Evidence map›Paper›PMID 26096570›Full record

ArticleNutrients2015

Diagnosis of Non-Celiac Gluten Sensitivity (NCGS): The Salerno Experts' Criteria.

Carlo Catassi, Luca Elli, Bruno Bonaz, Gerd Bouma, Antonio Carroccio, Gemma Castillejo, Christophe Cellier, Fernanda Cristofori, Laura de Magistris, Jernej Dolinsek and 20 more

5 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Nutrients, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 228 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
228citing papers in PubMed, 11 pooled it
42.1field-weighted citation impact, top 1% 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.

NCT02823522 completednot on this mapstarted 2016, after this paper: background citation

Non-Celiac Wheat Sensitivity: Permanent or Transient Condition? A Follow-up Study

TypeobservationalSponsorUniversity of PalermoRan2016 to 2025Enrolled280ConditionsNon-Celiac Wheat SensitivityArmsPatients recruitment
NCT04017585 nacompletednot on this mapstarted 2019, after this paper: background citation

Double Blind Randomized Clinical Trial in Subjects With Irritable Bowel Syndrome for the Identification of Gluten Sensitivity

TypeinterventionalSponsorUniversity of BariRan2019 to 2019Enrolled40ConditionsNon-celiac Gluten Sensitivity, Irritable Bowel SyndromeArmsdiet containing gluten, Diet containing placebo
NCT04077840 completednot on this mapstarted 2016, after this paper: background citation

Autoimmune Diseases and Serum Autoantibodies in Non-celiac Wheat Sensitivity Patients in Comparison to IBS Patients

TypeobservationalSponsorUniversity of PalermoRan2016 to 2018Enrolled58ConditionsNon-celiac Gluten Sensitivity, Non-celiac Wheat Sensitivity
NCT04219813 narecruitingnot on this mapstarted 2021, after this paper: background citation

Urinary Gluten Detection in Patients With Non-celiac Gluten/Wheat Sensitivity

TypeinterventionalSponsorUniversity of PalermoRan2021 to 2026Enrolled40ConditionsNon-celiac Gluten/Wheat SensitivityArmsUrinary test
NCT04639921 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Non Celiac Gluten Sensitivity, a Double Blind Placebo Controlled Food Challenge With Cross-over in Healthy Danish Adolescents

TypeinterventionalSponsorOdense University HospitalRan2020 to 2021Enrolled33ConditionsNon-celiac Gluten Sensitivity, AdolescentsArmspositive test followed by gluten-free diet, Placebo
3 · Its place in the literature

Who cites it

228 citing papers in PubMed, 11 syntheses or guidelines pooled it, 557 citations in OpenAlex.

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  8. Comparison of gut microbiota profile in celiac disease, non-celiac gluten sensitivity and irritable bowel syndrome: A systematic review.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2020
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168 more citing papers are in PubMed but not listed here.

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

30 authors at 20 institutions in 9 countries.

Carlo CatassiDepartment of Pediatrics, Università Politecnica delle Marche, 60123 Ancona, Italy. c.catassi@univpm.it.
Luca ElliCentre for the Prevention and Diagnosis of Celiac Disease/Gastroenterology and Endoscopy Unit, Fondazione IRCCS Cà Granda-Ospedale Maggiore Policlinico, Milan 20122, Italy. lucelli@yahoo.com.
Bruno BonazClinique Universitaire d'Hépato-Gastroenterologie, CHU de Grenoble, 38043 Grenoble Cedex 09, France. BBonaz@chu-grenoble.fr.
Gerd BoumaDepartment of Gastroenterology, VU University Medical Center, Amsterdam, the Netherlands. g.bouma@vumc.nl.
Antonio CarroccioDepartment of Internal Medicine, "Giovanni Paolo II" Hospital, Sciacca (AG) and University of Palermo, Sciacca 92019, Italy. acarroccio@hotmail.com.
Gemma CastillejoPaediatric Gastroenterology Unit, Hospital Sant Joan de Reus, 43201 Reus, Spain. gcastillejo@grupsagessa.com.
Christophe CellierService d'Hépato-gastro-entérologie et Endoscopie Digestive, Hôpital Européen Georges Pompidou, 75015 Paris, France. christophe.cellier@egp.aphp.fr.
Fernanda CristoforiInterdisciplinary Department of Medicine, University of Bari, Bari 70124, Italy. fernandacristofori@gmail.com.
Laura de MagistrisDepartment of Internal and Experimental Medicine Magrassi-Lanzara, Second University of Naples, 80131 Naples, Italy. laura.demagistris@unina2.it.
Jernej DolinsekGastroenterology Unit, Department of Pediatrics, University Medical Centre Maribor, Maribor 2000, Slovenia. jernej.dolinsek@ukc-mb.si.
Walburga DieterichMedical Clinic 1, University of Erlangen, 91054 Erlangen, Germany. walburga.dieterich@uk-erlangen.de.
Ruggiero FrancavillaInterdisciplinary Department of Medicine, University of Bari, Bari 70124, Italy. rfrancavilla@gmail.com.
Marios HadjivassiliouAcademic Department of Neurosciences and University of Sheffield, Royal Hallamshire Hospital, Sheffield S10 2JF, UK. lucelli@yahoo.com.
Wolfgang HoltmeierDivision of Gastroenterology and Internal Medicine, Hospital Porz am Rhein, Köln 51149, Germany. BBonaz@chu-grenoble.fr.
Ute KörnerPractice of Nutrition Therapy Allergology and Gastroenterology, Köln 50935, Germany. ute.koerner@t-online.de.
Dan A LefflerDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA. acarroccio@hotmail.com.
Knut E A LundinSeksjon for Gastromedisin, Avdeling for Transplantasjonsmedisin, OUS Rikshospitalet Senter for Immunregulering, Oslo University, 0424 Oslo, Norway. knut.lundin@medisin.uio.no.
Giuseppe MazzarellaInstitute of Food Sciences-CNR, Lab. Immuno-Morphology, 83100 Avellino, Italy. christophe.cellier@egp.aphp.fr.
Chris J MulderDepartment of Gastroenterology, VU University Medical Center, Amsterdam, the Netherlands. cjmulder@vumc.nl.
Nicoletta PellegriniDepartment of Food Science, University of Parma, IT-43124 Parma, Italy. nicoletta.pellegrini@unipr.it.
Kamran RostamiDepartment of Gastroenterology, Alexandra Hospital, Redditch B98 7UB, UK. laura.demagistris@unina2.it.
David SandersDepartment of Gastroenterology and Hepatology, Royal Hallamshire Hospital and University of Sheffield Medical School, Sheffield S10 2JF, UK. david.sanders@sth.nhs.uk.
Gry Irene SkodjeDivision of Clinical Nutrition, Oslo University Hospital, 0424 Oslo, Norway,. g.i.skodje@medisin.uio.no.
Detlef SchuppanUniversity Medical Center of the Johannes Gutenberg University, 55131 Mainz, Germany. detlef.schuppan@unimedizin-mainz.de.
Reiner UllrichCharité-Universitätsmedizin Berlin, Medizinische Klinik für Gastroenterologie, Infektiologie und Rheumatologie, 12203 Berlin, Germany. reiner.ullrich@charite.de.
Umberto VoltaDepartment of Medical and Surgical Sciences University of Bologna, St. Orsola-Malpighi Hospital via Massarenti 9, 40138 Bologna, Italy. umberto.volta@aosp.bo.it.
Marianne WilliamsSomerset Partnership NHS Foundation Trust, Bridgwater TA6 4RN, UK. marianne@wisediet.co.uk.
Victor F ZevallosUniversity Medical Center of the Johannes Gutenberg University, 55131 Mainz, Germany. zevallos@uni-mainz.de.
Yurdagül ZopfMedical Clinic 1, University of Erlangen, 91054 Erlangen, Germany. yurdaguel.zopf@uk-erlangen.de.
Alessio FasanoPediatric Gastroenterology and Nutrition, Mass General Hospital for Children, Boston, MA 02114, USA. afasano@mgh.harvard.edu.
Amsterdam UMC Location Vrije Universiteit Amsterdam · NLFriedrich-Alexander-Universität Erlangen-Nürnberg · DEJohannes Gutenberg University Mainz · DERoyal Hallamshire Hospital · GBUniversity of Bari Aldo Moro · ITAlexandra Hospital · GBBeth Israel Deaconess Medical Center · USCentre Hospitalier Universitaire de Grenoble · FRCharité - Universitätsmedizin Berlin · DEFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITHôpital Européen Georges-Pompidou · FRHospital Universitari Sant Joan de Reus · ESInstitute of Food Science · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITKrankenhaus Porz am Rhein · DEMarche Polytechnic University · ITMassachusetts General Hospital · USOslo University Hospital · NOSomerset Partnership NHS Foundation Trust · GBUniversity Clinical Centre Maribor · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-Celiac Gluten Sensitivity (NCGS) is a syndrome characterized by intestinal and extra-intestinal symptoms related to the ingestion of gluten-containing food, in subjects that are not affected by either celiac disease or wheat allergy. Given the lack of a NCGS biomarker, there is the need for standardizing the procedure leading to the diagnosis confirmation. In this paper we report experts' recommendations on how the diagnostic protocol should be performed for the confirmation of NCGS. A full diagnostic procedure should assess the clinical response to the gluten-free diet (GFD) and measure the effect of a gluten challenge after a period of treatment with the GFD. The clinical evaluation is performed using a self-administered instrument incorporating a modified version of the Gastrointestinal Symptom Rating Scale. The patient identifies one to three main symptoms that are quantitatively assessed using a Numerical Rating Scale with a score ranging from 1 to 10. The double-blind placebo-controlled gluten challenge (8 g/day) includes a one-week challenge followed by a one-week washout of strict GFD and by the crossover to the second one-week challenge. The vehicle should contain cooked, homogeneously distributed gluten. At least a variation of 30% of one to three main symptoms between the gluten and the placebo challenge should be detected to discriminate a positive from a negative result. The guidelines provided in this paper will help the clinician to reach a firm and positive diagnosis of NCGS and facilitate the comparisons of different studies, if adopted internationally.

Indexed as

BiomarkersCross-Over StudiesDiet, Gluten-FreeDouble-Blind MethodFood HypersensitivityGlutensHumansImmunoglobulin GIntestinal MucosaSurveys and QuestionnairesBiomarkersGlutensImmunoglobulin Gdiagnosisdouble-blind placebo-controlled challengegastrointestinal symptom rating scaleirritable bowel syndromenon-celiac gluten sensitivity

Identifiers

PMID26096570
PMCPMC4488826
OpenAlexW2144039752

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.