PMID- 22214511
OWN - NLM
STAT- MEDLINE
DCOM- 20120508
LR  - 20120104
IS  - 1936-2692 (Electronic)
IS  - 1088-0224 (Linking)
VI  - 17 Suppl 17
DP  - 2011 Dec
TI  - The benefits of specific immunoglobulin E testing in the primary care setting.
PG  - S447-59
AB  - A common link among allergic diseases remains the many allergens that can provoke 
      symptoms. The National Institutes of Health Guidelines for the Diagnosis and 
      Management of Asthma and Guidelines for the Diagnosis and Management of Food 
      Allergy support the use of in vivo (skin prick) or in vitro (blood) specific 
      immunoglobulin E (IgE) testing, along with a detailed clinical history and 
      physical examination, to document an allergy diagnosis. The initial 
      responsibility of diagnosing allergic diseases falls principally on primary care 
      providers, for whom skin prick testing is impractical. Access to in vitro testing 
      provides a valuable diagnostic tool, in conjunction with patient history, for 
      comprehensive allergy and asthma management, which can result in significant 
      clinical and economic benefits and improved patient outcomes. Identification of 
      specific allergens in patients enhances management through education, targeted 
      allergen avoidance, pharmacotherapy, and immunotherapy. The utilization of 
      specific IgE in vitro allergy testing may also drive efficient and effective 
      utilization of healthcare resources. Testing can facilitate a close collaboration 
      between the primary care provider and the allergy specialist, who is experienced 
      in interpreting allergy tests and correlating them with clinical history, 
      conducting food and drug challenges, educating about environmental controls, and 
      managing chronic or recurrent conditions where allergy is not easily recognized. 
      As healthcare reimbursement moves from fee-for-service to fee-for-outcomes, 
      cooperative, comprehensive, and outcome-based patient management will gain in 
      importance.
FAU - Kwong, Kenny Y C
AU  - Kwong KY
AD  - Division of Allergy-Immunology, Department of Pediatrics, Harbor-UCLA Medical 
      Center, 1000 W Carson St, Torrance, CA 90509, USA. kkwongusc@yahoo.com
FAU - Eghrari-Sabet, Jacqueline S
AU  - Eghrari-Sabet JS
FAU - Mendoza, Guillermo R
AU  - Mendoza GR
FAU - Platts-Mills, Thomas
AU  - Platts-Mills T
FAU - Horn, Ryan
AU  - Horn R
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Am J Manag Care
JT  - The American journal of managed care
JID - 9613960
RN  - 0 (Allergens)
RN  - 0 (Reagent Kits, Diagnostic)
RN  - 37341-29-0 (Immunoglobulin E)
MH  - Adult
MH  - Allergens/*immunology
MH  - Asthma/diagnosis
MH  - *Diagnostic Tests, Routine
MH  - Female
MH  - Food Hypersensitivity/diagnosis
MH  - Humans
MH  - Hypersensitivity/*diagnosis/economics/immunology
MH  - Immunoglobulin E/*immunology
MH  - Primary Health Care/*methods
MH  - Reagent Kits, Diagnostic
MH  - Rhinitis/diagnosis
MH  - Sinusitis/diagnosis
MH  - United States
EDAT- 2012/01/11 06:00
MHDA- 2012/05/09 06:00
CRDT- 2012/01/05 06:00
PHST- 2012/01/05 06:00 [entrez]
PHST- 2012/01/11 06:00 [pubmed]
PHST- 2012/05/09 06:00 [medline]
AID - 53584 [pii]
PST - ppublish
SO  - Am J Manag Care. 2011 Dec;17 Suppl 17:S447-59.