Evidence map›Paper›PMID 21279475›Full record

ReviewClinical reviews in allergy & immunology2012

A novel algorithm for the diagnosis of celiac disease and a comprehensive review of celiac disease diagnostics.

Orit Rozenberg, Aaron Lerner, Avi Pacht, Maya Grinberg, Dina Reginashvili, Clara Henig, Mira Barak

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical reviews in allergy & immunology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 39 citations in OpenAlex.

  1. Review
  2. Review
  3. Vaccines, adjuvants and autoimmunity.Pharmacological research · 2015
    Review
  4. Article
  5. Clinical spectrum of food allergies: a comprehensive review.Clinical reviews in allergy & immunology · 2014
    Review
  6. Article
  7. Review
  8. Article
  9. Cutting-edge issues in autoimmunity and allergy of the digestive system.Clinical reviews in allergy & immunology · 2012
    Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Orit RozenbergCentral Laboratory of Haifa and Western Galilee, Clalit Health Services, 47 Ha'taasia Street, Nesher, Israel, 20300, POB 428.
Aaron Lerner
Avi Pacht
Maya Grinberg
Dina Reginashvili
Clara Henig
Mira Barak
Clalit Health Services · ILCarmel Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is an urgent clinical need for a better laboratory celiac disease diagnosis with both less false positive results and minimal underdetection. The aim of the present study was to evaluate the performance and diagnostic accuracy of different assays in an outpatient population setting for the diagnosis for celiac disease (CD) in order to design an optimal algorithm. We used 15 different ELISA assays to assess 47 blood samples of newly diagnosed children (positive biopsy results) and 52 samples from age- and sex-matched children with negative biopsy results for CD. Scoring criteria were established for grading the assays performance and characteristics. The combined gliadin and tTG assays exhibited the best sensitivity (100%). The addition of other assays to the CeliCheck neo-epitopes assay improved specificity so that the final algorithm had 100% sensitivity, 96.2% specificity, and 98.1% accuracy. The clinical demand for both maximal sensitivity and maximal specificity cannot be achieved with a single test. Using a combination of a sensitive assay together with specific assays improved celiac disease detection rates, with an acceptable number of false positive results. This model, however, needs to be confirmed prospectively in both children and adults.

Indexed as

AlgorithmsAdolescentAdultCeliac DiseaseChildChild, PreschoolEnzyme-Linked Immunosorbent AssayFemaleGliadinHumansImmunoglobulin AImmunoglobulin GInfantInfant, NewbornMalePregnancyGliadinImmunoglobulin AImmunoglobulin GTransglutaminases

Identifiers

PMID21279475
OpenAlexW2010093870

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.