{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:27:34Z","timestamp":1790774854449,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Experimental Allergy"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is an unmet need for specialist allergy treatment in the United Kingdom. Allergen immunotherapy and treatment with omalizumab for chronic spontaneous urticaria (CSU) are key markers for these services. The British Society for Allergy and Clinical Immunology (BSACI) Registry for Immunotherapy (BRIT) is a national project to record the real\u2010world effectiveness, safety and access to treatment for aero\u2010allergen, venom and peanut immunotherapy as well as omalizumab for CSU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We described participant demographics, the index of multiple deprivation (IMD) and access to treatment from the registry launch. Data for 1835 participants were available for analysis from 63 centres enrolled between 1st October 2018 and 24th August 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>96.5% (1771\/1835) were living in England, with only 3.5% (64) being from the devolved nations. 14.4% (251\/1748) were in the most affluent IMD decile compared to 4.5% (78\/1748) in the most deprived IMD decile. White participants were 1.74 times more likely to be referred directly from primary care compared to people of Asian, black, mixed or other minority ethnic groups. Instead, these groups were referred more frequently from secondary or tertiary hospital services. The median distance travelled from home to the treatment centre was 15.2\u2009miles, with evidence of clustering around specialist centres.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We have described disparities and unwarranted variation in the provision of treatment around the UK. The data suggest that there is limited access to immunotherapy in the devolved nations. Access is also reduced by socioeconomic deprivation. White participants were more likely to receive a direct referral from primary care than those from other ethnic groups whose referral pathways were more complex. Registry data are limited by participant enrolment and may have selection bias. Nevertheless, BRIT has highlighted inequity in access to specialist allergy services in the UK.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cea.70034","type":"journal-article","created":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T08:00:39Z","timestamp":1743667239000},"page":"458-468","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Inequalities in Access to Specialist Allergy Services in the United Kingdom: A Report From the\n                    <scp>BSACI<\/scp>\n                    Registry for Immunotherapy (\n                    <scp>BRIT<\/scp>\n                    )"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1982-1397","authenticated-orcid":false,"given":"Mich","family":"Erlewyn\u2010Lajeunesse","sequence":"first","affiliation":[{"name":"University of Southampton and Southampton Children's Hospital  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano Perfetti","family":"Villa","sequence":"additional","affiliation":[{"name":"Department of Social Statistics and Demography University of Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shifa","family":"Shaikh","sequence":"additional","affiliation":[{"name":"British Society for Allergy and Clinical Immunology  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Smith","sequence":"additional","affiliation":[{"name":"British Society for Allergy and Clinical Immunology  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasiliki","family":"Balodima","sequence":"additional","affiliation":[{"name":"University Hospital Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Baker","sequence":"additional","affiliation":[{"name":"Anaphylaxis UK  Farnborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Dawson","sequence":"additional","affiliation":[{"name":"Worcestershire Acute Hospitals NHS Trust  Worcester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Ewan","sequence":"additional","affiliation":[{"name":"Cambridge University Hospitals NHS Foundation Trust and University of Cambridge Clinical School  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujoy","family":"Khan","sequence":"additional","affiliation":[{"name":"Castle Hill Hospital  Cottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Marriage","sequence":"additional","affiliation":[{"name":"University Hospitals Bristol and Weston  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8229-154X","authenticated-orcid":false,"given":"Louise","family":"Michaelis","sequence":"additional","affiliation":[{"name":"Great Northern Children's Hospital  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leyla Pur","family":"Ozygit","sequence":"additional","affiliation":[{"name":"Glenfield Hospital University Hospitals of Leicester NHS Trust  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Thursby\u2010Pelham","sequence":"additional","affiliation":[{"name":"University Hospital Bristol and Weston NHS Trust  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amena","family":"Warner","sequence":"additional","affiliation":[{"name":"Allergy UK  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olga","family":"Maslovskaya","sequence":"additional","affiliation":[{"name":"Department of Social Statistics and Demography University of Southampton  Southampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the BRIT Practitioners Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,1]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"93","volume-title":"Allergy: The Unmet Need. 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