The Cow's Milk-Related Symptom Score (CoMiSS((TM))): A Useful Awareness Tool

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F22%3A00076078" target="_blank" >RIV/65269705:_____/22:00076078 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/22:00127376

Výsledek na webu

<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9146599/pdf/nutrients-14-02059.pdf" target="_blank" >https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9146599/pdf/nutrients-14-02059.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3390/nu14102059" target="_blank" >10.3390/nu14102059</a>

Jazyk výsledku

angličtina

Název v původním jazyce

The Cow's Milk-Related Symptom Score (CoMiSS((TM))): A Useful Awareness Tool

Popis výsledku v původním jazyce

The Cow&apos;s Milk-related Symptom Score (CoMiSS (TM)) was developed as a clinical tool aimed at increasing the awareness of health care professionals for the presence and intensity of clinical manifestations possibly related to cow&apos;s milk (CM) intake. This review summarizes current evidence on CoMiSS. We found twenty-five original studies, one pooled analysis of three studies, and two reviews on CoMiSS. Infants exhibiting symptoms possibly related to CM, present with a higher median CoMiSS (6 to 13; 16 studies) than apparently healthy infants (median from 3 to 4; and mean 3.6-4.7; 5 studies). In children with cow&apos;s milk allergy (CMA), 11 studies found that a CoMiSS of &gt;= 12 predicted a favorable response to a CM-free diet; however, sensitivity (20% to 77%) and specificity (54% to 92%) varied. The decrease of CoMiSS during a CM elimination diet was also predictive of a reaction to an oral food challenge to diagnose CMA. A low CoMiSS (&lt;6) was predictive for the absence of CMA. It was shown that no special training is required to use the tool in a reliable way. Intra-rater reliability was high with very low variability (intra-class correlation 0.93; 95% confidence interval 0.90-0.96; p &lt; 0.001) in repeated assessments. This review found that CoMiSS cannot be considered as a stand-alone CMA diagnostic tool, but that it is a useful awareness tool for CMA as well as for monitoring symptom improvement.

Název v anglickém jazyce

The Cow's Milk-Related Symptom Score (CoMiSS((TM))): A Useful Awareness Tool

Popis výsledku anglicky

The Cow&apos;s Milk-related Symptom Score (CoMiSS (TM)) was developed as a clinical tool aimed at increasing the awareness of health care professionals for the presence and intensity of clinical manifestations possibly related to cow&apos;s milk (CM) intake. This review summarizes current evidence on CoMiSS. We found twenty-five original studies, one pooled analysis of three studies, and two reviews on CoMiSS. Infants exhibiting symptoms possibly related to CM, present with a higher median CoMiSS (6 to 13; 16 studies) than apparently healthy infants (median from 3 to 4; and mean 3.6-4.7; 5 studies). In children with cow&apos;s milk allergy (CMA), 11 studies found that a CoMiSS of &gt;= 12 predicted a favorable response to a CM-free diet; however, sensitivity (20% to 77%) and specificity (54% to 92%) varied. The decrease of CoMiSS during a CM elimination diet was also predictive of a reaction to an oral food challenge to diagnose CMA. A low CoMiSS (&lt;6) was predictive for the absence of CMA. It was shown that no special training is required to use the tool in a reliable way. Intra-rater reliability was high with very low variability (intra-class correlation 0.93; 95% confidence interval 0.90-0.96; p &lt; 0.001) in repeated assessments. This review found that CoMiSS cannot be considered as a stand-alone CMA diagnostic tool, but that it is a useful awareness tool for CMA as well as for monitoring symptom improvement.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30308 - Nutrition, Dietetics

Projekt

—

Návaznosti

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Nutrients

ISSN

2072-6643

e-ISSN

2072-6643

Svazek periodika

14

Číslo periodika v rámci svazku

10

Stát vydavatele periodika

CH - Švýcarská konfederace

Počet stran výsledku

22

Strana od-do

2059

Kód UT WoS článku

000801799000001

EID výsledku v databázi Scopus

2-s2.0-85129791169