Impact of the 2022 national formula shortage on clinical decision-making of healthcare providers in switching amino acid formulas for infants with cow’s milk protein allergy: a survey-based study
BackgroundIn 2022, the United States experienced a national shortage of infant formula due to a global supply chain crisis and a large-scale domestic formula recall. The existing literature on healthcare providers' (HCPs) clinical decision-making during formula shortages is limited. This study...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1328506/full |
| _version_ | 1827317841651564544 |
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| author | Jessica V. Baran Jerry M. Brown Andrew A. Farrar Lea V. Oliveros Jesse Beacker Luke Lamos Jared Florio Abigail L. Fabbrini Michael J. Wilsey |
| author_facet | Jessica V. Baran Jerry M. Brown Andrew A. Farrar Lea V. Oliveros Jesse Beacker Luke Lamos Jared Florio Abigail L. Fabbrini Michael J. Wilsey |
| author_sort | Jessica V. Baran |
| collection | DOAJ |
| description | BackgroundIn 2022, the United States experienced a national shortage of infant formula due to a global supply chain crisis and a large-scale domestic formula recall. The existing literature on healthcare providers' (HCPs) clinical decision-making during formula shortages is limited. This study aims to analyze the factors influencing pediatric HCP clinical decision-making when switching between amino acid formulas (AAF) for managing cow's milk protein allergy (CMPA) in infants under 24 months of age during an unprecedented national formula shortage.MethodsThe study included pediatric HCPs with experience managing CMPA in infants and toddlers under 24 months during the formula shortage from January 2022 to November 2022. A de-identified survey comprising 26 questions examining driving factors used in clinical decision-making was administered to pediatric HCPs using a real-time mobile data collection tool.ResultsAmong the surveyed pediatric HCPs (n = 75), the factors most frequently considered as “extremely important” when switching to another AAF included safety (85%), tolerability (73%), and efficacy (83%). No statistically significant differences were found in HCP ratings among the listed examined factors of the four AAFs. The availability of specific formulas was the only factor that exhibited a statistically significant difference in perceived performance among pediatric HCPs when comparing the four AAFs (p < 0.05).DiscussionThis study elucidates the crucial aspects that influenced pediatric HCPs' selection of AAFs for CMPA management during the 2022 formula shortage. The findings highlight the significance of safety, tolerability, efficacy, and availability in the pediatric HCP decision-making processes. |
| first_indexed | 2024-04-24T23:47:41Z |
| format | Article |
| id | doaj.art-7b4b5bdd181f4798a1cb437ae9dab4d9 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-24T23:47:41Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-7b4b5bdd181f4798a1cb437ae9dab4d92024-03-15T04:43:40ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602024-03-011210.3389/fped.2024.13285061328506Impact of the 2022 national formula shortage on clinical decision-making of healthcare providers in switching amino acid formulas for infants with cow’s milk protein allergy: a survey-based studyJessica V. Baran0Jerry M. Brown1Andrew A. Farrar2Lea V. Oliveros3Jesse Beacker4Luke Lamos5Jared Florio6Abigail L. Fabbrini7Michael J. Wilsey8Office of Medical Education, Florida Atlantic University Charles E. Schmid College of Medicine, Boca Raton, FL, United StatesOffice of Medical Education, Florida Atlantic University Charles E. Schmid College of Medicine, Boca Raton, FL, United StatesOffice of Medical Education, Kansas City University College of Osteopathic Medicine, Kansas City, MO, United StatesOffice of Medical Education, Alabama College of Osteopathic Medicine, Dothan, AL, United StatesOffice of Medical Education, Florida Atlantic University Charles E. Schmid College of Medicine, Boca Raton, FL, United StatesOffice of Medical Education, Florida Atlantic University Charles E. Schmid College of Medicine, Boca Raton, FL, United StatesOffice of Medical Education, Florida Atlantic University Charles E. Schmid College of Medicine, Boca Raton, FL, United StatesOffice of Medical Education, Kansas City University College of Osteopathic Medicine, Kansas City, MO, United StatesDepartment of Pediatrics, University of South Florida Morsani College of Medicine, Tampa, FL, United StatesBackgroundIn 2022, the United States experienced a national shortage of infant formula due to a global supply chain crisis and a large-scale domestic formula recall. The existing literature on healthcare providers' (HCPs) clinical decision-making during formula shortages is limited. This study aims to analyze the factors influencing pediatric HCP clinical decision-making when switching between amino acid formulas (AAF) for managing cow's milk protein allergy (CMPA) in infants under 24 months of age during an unprecedented national formula shortage.MethodsThe study included pediatric HCPs with experience managing CMPA in infants and toddlers under 24 months during the formula shortage from January 2022 to November 2022. A de-identified survey comprising 26 questions examining driving factors used in clinical decision-making was administered to pediatric HCPs using a real-time mobile data collection tool.ResultsAmong the surveyed pediatric HCPs (n = 75), the factors most frequently considered as “extremely important” when switching to another AAF included safety (85%), tolerability (73%), and efficacy (83%). No statistically significant differences were found in HCP ratings among the listed examined factors of the four AAFs. The availability of specific formulas was the only factor that exhibited a statistically significant difference in perceived performance among pediatric HCPs when comparing the four AAFs (p < 0.05).DiscussionThis study elucidates the crucial aspects that influenced pediatric HCPs' selection of AAFs for CMPA management during the 2022 formula shortage. The findings highlight the significance of safety, tolerability, efficacy, and availability in the pediatric HCP decision-making processes.https://www.frontiersin.org/articles/10.3389/fped.2024.1328506/fullamino acid formulaformula shortageformula recallinfant nutritioncow’s milk protein allergyZSMoments |
| spellingShingle | Jessica V. Baran Jerry M. Brown Andrew A. Farrar Lea V. Oliveros Jesse Beacker Luke Lamos Jared Florio Abigail L. Fabbrini Michael J. Wilsey Impact of the 2022 national formula shortage on clinical decision-making of healthcare providers in switching amino acid formulas for infants with cow’s milk protein allergy: a survey-based study Frontiers in Pediatrics amino acid formula formula shortage formula recall infant nutrition cow’s milk protein allergy ZSMoments |
| title | Impact of the 2022 national formula shortage on clinical decision-making of healthcare providers in switching amino acid formulas for infants with cow’s milk protein allergy: a survey-based study |
| title_full | Impact of the 2022 national formula shortage on clinical decision-making of healthcare providers in switching amino acid formulas for infants with cow’s milk protein allergy: a survey-based study |
| title_fullStr | Impact of the 2022 national formula shortage on clinical decision-making of healthcare providers in switching amino acid formulas for infants with cow’s milk protein allergy: a survey-based study |
| title_full_unstemmed | Impact of the 2022 national formula shortage on clinical decision-making of healthcare providers in switching amino acid formulas for infants with cow’s milk protein allergy: a survey-based study |
| title_short | Impact of the 2022 national formula shortage on clinical decision-making of healthcare providers in switching amino acid formulas for infants with cow’s milk protein allergy: a survey-based study |
| title_sort | impact of the 2022 national formula shortage on clinical decision making of healthcare providers in switching amino acid formulas for infants with cow s milk protein allergy a survey based study |
| topic | amino acid formula formula shortage formula recall infant nutrition cow’s milk protein allergy ZSMoments |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1328506/full |
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