Common Sense in Dollars and Cents: Context Matters in Cost-Effectiveness Checklist Evaluations
Abstract
We read with interest the recent review by Fanning et al,1
“Cost-effectiveness of food allergy interventions in children: a systematic review of economic evaluations.” The authors provide an evidence synthesis of a variety of cost-effectiveness analyses exploring food allergy interventions for peanut, milk, and egg allergy. These encompass food allergy prevention and early allergenic solid food introduction, food allergen avoidance, emergency preparedness for future allergic reactions, use of emergency medical services, and food allergen immunotherapy.1
This review contains several inaccuracies we feel obligated to address and provide additional clinical perspective, in particular about some of the first works to demonstrate that many common and routine food allergy and anaphylaxis practices were of low value. These evaluations have helped clinical practice to evolve.2
“Cost-effectiveness of food allergy interventions in children: a systematic review of economic evaluations.” The authors provide an evidence synthesis of a variety of cost-effectiveness analyses exploring food allergy interventions for peanut, milk, and egg allergy. These encompass food allergy prevention and early allergenic solid food introduction, food allergen avoidance, emergency preparedness for future allergic reactions, use of emergency medical services, and food allergen immunotherapy.1
This review contains several inaccuracies we feel obligated to address and provide additional clinical perspective, in particular about some of the first works to demonstrate that many common and routine food allergy and anaphylaxis practices were of low value. These evaluations have helped clinical practice to evolve.2
Authors
Marcus Shaker Matthew Greenhawt