Articles producció científica> Medicina i Cirurgia

Coeliac Disease Case-Control Study: Has the Time Come to Explore beyond Patients at Risk?

  • Dades identificatives

    Identificador: imarina:9294208
    Autors:
    Castillejo, GOchoa-Sangrador, CPerez-Solis, DCilleruelo, MLDonat, EGarcia-Burriel, JISanchez-Valverde, FGarcia-Calatayud, SEizaguirre, FJMartinez-Ojinaga, EBarros, PLeis, RSalazar, JCBarrio, JPena-Quintana, LLuque, VPolanco, IRibes, CRoman, E
    Resum:
    The worldwide prevalence of asymptomatic coeliac disease (CD) is increasing, which is in part due to the routine screening of children with risk factors. Both symptomatic and asymptomatic patients with CD are at risk of long-term complications. The objective of this study was to compare the clinical characteristics of asymptomatic and symptomatic children at the time of CD diagnosis. A case-control study was conducted using data from a cohort of 4838 CD patients recruited from 73 centers across Spain between 2011 and 2017. A total of 468 asymptomatic patients (cases) were selected and matched by age and sex with 468 symptomatic patients (controls). Clinical data, including any reported symptoms, as well as serologic, genetic, and histopathologic data were collected. No significant differences were found between the two groups in most clinical variables, nor in the degree of intestinal lesion. However, the asymptomatic patients were taller (height z-score -0.12 (1.06) vs. -0.45 (1.19), p < 0.001) and were less likely to have anti transglutaminase IgA antibodies >= 10 times the upper normal limit (66.2% vs. 758.4%, p = 0.002). Among the 37.1% of asymptomatic patients who were not screened for CD due to the absence of risk factors, only 34% were truly asymptomatic, while the remaining 66% reported non-specific CD-related symptoms. Therefore, expanding CD screening to any child who undergoes a blood test could reduce the burden of care for some children, as many of those considered asymptomatic reported non-specific CD-related symptoms.
  • Altres:

    Autor segons l'article: Castillejo, G; Ochoa-Sangrador, C; Perez-Solis, D; Cilleruelo, ML; Donat, E; Garcia-Burriel, JI; Sanchez-Valverde, F; Garcia-Calatayud, S; Eizaguirre, FJ; Martinez-Ojinaga, E; Barros, P; Leis, R; Salazar, JC; Barrio, J; Pena-Quintana, L; Luque, V; Polanco, I; Ribes, C; Roman, E
    Departament: Medicina i Cirurgia
    Autor/s de la URV: Castillejo De Villasante, Gemma / Luque Moreno, Verònica
    Paraules clau: Screening Quality-of-life Prevalence Population Pediatric gastroenterology Long-term health Health-care services General practice Follow-up Diagnosis Consequences Coeliac disease Children Adolescents
    Resum: The worldwide prevalence of asymptomatic coeliac disease (CD) is increasing, which is in part due to the routine screening of children with risk factors. Both symptomatic and asymptomatic patients with CD are at risk of long-term complications. The objective of this study was to compare the clinical characteristics of asymptomatic and symptomatic children at the time of CD diagnosis. A case-control study was conducted using data from a cohort of 4838 CD patients recruited from 73 centers across Spain between 2011 and 2017. A total of 468 asymptomatic patients (cases) were selected and matched by age and sex with 468 symptomatic patients (controls). Clinical data, including any reported symptoms, as well as serologic, genetic, and histopathologic data were collected. No significant differences were found between the two groups in most clinical variables, nor in the degree of intestinal lesion. However, the asymptomatic patients were taller (height z-score -0.12 (1.06) vs. -0.45 (1.19), p < 0.001) and were less likely to have anti transglutaminase IgA antibodies >= 10 times the upper normal limit (66.2% vs. 758.4%, p = 0.002). Among the 37.1% of asymptomatic patients who were not screened for CD due to the absence of risk factors, only 34% were truly asymptomatic, while the remaining 66% reported non-specific CD-related symptoms. Therefore, expanding CD screening to any child who undergoes a blood test could reduce the burden of care for some children, as many of those considered asymptomatic reported non-specific CD-related symptoms.
    Àrees temàtiques: Zootecnia / recursos pesqueiros Saúde coletiva Química Psicología Planejamento urbano e regional / demografia Nutrition and dietetics Nutrition & dietetics Nutrição Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar Food science Farmacia Engenharias iv Engenharias ii Enfermagem Educação física Economia Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências agrárias i Ciência de alimentos Biotecnología
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: veronica.luque@urv.cat gemma.castillejo@urv.cat
    Identificador de l'autor: 0000-0003-2615-8175
    Data d'alta del registre: 2024-08-03
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://www.mdpi.com/2072-6643/15/5/1267
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Nutrients. 15 (5):
    Referència de l'ítem segons les normes APA: Castillejo, G; Ochoa-Sangrador, C; Perez-Solis, D; Cilleruelo, ML; Donat, E; Garcia-Burriel, JI; Sanchez-Valverde, F; Garcia-Calatayud, S; Eizaguirre, (2023). Coeliac Disease Case-Control Study: Has the Time Come to Explore beyond Patients at Risk?. Nutrients, 15(5), -. DOI: 10.3390/nu15051267
    DOI de l'article: 10.3390/nu15051267
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2023
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Food Science,Nutrition & Dietetics,Nutrition and Dietetics
    Screening
    Quality-of-life
    Prevalence
    Population
    Pediatric gastroenterology
    Long-term health
    Health-care services
    General practice
    Follow-up
    Diagnosis
    Consequences
    Coeliac disease
    Children
    Adolescents
    Zootecnia / recursos pesqueiros
    Saúde coletiva
    Química
    Psicología
    Planejamento urbano e regional / demografia
    Nutrition and dietetics
    Nutrition & dietetics
    Nutrição
    Medicina veterinaria
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    Food science
    Farmacia
    Engenharias iv
    Engenharias ii
    Enfermagem
    Educação física
    Economia
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências agrárias i
    Ciência de alimentos
    Biotecnología
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