Dietitian visits were a safe and cost-effective form of follow-up care for children with celiac disease

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Fältnamn	Indikatorer	Metadata
000		03517naa a2200409 4500
001		oai:lup.lub.lu.se:c17e6572-e65d-4ffd-b349-c1165f3c1c16
003		SwePub
008		180918s2019 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://lup.lub.lu.se/record/c17e6572-e65d-4ffd-b349-c1165f3c1c162 URI
024	7	a https://doi.org/10.1111/apa.144112 DOI
040		a (SwePub)lu
041		a engb eng
042		9 SwePub
072	7	a art2 swepub-publicationtype
072	7	a ref2 swepub-contenttype
100	1	a Johansson, Karolinau Skåne University Hospital4 aut0 (Swepub:lu)ka3041jo
245	1 0	a Dietitian visits were a safe and cost-effective form of follow-up care for children with celiac disease
264		c 2018-07-02
264	1	b Wiley,c 2019
520		a Aim: This study compared follow-up protocols for paediatric celiac disease (CD) led by either paediatricians or dietitians at Swedish university hospitals. Methods: We followed 363 CD patients under 18 years at the university hospitals in Malmö (n = 140) and Lund (n = 79) between 2011 and 2013 and after they merged to become Skåne (n = 144) between 2014 and 2016. Both Lund and Malmö provided regular paediatrician follow-up visits, whereas Skåne provided mainly dietitian-led visits. Results: Children at Lund were followed for a mean of 1.0 ± 0.5 visits per year, compared to 0.7 ± 0.6 at Malmö (p < 0.0001) and 0.9 ± 0.6 at Skåne (p = 0.11). The ratio of annual paediatrician to dietitian annual visits was 1.4:1.0 at Lund, which was higher than Malmö (0.9:1.0; p = 0.0017) and Skåne (0.6:1.0; p < 0.0001). There was no difference in the prevalence of non-compliant patients between the clinics (p = 0.26, Malmö 13.6%, Lund 10.1%, Skåne 7.6%). Tissue transglutaminase autoantibody levels reversed equally over time at all three clinics after the subjects started a gluten-free diet (r = -0.55, p < 0.0001). The total mean annual cost per patient was lowest at Malmö and highest at Lund (p < 0.0001). Conclusion: Dietary compliance was similar regardless of whether care was provided by a dietitian or paediatrician. Dietitian-led follow-up visits may provide lower long-term costs.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Gastroenterologi0 (SwePub)302132 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Gastroenterology and Hepatology0 (SwePub)302132 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Pediatrik0 (SwePub)302212 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Pediatrics0 (SwePub)302212 hsv//eng
653		a Celiac disease
653		a Children
653		a Compliance
653		a Dietitian
653		a Gluten-free diet
700	1	a Malmberg Hård af Segerstad, Elinu Skåne University Hospital4 aut0 (Swepub:lu)el7066ma
700	1	a Mårtensson, Helenau Skåne University Hospital4 aut
700	1	a Agardh, Danielu Lund University,Lunds universitet,Celiaki och diabetes,Forskargrupper vid Lunds universitet,Celiac Disease and Diabetes Unit,Lund University Research Groups,Skåne University Hospital4 aut0 (Swepub:lu)med-dia
710	2	a Skåne University Hospitalb Celiaki och diabetes4 org
773	0	t Acta Paediatrica, International Journal of Paediatricsd : Wileyg 108:4, s. 676-680q 108:4<676-680x 0803-5253
856	4	u http://dx.doi.org/10.1111/apa.14411y FULLTEXT
856	4 8	u https://lup.lub.lu.se/record/c17e6572-e65d-4ffd-b349-c1165f3c1c16
856	4 8	u https://doi.org/10.1111/apa.14411

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Av författaren/redakt...: Johansson, Karol ...; Malmberg Hård af ...; Mårtensson, Hele ...; Agardh, Daniel

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