the electronic medical record for team messaging and patient tracking, and ensure integration into the care team with office huddles and ongoing communication.
AHRQ-funded; HS019150.
Citation: Taliani CA, Bricker PL, Adelman AM .
Implementing effective care management in the patient-centered medical home.
Am J Manag Care 2013 Dec;19(12):957-64.
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Keywords: Care Management, Diabetes, Healthcare Delivery, Patient-Centered Healthcare, Quality Improvement, Teams