Article Text

Protocol
House dust mite (HDM) and storage mite (SM) molecular sensitisation profiles and association with clinical outcomes in allergic asthma and rhinitis: protocol for a systematic review
  1. Filipa Matos-Semedo1,2,
  2. Cíntia Cruz1,
  3. Filipe Inácio3,
  4. Jorge M R Gama4,
  5. Bright I Nwaru5,
  6. Luís Taborda-Barata2,6,7
  1. 1Department of Immunoallergy, Hospital da Luz, Lisbon, Portugal
  2. 2Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal
  3. 3Department of Immunoallergology, Hospital de São Bernardo, Centro Hospitalar de Setúbal, Setúbal, Portugal
  4. 4Mathematics, Centre of Mathematics and Applications, University of Beira Interior, Covilhã, Portugal
  5. 5Krefting Research Centre, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
  6. 6CICS—Health Sciences Research Centre, University of Beira Interior, Covilhã, Portugal
  7. 7Department of Immunoallergology, Cova da Beira University Hospital Centre, Covilhã, Portugal
  1. Correspondence to Professor Luís Taborda-Barata; tabordabarata{at}fcsaude.ubi.pt

Abstract

Introduction Identification and characterisation of single allergens at molecular level is important. Component-resolved diagnosis offers the possibility of higher diagnostic precision, thereby allowing better patient management. House dust mites (HDM) have a worldwide distribution. Studies from different countries have shown that IgE-mediated allergy to storage mites (SM) is important in rural and urban populations. With the availability of HDM and SM molecular allergen components, studies have investigated whether different molecular sensitisation profiles are associated with clinical disease outcomes. However, no previous systematic review has synthesised the underlying evidence.

Methods and analysis We will search Cochrane Library (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Methodology Register), MEDLINE, EMBASE, CINAHL, AMED, ISI Web of Science (Science and Social Science Index) from inception to March 2020. Unpublished and ongoing work, as well as research in progress will be searched in www.ClinicalTrials.gov; www.controlledtrials.com and wwwanzctrorgau. We will contact an international panel of experts in this field. No language restrictions will apply; translations will be undertaken where necessary. The Critical Appraisal Skills Programme quality assessment tool will be used to appraise the methodological quality of included studies. A descriptive summary with data tables will be constructed, and if adequate, meta-analysis using random effects will be performed. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist will be followed for reporting.

Ethics and dissemination Since this systematic review will be only based on published and retrievable literature, no ethics approval is required. We will publish the systematic review in an international peer-reviewed journal.

Trial registration number reviewregistry959.

  • allergy
  • adult otolaryngology
  • asthma
  • immunology
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Footnotes

  • Contributors All authors contributed to the design and conceptualisation of this review. FM-S drafted the protocol with primary support from LT-B. FM-S and CC carried out the database searches and conflicts were solved by LT-B. LTB, JMRG and BN were involved in checking various steps of the search strategy, including keywords, as well as the final version of the protocol. BN was the guarantor of the review. JMRG was involved in the statistical strategy for data analysis. FM-S, FI, JMRG and LT-B were involved in establishing eligibility criteria and data extraction forms. All authors provided feedback on the manuscript, at all stages.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.