Fu-huuuuuuuuuucking LOL Let's put that in English, shall we? - Using the EHR database outside the one all the allergy studies use (my daughter is not in it) - That only contains data voluntarily added ("do you have a food allergy? click this box") - That is explicitly not covered to test for food allergy by Blue Cross, Kaiser or any other major insurer - They successfully demonstrated that there's a hole where they're expecting 60,000 kids to be Contrary to this bullshit, the conventional wisdom GOING BACK DECADES was "get your kids exposed to allergens so they aren't as bad for you" - the phrase "hygiene hypothesis" was first coined in 1989 but the idea goes back to Rachel Fucking Carson. It's why my kid was given peanut butter at - you guessed it - four months! And promptly went into anaphylaxis at her babysitter's. What they won't tell you, of course, is if you want a legit allergy diagnosis? You have to wait until your kid is 24 months old. But don't wait too long because insurance won't cover it after 30 months! And since the tests are done at an allergy clinic the results aren't given to your PHP. You can do that, of course. You can ask for the results to be transferred. But EPIC doesn't have a slot for all your allergy shit because your insurance company doesn't have any way to code for it other than "life-threatening allergy." What you're seeing here? Is the archetypal attempt to blame parents - same as it ever was - while also attempting to cast a nothing bullshit study as a "landmark."Using electronic health record data from the multistate, primary care–based American Academy of Pediatrics Comparative Effectiveness Research through Collaborative Electronic Reporting (CER2) network, we defined preguidelines, postguidelines, and postaddendum guidelines cohorts (cohort entry during September 1, 2012, to August 31, 2014; September 1, 2015, to August 31, 2017; and February 1, 2017, to January 31, 2019, respectively). We determined the cumulative incidence of IgE-FA and/or atopic dermatitis (AD) in children aged 0–3 years, observed for either at least 1 or 2 years. Diagnosis rates during pre- vs postguidelines periods were compared using logistic regression, Cox proportional hazards modeling, and interrupted time series analysis.