This decision aid is designed to assist people with IgE-mediated cow’s milk allergy and their families and caregivers to decide whether to undergo oral immunotherapy for cow’s milk allergy
Summary
Summary of your value assessment
Below is a summary of the things that may happen (outcomes) because of food allergy or as a consequence of OIT together with the value that you assigned to each of them (0 means you are "dead" and 100 you are in "good health"). listing the arguments for and against oral immunotherapy with cow’s milk together with your values that you previously assessed.
Against OIT with cow's milk
Anaphylaxis
Your value:
0
100
50
Need to use epinephrine injection
Your value:
0
100
50
Adverse effect for which OIT was stopped
Your value:
0
100
50
Severe nausea, vomiting, stomach pain, or diarrhea
Your value:
0
100
50
Severe difficulty breathing or wheezing
Your value:
0
100
50
Widespread redness of the skin or hives
Your value:
0
100
50
Emergency department visit
Your value:
0
100
50
Hospital admission
Your value:
0
100
50
Lip or mouth pruritus, or perioral rash
Your value:
0
100
50
For OIT with cow's milk
Ability to drink cow's milk and eat dairy products without a reaction
Your value:
0
100
50
Ability to accidentally consume a small amount of cow's milk without a reaction
Your value:
0
100
50
If necessary, put here less important outcomes that you do not want to take into consideration
Drag And Drop Outcome Here
Recommendations
Conditional recommendation not specifying which action is preferred
For those patients with confirmed IgE-mediated CMA who place larger value on being able to drink milk – even small amounts – without having to follow a strict avoidance diet, and a lower value on adverse effects during OIT, we suggest OIT with cow's milk rather than avoidance diet alone.
For those patients with confirmed IgE-mediated CMA who place larger value on avoiding anaphylaxis and other less severe allergic reactions and a lower value on being able to drink cow's milk and having to follow strict avoidance diet, we suggest avoidance diet alone rather than OIT with cow's milk
Your decision
To prepare for the meeting with your doctor, please select a statement that describes your current decision the best
Please write down in the box below any other relevant issues that influenced your decision but were not included in this decision aid. You may also note other issues that you would like to discuss.
Type here...