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Questionnaire showed that Swedish paediatric clinics complied well with the revised European guidelines for diagnosing coeliac disease

Myléus, Anna, MD PhD (author)
Umeå universitet,Allmänmedicin,Institutionen för epidemiologi och global hälsa,Umea Univ, Sweden
Stenhammar, Lars (author)
Linköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, Barn- och ungdomskliniken i Norrköping
Högberg, Lotta (author)
Linköpings universitet,Avdelningen för barns och kvinnors hälsa,Medicinska fakulteten,Region Östergötland, Barn- och ungdomskliniken i Norrköping
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Browaldh, Lars (author)
Karolinska Inst, Sweden; Soder Sjukhuset, Sweden
Daniels, Ing-Marie (author)
Uppsala Univ Hosp, Sweden
Fagerberg, Ulrika L. (author)
Karolinska Institutet
Gudjónsdóttir, Audur H. (author)
Sahlgrens Univ Hosp, Sweden
Malmquist, Marianne (author)
Sahlgrens Univ Hosp, Sweden
Sandström, Olof (author)
Umeå universitet,Institutionen för epidemiologi och global hälsa,Umea Univ, Sweden
Ivarsson, Anneli (author)
Umeå universitet,Institutionen för epidemiologi och global hälsa,Umea Univ, Sweden
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 (creator_code:org_t)
2018-12-14
2019
English.
In: Acta Paediatrica. - : John Wiley & Sons. - 0803-5253 .- 1651-2227. ; 108:6, s. 1140-1143
Related links:
https://urn.kb.se/re...
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https://doi.org/10.1...
https://urn.kb.se/re...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • 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.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Annan medicin och hälsovetenskap -- Övrig annan medicin och hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Other Medical and Health Sciences -- Other Medical and Health Sciences not elsewhere specified (hsv//eng)

Keyword

Coeliac disease
Diagnosis
Guidelines
Small bowel biopsies
Survey

Publication and Content Type

ref (subject category)
art (subject category)

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