Follow-up practices for children and adolescents with celiac disease: results of an international survey
Abstract
Adequate follow-up in celiac disease is important to improve dietary compliance and treat disease-related symptoms and possible complications. However, data on the follow-up of celiac children is scarce. We aimed to assess current pediatric celiac follow-up practices across Europe. Pediatricians and pediatric gastroenterologists from 35 countries in Europe, Israel, Turkey, and Russia completed an anonymous survey which comprised a 52-item questionnaire developed by the ESPGHAN Special Interest Group on Celiac Disease. A total of 911 physicians, the majority of whom exclusively worked in pediatric care (83%) and academic institutions (60%), completed the questionnaire. Mean age and mean experience with celiac care were 48.7 years (± 10.6) and 15.7 years (± 9.9), respectively. The vast majority (≥ 92%) always assessed anthropometry, dietary adherence, and tissue-transglutaminase IgA-antibodies at every visit, with the first visit being between 3 and 6 months after diagnosis. Other parameters (% always tested) were as follows: complete blood count (60%), iron status (48%), liver enzymes (42%), thyroid function (38%), and vitamin D (26%). Quality of life was never assessed by 35% of the responding physicians. Transition to adult care was mostly completed via a written transition report (37%) or no formal transition at all (27%).Conclusions: Follow-up of celiac children and adolescents in Europe may be improved, especially regarding a more rational use of (laboratory) tests, dieta…
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The current follow-up approach for children and adolescents with coeliac disease is largely based on local practice and opinion with lack of evidence-based approaches.
“However, the current follow-up approach is largely based on local practice and opinion with lack of evidence-based approaches.”
From ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease. (2022) · cites this paper as [1]
The responses to an enquiry of the ESPGHAN Special Interest Group on Coeliac Disease among paediatricians and paediatric gastroenterologists across Europe showed significant variation in the methods of following up their patients and offered scope for improvement.
“The responses to an enquiry of the Special Interest Group (SIG) on CD of the European Society of Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) among paediatricians and paediatric gastroenterologists across Europe showed significant variation in the methods of following-up their patients and offered scope for improvement (1).”
From ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease. (2022) · cites this paper as [1]
Cites
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“The pattern of follow-up visits was quite similar among the physicians and mostly in line with existing publications regarding the first follow-up visit scheduled 3–6 months after diagnosis, followed, in case of stability, by annual visits [27, 28].”
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Self-citationReilly, N. R., Hammer, M. L., Ludvigsson, J. F., & Green, P. H. (2020) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000002568 · Cited by 22 · see citing works
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ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease.
Mearin, M. L., Agardh, D., Antunes, H., Al‐toma, A., Auricchio, R., Castillejo, G., Catassi, C., Ciacci, C., Discepolo, V., Dolinsek, J., et al. (2022) · Journal of pediatric gastroenterology and nutrition · doi:10.1097/mpg.0000000000003540 · Cited by 186 · see citing works
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- Authors
- Wessels, M., Dolinsek, J., Castillejo, G., Donat, E., Riznik, P., Roca, M., Valitutti, F., Veenvliet, A., & Mearin, M. L.
- Affiliations
- Rijnstate Hospital (NL)
- Hospital Universitari Sant Joan de Reus (ES)
- Hospital Universitari i Politècnic La Fe (ES)
- Leiden University Medical Center (NL)
- Corresponding author
- Wessels, Margreet
- Venue
- European Journal of Pediatrics
- Published
- 2021-11-24
- Volume
- 181
- Issue
- 3
- Pages
- 1213-1220
- ISSN
- 0340-6199 (ISSN-L)
- 1432-1076
- OpenAlex
- W3216833576
- Cited by
- 31
- References
- 6
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 5 · 2023: 6 · 2022: 8
- FWCI
- 4.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Leiden Repository (Leiden University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Health Sciences › Medicine › Surgery › Eosinophilic Esophagitis
- Keywords
- celiac disease, pediatric follow-up, children and adolescents, dietary adherence, anthropometry, quality of life, transition to adult care, laboratory testing, pediatric gastroenterology, physician practice
- MeSH terms
- Adolescent, Adult, Celiac Disease, Child, Diet, Follow-Up Studies, Humans, Quality of Life, Surveys and Questionnaires
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