Restricted accessResearch articleFirst published online 2018-9
Assessment of Community Pediatric Providers’ Approach to a Child With Celiac Disease and Available Serological Testing Associated With a Large Tertiary Care Center
An evidence-practice gap for use of celiac disease testing can lead to poor resource utilization. False positive tests may lead to unnecessary diet changes, gastroenterology consults, parental/patient concern, and additional testing and expenses complicated by varied available celiac bundles. An understanding of pediatric provider practices according to guideline recommendations further improves this gap.
HillIDFasanoAGuandaliniSet al. NASPGHAN clinical report on the diagnosis and treatment of gluten-related disorders. J Pediatr Gastroenterol Nutr. 2016;63:156-165.
2.
AlmallouhiEKingKSPatelBet al. Increasing incidence and altered presentation in a population-based study of pediatric celiac disease in North America. J Pediatr Gastroenterol Nutr. 2017;65:432-437.
3.
CatassiCKryszakDBhattiBet al. Natural history of celiac disease autoimmunity in a USA cohort followed since 1974. Ann Med. 2010;42:530-538.
4.
LionettiECastellanetaSPulvirentiAet al; Italian Working Group of Weaning and Celiac Disease Risk. Prevalence and natural history of potential celiac disease in at-family-risk infants prospectively investigated from birth. J Pediatr. 2012;161:908-914.
5.
HusbySKoletzkoSKorponay-SzaboIRet al. European Society for Pediatric Gastroenterology, Hepatology, and Nutrition guidelines for the diagnosis of coeliac disease. J Pediatr Gastroenterol Nutr. 2012;54:136-160.
6.
HuangYDon-WauchopeACGreyVLMansourMBrillHArmstrongD.Improving serological test ordering patterns for the diagnosis of celiac disease through clinical laboratory audit of practice. Clin Biochem. 2012;45:455-459.
7.
VieiraCMatosMQuaresmaTet al. What do Brazilian pediatricians know about celiac disease?Dig Dis Sci. 2011;56:799-804.
8.
AbsahIRishiARGebrailRSnyderMRMurrayJA.Lack of utility of anti-tTG IgG to diagnose celiac disease when anti-tTG IgA is negative. J Pediatr Gastroenterol Nutr. 2017;64:726-729.
9.
GouldMBrillHMarconMWalshC.The usefulness of deaminated gliadin peptide in screening pediatric patients for celiac disease. Paper presented at: NASPGHAN Annual Meeting; November 1-4, 2017; Las Vegas, NV.
