Dietitian visits were a safe and cost‐effective form of follow‐up care for children with celiac disease
Abstract
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 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.
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The only study investigating compliance to the diet in children followed by a dietitian or by a physician showed no differences in outcome, albeit dietitian-led visits being less expensive.
“The only study investigating compliance to the diet in children followed by a dietitian or a by a physician showed no differences in outcome, albeit dietitian-led visits being less expensive (16).”
From ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease. (2022) · cites this paper as [16]
Dietitian-led follow-up of coeliac disease has shown promising results and may come at a lower cost.
“While a dietician-led follow-up of CD has shown promising results and may come at a lower cost, more research is needed before stating whether a dietitian, a physician, or both should conduct the long-term follow-up.”
From ESPGHAN Position Paper on Management and Follow-up of Children and Adolescents With Celiac Disease. (2022) · cites this paper as [16]
The dietitian supports adherence to the gluten-free diet, adherence to healthier dietary habits, is safe and cost effective in follow-up care, and patients appreciate the contact with the dietitian.
“The dietitian supports the adherence to the GFD (116), adherence to healthier dietary habits (111), is safe and cost effective in the follow-up care (117), and patients appreciate the contact with the dietitian (118).”
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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
Self-citationLuque, V., Crespo‐Escobar, P., Hård af Segerstad, E. M., Koltai, T., Norsa, L., Roman, E., Vreugdenhil, A., Fueyo‐Díaz, R., & Ribes‐Koninckx, C. (2024) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1002/jpn3.12079 · Cited by 32 · see citing works
Self-citation
- Authors
- Johansson, K., Malmberg Hård af Segerstad, E., Mårtensson, H., & Agardh, D.
- Affiliations
- Skåne University Hospital (SE)
- Pediatric Gastroenterology Unit Department of Pediatrics Skåne University Hospital, SUS Malmö Sweden
- Lund University (SE)
- Corresponding author
- Agardh, Daniel
- Venue
- Acta Paediatrica
- Publisher
- Wiley
- Published
- 2018-07-02
- Volume
- 108
- Issue
- 4
- Pages
- 676-680
- ISSN
- 0365-1436 (ISSN-L)
- 0803-5253
- 1651-2227
- OpenAlex
- W2803532573
- Cited by
- 19
- References
- 0
- Citations by year
- 2024: 4 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 1 · 2019: 4 · 2018: 1
- FWCI
- 2.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Paediatrica (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
- Health Sciences › Health Professions › Health Information Management › Dietetics, Nutrition, and Education
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- gluten-free diet compliance, anti-tissue transglutaminase antibodies, health care costs, follow-up visit frequency
- MeSH terms
- Pediatricians, Adolescent, Aftercare, Celiac Disease, Child, Child, Preschool, Cost-Benefit Analysis, Female, Humans, Infant, Male, Patient Compliance, Retrospective Studies, Nutritionists
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