Evidence map›Paper›PMID 26718815›Full record

ArticleArchives of disease in childhood2016

Coeliac screening in a Scottish cohort of children with type 1 diabetes mellitus: is DQ typing the way forward?

R T Mitchell, A Sun, A Mayo, M Forgan, A Comrie, P M Gillett

Open access · hybridAbstract read
In one paragraph

Article in Archives of disease in childhood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 pooled it
2.8field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  7. Article
  8. Observational
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  14. Coeliac disease: to biopsy or not?Nature reviews. Gastroenterology & hepatology · 2018
    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

6 authors at 4 institutions in 1 country.

R T MitchellMRC Centre for Reproductive Health, The Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, UK Departments of Paediatric Diabetes (RTM) and Paediatric Gastroenterology (PMG), Royal Hospital for Sick Children, Edinburgh, UK.ORCID http://orcid.org/0000-0003-4650-3765
A SunDepartments of Paediatric Diabetes, Royal Aberdeen Children's Hospital, Aberdeen, UK.
A MayoDepartments of Paediatric Diabetes, Royal Aberdeen Children's Hospital, Aberdeen, UK.
M ForganBTS Tissue Typing, Ninewells Hospital, Dundee, UK.
A ComrieBTS Tissue Typing, Ninewells Hospital, Dundee, UK.
P M GillettDepartments of Paediatric Diabetes (RTM) and Paediatric Gastroenterology (PMG), Royal Hospital for Sick Children, Edinburgh, UK.
Ninewells Hospital · GBRoyal Aberdeen Children's Hospital · GBMRC Centre for Reproductive Health · GBRoyal Hospital for Children · GB

Funding

Wellcome TrustWellcome Trust 098522
6 · The paper itself

Abstract

backgroundChildren with type 1 diabetes mellitus (T1DM) are at increased risk of coeliac disease (CD). Recent guidelines indicate coeliac screening should include HLA typing for CD predisposing (DQ2/DQ8) alleles and those negative for these alleles require no further coeliac screening.

methodsChildren (n=176) with T1DM attending clinics across two Scottish regions were screened for HLA DQ2/DQ8 as part of routine screening. Data collected included the frequency of DQ2/DQ8 genotypes and the additional cost of HLA screening.

resultsOverall, DQ2/DQ8 alleles were identified in 94% of patients. The additional cost of HLA typing was £3699.52 (£21.02 per patient). All patients with known CD (11/176) were positive for DQ2/DQ8 and all were diagnosed with CD within 5 years of T1DM diagnosis.

conclusionsThe vast majority of children with T1DM have CD-predisposing HLA genotypes limiting the number of patients that can be excluded from further screening. We conclude that HLA genotyping is not currently indicated for CD screening in this population.

Indexed as

AdolescentCeliac DiseaseChildChild, PreschoolCost-Benefit AnalysisDiabetes Mellitus, Type 1FemaleGenetic Predisposition to DiseaseGenotypeHistocompatibility TestingHLA-DQ AntigensHumansInfantMaleMass ScreeningProspective StudiesHLA-DQ AntigensCoeliac DiseaseHuman Leucocyte AntigenScreeningType 1 Diabetes Mellitus

Identifiers

PMID26718815
PMCPMC4789707
OpenAlexW2282837732

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.