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Questionnaire showed that Swedish paediatric clinics complied well with the revised European guidelines for diagnosing coeliac disease
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine. Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
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2019 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 108, no 6, p. 1140-1143Article in journal (Refereed) Published
Abstract [en]

Aim: In 2012, revised criteria for diagnosing childhood coeliac disease were published by the European Society for Paediatric Gastroenterology, Hepatology and Nutrition and incorporated into the revised Swedish guidelines the same year. These made it possible, in certain cases, to diagnose coeliac disease without taking small bowel biopsies. This survey assessed the extent to which the new guidelines were implemented by Swedish paediatric clinics two years after their introduction.

Methods: In October 2014, we distributed a paper questionnaire including five questions on diagnostic routines to the 40 paediatric clinics in university or regional hospitals in Sweden that perform small bowel biopsies.

Results: All 36 (90%) clinics that responded used anti-tissue transglutaminase antibodies as the initial diagnostic test and some also used serological markers. Most clinics (81%) used endoscopy and took multiple duodenal biopsies, whereas only a few (19%) occasionally employed a suction capsule. Almost all clinics (86%) omitted taking small bowel biopsies in symptomatic children with repeatedly high coeliac serology and positive genotyping, thereby avoiding the need for invasive endoscopy under anaesthesia.

Conclusion: The 2012 Swedish Paediatric Coeliac Disease Diagnostic Guidelines had been widely accepted and implemented in routine health care two years after their introduction.

Place, publisher, year, edition, pages
John Wiley & Sons, 2019. Vol. 108, no 6, p. 1140-1143
Keywords [en]
Coeliac disease, Diagnosis, Guidelines, Small bowel biopsies, Survey
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-154663DOI: 10.1111/apa.14669ISI: 000467867900026PubMedID: 30496613Scopus ID: 2-s2.0-85058447406OAI: oai:DiVA.org:umu-154663DiVA, id: diva2:1273647
Available from: 2018-12-21 Created: 2018-12-21 Last updated: 2019-06-19Bibliographically approved

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Myléus, AnnaSandström, OlofIvarsson, Anneli

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CiteExportLink to record
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Citation style
  • apa
  • ieee
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  • vancouver
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More styles
Language
  • de-DE
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Output format
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