Addressing Pharmacoequity in Food Allergy
Addressing Pharmacoequity in Food Allergy
In the past 5 years, new therapies for food-allergic patients have transformed food-allergy management from avoidance only to the possibility of treatment with 2 options currently available to treat food-allergic patients and prevent reactions to accidental exposures. 1,2
Gallagher et al 3 report on one institution’s experience with oral immunotherapy and the disparities that were noted in association with socioeconomic status and race. The authors’ analysis included 1,028 pediatric peanut-allergic patients, 148 of whom were treated with peanut oral immunotherapy (OIT). Despite adjustments for gender, affluence, and disadvantage, Black patients were noted to participate in OIT 5 times fewer (odds ratio 0.191; 95% confidence interval 0.068–0.540) than other patients.
Included in this analysis were socioeconomic factors, such as disadvantage and affluence indices and insurance status, all 3 of which could affect access to care and quality of care. However, individual factors such as education, health literacy, trust, and provider bias were not addressed in this study, a notable limitation.
Lectures
International:
Texas Children's Hospital International Colloquium, Department of Pediatrics, Baylor College of Medicine; Food Allergies; April 20, 2010
Third International Gastrointestinal Eosinophilic Disease Research Symposium 2011: New Frontier and Future of EoE at the American Academy of Allergy, Asthma and Immunology, San Francisco, California; Role of Mast Cells and T Cells in EoE; March 18, 2011
North American Veterinary Dermatology Forum; Human Food Allergies; April 15, 2011
Mexican Gastrointestinal Congress and Symposium, Jurica, Querétaro, June 28-30, 2012
Texas Children's Hospital International Colloquium, Department of Pediatrics, Baylor College of Medicine; “Food Allergy and Anaphylaxis”, March 10, 2015 XIII Congreso Internacional de Pediatría del Colegio de Pediatría de Nuevo León "Monterrey 2015", July 8-10, 2015
ImmunoCAP International Symposium, Emerging Data on New Shrimp Allergen Components – What We Know and What We Need, Uppsala, Sweden, October 26, 2016
52nd International Congress of Allergy and Immunology, Immunomodulatory Effects of Food Allergy Immunotherapy, Alexandria, Egypt, February 22, 2017
52nd International Congress of Allergy and Immunology, Managing Eosinophilic Esophagitis with Precision and Accuracy, Alexandria, Egypt, February 24, 2017j. Third Annual Meeting of the Arab Society of Allergy, Asthma and Clinical Immunology, Al Azhar University, Allergy and Immunology Center, Managing Eosinophilic Esophagitis with Precision and Accuracy, Cairo, Egypt, February 26, 2017
National:
2010 PriMed Harvard/BCM Southwest Conference and Exhibition, Pediatric and Adolescent Medicine Session; Common Food Allergies in Children, March 5, 2010
William T. Shearer Innovations in Primary Immunodeficiency and Clinical immunology Symposium, Learning About Immunoregulation Through Food Allergy, February 9, 2013
Primary Moderator, The 4th International Gastrointestinal Eosinophil Research Symposium (TIGERS); Feb. 22, 2013, San Antonio, TX; Discussion Leader, TIGERS Lunch Session: How Do I Choose What Treatment to Use? Diet vs. Steroids, Pros and Cons, February 22, 2013, San Antonio, TX
Primary Discussion Leader, “Eosinophilic Esophagitis”, American Academy of Allergy, Asthma and Immunology National Conference, February 25, 2013, San Antonio, TX
Pro/Con Debate: Empiric Elimination Diets are Better than Targeted Elimination Diets for the Management of Eosinophilic Esophagitis: Con, American Academy of Allergy, Asthma and Immunology National Conference, February 26, 2013, San Antonio, TX
65th Annual BCM Pediatric Postgraduate Symposium, Childhood Food Allergies - Testing and Treatment, April 11, 2013, Houston, TX.
Primary Discussion Leader, “Asthma Management Amongst Minority Populations: Practical Insights for Clinicians, Researchers, and Public Health Planners” American Academy of Allergy, Asthma and Immunology National Conference, March 3, 2014, San Diego, CA
American Academy of Asthma, Allergy, and Immunology Leadership Institute Annual Workshop, Stopping Complainers and Energy Drainers-Using Leadership Concepts to Deal with Difficult People, February 28, 2014, San Antonio, TX.
Discussion Leader at the CEGIR/TIGERS EGID Symposium: Session 101I: How Do I Choose What Treatment to Use? Diet vs. Steroids: Pros and Cons on Thursday, March 3, 2016, Los Angeles, CA.