Inflammatory Bowel Diseases in Children and Young Adults with Celiac Disease: A Multigroup Matched Comparison

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Canova, CristinaDepartment of Molecular Medicine, University of Padua, Padua, Italy (author)

Inflammatory Bowel Diseases in Children and Young Adults with Celiac Disease : A Multigroup Matched Comparison

Article/chapterEnglish2017

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Lippincott Williams & Wilkins,2017
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LIBRIS-ID:oai:DiVA.org:oru-61707
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-61707URI
https://doi.org/10.1097/MIB.0000000000001098DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:136976454URI

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Language:English
Summary in:English

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Funding Agency:University of Padua F.S.4.18.01.05
BACKGROUND: Celiac disease (CD) has been linked to inflammatory bowel disease (IBD) but previous reports have been inconsistent and may have been affected by surveillance bias.METHODS: Matched birth cohort study in Friuli-Venezia Giulia Region, Italy. We identified 1294 individuals with CD aged 0 to 23 years at diagnosis using pathology reports, hospital discharge records, or copayment exemptions. Each CD individual was matched with up to 5 general population reference individuals from the regional Medical Birth Register in Friuli-Venezia Giulia (n = 5681). As secondary comparison groups, we used individuals undergoing small intestinal biopsy but not having villous atrophy (either Marsh 0-1-2 or exclusively Marsh 0). Individuals with IBD were identified through hospital discharge records or copayment exemptions. Conditional logistic regression was used to estimate odds ratios (ORs) for having IBD among CD individuals (before or after CD diagnosis) compared with their matched references.RESULTS: Overall 35 individuals with IBD were identified (29 with CD and 6 general population controls). This corresponded to an increased risk of IBD in CD (OR = 24.17; 95% CI, 10.03-58.21). However, compared with individuals with Marsh 0-1-2 the OR decreased to 1.41 (95% CI, 0.91-2.18) and restricting our comparison group to individuals with Marsh 0, the OR was 1.28 (95% CI, 0.61-2.70).CONCLUSIONS: In conclusion, this article found a highly increased risk of IBD in individuals with CD when comparing with the general population. Bias is the likely explanation for the very high risk increase for IBD in CD because the excess risk was substantially lower when we used individuals with a small intestinal biopsy without villous atrophy as our reference.

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MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Gastroenterologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Gastroenterology and Hepatology hsv//eng
Celiac disease
inflammatory bowel disease
birth cohort
matched cohort study

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Pitter, GisellaDepartment of Molecular Medicine, University of Padua, Padua, Italy; School of Specialization in Hygiene and Preventive Medicine, University of Padua, Padua, Italy (author)
Zanier, LorisEpidemiological Service, Udine, Italy (author)
Zanotti, RenzoDepartment of Molecular Medicine, University of Padua, Padua, Italy (author)
Simonato, LorenzoDepartment of Cardiological, Thoracic and Vascular Sciences, University of Padua, Padua, Italy (author)
Ludvigsson, Jonas F.,1969-Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Pediatrics, Faculty of Health and Medical Sciences, Örebro University, Örebro, Sweden; Division of Epidemiology and Public Health, School of Medicine, University of Nottingham, Nottingham, United Kingdom; Department of Medicine, College of Physicians and Surgeons, Columbia University, New York NY, USA(Swepub:oru)jsln (author)
Department of Molecular Medicine, University of Padua, Padua, ItalyDepartment of Molecular Medicine, University of Padua, Padua, Italy; School of Specialization in Hygiene and Preventive Medicine, University of Padua, Padua, Italy (creator_code:org_t)

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In:Inflammatory Bowel Diseases: Lippincott Williams & Wilkins23:11, s. 1996-20001078-09981536-4844

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By the author/editor: Canova, Cristina; Pitter, Gisella; Zanier, Loris; Zanotti, Renzo; Simonato, Lorenz ...; Ludvigsson, Jona ...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Gastroenterology ...

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By the university: Örebro University; Karolinska Institutet

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