Discrepancy between Mexican paediatricians and ESPGHAN experts regarding cow's milk allergy

Fabian Hendricx; Emma Robert; Thomas Gestels; Hanne Delcourt; Benjamin Suarez Negroe; Rodrigo Vázquez-Frias; Erick Manuel Toro Monjaraz; Josefina Monserrat Cazares Méndez; Carmen Ribes-Koninckx; K Huysentruyt; Yvan Vandenplas

doi:10.1002/jpr3.12147

Discrepancy between Mexican paediatricians and ESPGHAN experts regarding cow's milk allergy

Fabian Hendricx, Emma Robert, Thomas Gestels, Hanne Delcourt, Benjamin Suarez Negroe, Rodrigo Vázquez-Frias, Erick Manuel Toro Monjaraz, Josefina Monserrat Cazares Méndez, Carmen Ribes-Koninckx, K Huysentruyt, Yvan Vandenplas

Research output: Contribution to journal › Article › peer-review

Abstract

OBJECTIVES: Cow's milk allergy (CMA) is a common food allergy in infants. Guidelines and recommendations for the diagnosis and management of CMA are based on scientific review of the available evidence. However, real-world situations may oblige clinicians to adapt a different attitude.

METHODS: This paper evaluated the opinion of 42 Mexican paediatricians on the 73 statements presented in the recent position paper of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). Voting on the statements and their interpretation were identical for both groups (online and anonymous). Both groups were unaware of the other's outcome at the moment of the voting.

RESULTS: While the ESPGHAN group accepted all 73 statements, the Mexican group rejected 19 statements. Two rejections were due to the mean and median being below the predefined and agreed-upon cut-off, and 17 were due to over 75% of participants disagreeing with the statements. The greatest discrepancy was observed regarding the role of vitamin D in preventing CMA.

CONCLUSION: While opinions on the prevalence, diagnosis and management of CMA were comparable between European paediatric gastroenterologists and Mexican general paediatricians for the majority of statements, significant differences were observed. It is essential to gather information from various regions and healthcare levels to enhance the impact of recommendations.

Original language	English
Pages (from-to)	27-38
Number of pages <span style="color:red"p> <font size="1.5"> ✽ </span> </font>	12
Journal	JPGN reports
Volume	6
Issue number	1
DOIs	https://doi.org/10.1002/jpr3.12147
Publication status	Published - Feb 2025

Bibliographical note

© 2024 The Author(s). JPGN Reports published by Wiley Periodicals LLC on behalf of The European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.

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10.1002/jpr3.12147Licence: CC BY

Cite this

Hendricx, Fabian ; Robert, Emma ; Gestels, Thomas ; Delcourt, Hanne ; Negroe, Benjamin Suarez ; Vázquez-Frias, Rodrigo ; Toro Monjaraz, Erick Manuel ; Monserrat Cazares Méndez, Josefina ; Ribes-Koninckx, Carmen ; Huysentruyt, K ; Vandenplas, Yvan. / Discrepancy between Mexican paediatricians and ESPGHAN experts regarding cow's milk allergy. In: JPGN reports. 2025 ; Vol. 6, No. 1. pp. 27-38.

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title = "Discrepancy between Mexican paediatricians and ESPGHAN experts regarding cow's milk allergy",

abstract = "OBJECTIVES: Cow's milk allergy (CMA) is a common food allergy in infants. Guidelines and recommendations for the diagnosis and management of CMA are based on scientific review of the available evidence. However, real-world situations may oblige clinicians to adapt a different attitude.METHODS: This paper evaluated the opinion of 42 Mexican paediatricians on the 73 statements presented in the recent position paper of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). Voting on the statements and their interpretation were identical for both groups (online and anonymous). Both groups were unaware of the other's outcome at the moment of the voting.RESULTS: While the ESPGHAN group accepted all 73 statements, the Mexican group rejected 19 statements. Two rejections were due to the mean and median being below the predefined and agreed-upon cut-off, and 17 were due to over 75% of participants disagreeing with the statements. The greatest discrepancy was observed regarding the role of vitamin D in preventing CMA.CONCLUSION: While opinions on the prevalence, diagnosis and management of CMA were comparable between European paediatric gastroenterologists and Mexican general paediatricians for the majority of statements, significant differences were observed. It is essential to gather information from various regions and healthcare levels to enhance the impact of recommendations.",

author = "Fabian Hendricx and Emma Robert and Thomas Gestels and Hanne Delcourt and Negroe, {Benjamin Suarez} and Rodrigo V{\'a}zquez-Frias and {Toro Monjaraz}, {Erick Manuel} and {Monserrat Cazares M{\'e}ndez}, Josefina and Carmen Ribes-Koninckx and K Huysentruyt and Yvan Vandenplas",

note = "{\textcopyright} 2024 The Author(s). JPGN Reports published by Wiley Periodicals LLC on behalf of The European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.",

year = "2025",

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language = "English",

volume = "6",

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Discrepancy between Mexican paediatricians and ESPGHAN experts regarding cow's milk allergy. / Hendricx, Fabian; Robert, Emma; Gestels, Thomas; Delcourt, Hanne; Negroe, Benjamin Suarez; Vázquez-Frias, Rodrigo; Toro Monjaraz, Erick Manuel; Monserrat Cazares Méndez, Josefina; Ribes-Koninckx, Carmen; Huysentruyt, K ; Vandenplas, Yvan.

In: JPGN reports, Vol. 6, No. 1, 02.2025, p. 27-38.

Research output: Contribution to journal › Article › peer-review

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AU - Hendricx, Fabian

AU - Robert, Emma

AU - Gestels, Thomas

AU - Delcourt, Hanne

AU - Negroe, Benjamin Suarez

AU - Vázquez-Frias, Rodrigo

AU - Toro Monjaraz, Erick Manuel

AU - Monserrat Cazares Méndez, Josefina

AU - Ribes-Koninckx, Carmen

AU - Huysentruyt, K

AU - Vandenplas, Yvan

N1 - © 2024 The Author(s). JPGN Reports published by Wiley Periodicals LLC on behalf of The European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.

PY - 2025/2

Y1 - 2025/2

N2 - OBJECTIVES: Cow's milk allergy (CMA) is a common food allergy in infants. Guidelines and recommendations for the diagnosis and management of CMA are based on scientific review of the available evidence. However, real-world situations may oblige clinicians to adapt a different attitude.METHODS: This paper evaluated the opinion of 42 Mexican paediatricians on the 73 statements presented in the recent position paper of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). Voting on the statements and their interpretation were identical for both groups (online and anonymous). Both groups were unaware of the other's outcome at the moment of the voting.RESULTS: While the ESPGHAN group accepted all 73 statements, the Mexican group rejected 19 statements. Two rejections were due to the mean and median being below the predefined and agreed-upon cut-off, and 17 were due to over 75% of participants disagreeing with the statements. The greatest discrepancy was observed regarding the role of vitamin D in preventing CMA.CONCLUSION: While opinions on the prevalence, diagnosis and management of CMA were comparable between European paediatric gastroenterologists and Mexican general paediatricians for the majority of statements, significant differences were observed. It is essential to gather information from various regions and healthcare levels to enhance the impact of recommendations.

AB - OBJECTIVES: Cow's milk allergy (CMA) is a common food allergy in infants. Guidelines and recommendations for the diagnosis and management of CMA are based on scientific review of the available evidence. However, real-world situations may oblige clinicians to adapt a different attitude.METHODS: This paper evaluated the opinion of 42 Mexican paediatricians on the 73 statements presented in the recent position paper of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). Voting on the statements and their interpretation were identical for both groups (online and anonymous). Both groups were unaware of the other's outcome at the moment of the voting.RESULTS: While the ESPGHAN group accepted all 73 statements, the Mexican group rejected 19 statements. Two rejections were due to the mean and median being below the predefined and agreed-upon cut-off, and 17 were due to over 75% of participants disagreeing with the statements. The greatest discrepancy was observed regarding the role of vitamin D in preventing CMA.CONCLUSION: While opinions on the prevalence, diagnosis and management of CMA were comparable between European paediatric gastroenterologists and Mexican general paediatricians for the majority of statements, significant differences were observed. It is essential to gather information from various regions and healthcare levels to enhance the impact of recommendations.

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DO - 10.1002/jpr3.12147

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JO - JPGN reports

JF - JPGN reports

SN - 2691-171X

IS - 1

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