Practical challenges in oral immunotherapy resolved through patient-centered care
Abstract Oral immunotherapy (OIT) is now widely recognized as a valid option for the management of IgE-mediated food allergies. However, in real-life practice, OIT can lead to a variety of unique situations where the best course of action is undetermined. In patient-centered care, individual patient...
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doaj-bc5ca2b13b24491aa1de4976e43b0dc62021-03-21T12:25:22ZengBMCAllergy, Asthma & Clinical Immunology1710-14922021-03-0117111210.1186/s13223-021-00533-6Practical challenges in oral immunotherapy resolved through patient-centered careFrançois Graham0Douglas P. Mack1Philippe Bégin2Allergy and Immunology, Centre Hospitalier de L’Université de Montréal, Hôpital Notre-DameDepartment of Pediatrics, McMaster UniversityAllergy and Immunology, Centre Hospitalier de L’Université de Montréal, Hôpital Notre-DameAbstract Oral immunotherapy (OIT) is now widely recognized as a valid option for the management of IgE-mediated food allergies. However, in real-life practice, OIT can lead to a variety of unique situations where the best course of action is undetermined. In patient-centered care, individual patient preferences, needs and values, should guide all clinical decisions. This can be achieved by using shared-decision making and treatment customization to navigate areas of uncertainty in a way that is responsive to patient’s needs and preferences. However, in the context of OIT, lack of awareness of potential protocol adaptability or alternatives can become a barrier to treatment personalization. The purpose of this article is to review the theoretical bases of patient-centered care and shared decision-making and their practical implication for the patient-centered delivery of OIT. Clinical cases highlighting common challenges in real-life OIT practice are presented along with a discussion of potential personalized management options to be considered. While the practice of OIT is bound to evolve as additional scientific and experiential knowledge is gained, it should always remain rooted in the general principles of patient-centered care.https://doi.org/10.1186/s13223-021-00533-6Oral immunotherapyFood allergyPeanut allergyMulti-food oral immunotherapyOral food challengeShared decision-making |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
François Graham Douglas P. Mack Philippe Bégin |
spellingShingle |
François Graham Douglas P. Mack Philippe Bégin Practical challenges in oral immunotherapy resolved through patient-centered care Allergy, Asthma & Clinical Immunology Oral immunotherapy Food allergy Peanut allergy Multi-food oral immunotherapy Oral food challenge Shared decision-making |
author_facet |
François Graham Douglas P. Mack Philippe Bégin |
author_sort |
François Graham |
title |
Practical challenges in oral immunotherapy resolved through patient-centered care |
title_short |
Practical challenges in oral immunotherapy resolved through patient-centered care |
title_full |
Practical challenges in oral immunotherapy resolved through patient-centered care |
title_fullStr |
Practical challenges in oral immunotherapy resolved through patient-centered care |
title_full_unstemmed |
Practical challenges in oral immunotherapy resolved through patient-centered care |
title_sort |
practical challenges in oral immunotherapy resolved through patient-centered care |
publisher |
BMC |
series |
Allergy, Asthma & Clinical Immunology |
issn |
1710-1492 |
publishDate |
2021-03-01 |
description |
Abstract Oral immunotherapy (OIT) is now widely recognized as a valid option for the management of IgE-mediated food allergies. However, in real-life practice, OIT can lead to a variety of unique situations where the best course of action is undetermined. In patient-centered care, individual patient preferences, needs and values, should guide all clinical decisions. This can be achieved by using shared-decision making and treatment customization to navigate areas of uncertainty in a way that is responsive to patient’s needs and preferences. However, in the context of OIT, lack of awareness of potential protocol adaptability or alternatives can become a barrier to treatment personalization. The purpose of this article is to review the theoretical bases of patient-centered care and shared decision-making and their practical implication for the patient-centered delivery of OIT. Clinical cases highlighting common challenges in real-life OIT practice are presented along with a discussion of potential personalized management options to be considered. While the practice of OIT is bound to evolve as additional scientific and experiential knowledge is gained, it should always remain rooted in the general principles of patient-centered care. |
topic |
Oral immunotherapy Food allergy Peanut allergy Multi-food oral immunotherapy Oral food challenge Shared decision-making |
url |
https://doi.org/10.1186/s13223-021-00533-6 |
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