Evidence map›Paper›PMID 24374645›Full record

ArticleDigestive diseases and sciences2014

Characteristics of patients who avoid wheat and/or gluten in the absence of Celiac disease.

Anna Tavakkoli, Suzanne K Lewis, Christina A Tennyson, Benjamin Lebwohl, Peter H R Green

Abstract read
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In one paragraph

Article in Digestive diseases and sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.8field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
  2. Non-celiac Gluten Intolerance: A Call to Clarify.Digestive diseases and sciences · 2023
    Article
  3. Article
  4. Review
  5. Review
  6. Observational
  7. Review
  8. Article
  9. Article
  10. Non-celiac gluten sensitivity: people without celiac disease avoiding gluten-is it due to histamine intolerance?Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2018
    Review
  11. Article
  12. Article
  13. Article
  14. Nonceliac Gluten Sensitivity.Advances in nutrition (Bethesda, Md.) · 2016
    Review
  15. Article
  16. Celiac disease and non-celiac gluten sensitivity.BMJ (Clinical research ed.) · 2015
    Review
  17. Practical insights into gluten-free diets.Nature reviews. Gastroenterology & hepatology · 2015
    Review
  18. The spectrum of noncoeliac gluten sensitivity.Nature reviews. Gastroenterology & hepatology · 2015
    Review
  19. Exploring the Strange New World of Non-Celiac Gluten Sensitivity.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2015
    Article
  20. Cost Effectiveness of Routine Duodenal Biopsy Analysis for Celiac Disease During Endoscopy for Gastroesophageal Reflux.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Anna TavakkoliDepartment of Medicine, Celiac Disease Center, Columbia University, 180 Fort Washington Avenue, Suite 936, New York, NY, 10032, USA.
Suzanne K Lewis
Christina A Tennyson
Benjamin Lebwohl
Peter H R Green
Columbia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastrointestinal symptoms that respond to the removal of wheat and/or gluten are becoming more common. Patients who avoid wheat and/or gluten (PWAWG) are a heterogeneous group and predominantly self-diagnosed prior to presenting for clinical evaluation. SPECIFIC

aimWe characterized PWAWGs seen at a tertiary care referral center and compared them to patients with celiac disease (CD) and subjects in the National Health and Nutrition examination survey (NHANES).

methodsThis was a cross-sectional study evaluating patients seen by four gastroenterologists at a CD referral center. Baseline characteristics, laboratory values, and medical comorbidities were compared to CD patients who presented at the same center and subjects enrolled in NHANES.

resultsEighty-four PWAWGs were identified and compared to 585 CD patients and 2,686 NHANES patients. Thirty-two alternative diagnoses were made in 25 (30%) PWAWGs, including small intestinal bacterial overgrowth and fructose/lactose intolerance. When compared to patients with CD, PWAWGs had similar body mass index (BMI, 23.1 vs. 23.5, p = 0.54) and mean hemoglobin value (13.4 vs. 13.3, p = 0.6). When compared to male and female patients in NHANES, BMI, folate, and mean hemoglobin values were lower in PWAWGs. Both male and female PWAWGs had a lower prevalence of hypertension.

conclusionWhile there are similarities between CD and PWAWGs that could possibly be due to shared HLA haplotypes or an effect of the gluten-free diet, alternative diagnoses are common in these patients. PWAWGs have a similar cardiovascular profile as CD patients in terms of lower BMI and lower prevalence of hypertension.

Indexed as

TriticumAdultCase-Control StudiesCeliac DiseaseDietary ProteinsDiet, Gluten-FreeFemaleFood AnalysisFood HypersensitivityGlutensHumansMalePatient ComplianceSelf ReportDietary ProteinsGlutens

Identifiers

PMID24374645
OpenAlexW2017034271

What OpenQuestion holds

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Registered trials

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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.