ArticleBMJ open2018
Trends, geographical variation and factors associated with prescribing of gluten-free foods in English primary care: a cross-sectional study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic Literature Review of the Economic Burden of Celiac Disease.PharmacoEconomics · 2019Pooled it
- Educational interventions delivered to prescribing advisers to influence primary care prescribing: a very low-cost pragmatic randomised trial using routine data from OpenPrescribing.net.BMC health services research · 2025Trial
- Article
- The financial impact on people with coeliac disease of withdrawing gluten-free food from prescriptions in England: findings from a cross-sectional survey.BMC health services research · 2024Article
- Data-Driven Identification of Unusual Prescribing Behavior: Analysis and Use of an Interactive Data Tool Using 6 Months of Primary Care Data From 6500 Practices in England.JMIR medical informatics · 2023Article
- OpenSAFELY: impact of national guidance on switching anticoagulant therapy during COVID-19 pandemic.Open heart · 2021Article
- Trends and variation in unsafe prescribing of methotrexate: a cohort study in English NHS primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Variation in responsiveness to warranted behaviour change among NHS clinicians: novel implementation of change detection methods in longitudinal prescribing data.BMJ (Clinical research ed.) · 2019Article
- Are gluten-free food staples accessible to all patients with coeliac disease?Frontline gastroenterology · 2019Article
- The Effect of Gluten-Free Diet on Health and the Gut Microbiota Cannot Be Extrapolated from One Population to Others.Nutrients · 2018Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesThere is substantial disagreement about whether gluten-free foods should be prescribed on the National Health Service. We aim to describe time trends, variation and factors associated with prescribing gluten-free foods in England.
settingEnglish primary care.
participantsEnglish general practices. PRIMARY AND SECONDARY OUTCOME MEASURES: We described long-term national trends in gluten-free prescribing, and practice and Clinical Commissioning Group (CCG) level monthly variation in the rate of gluten-free prescribing (per 1000 patients) over time. We used a mixed-effect Poisson regression model to determine factors associated with gluten-free prescribing rate.
resultsThere were 1.3 million gluten-free prescriptions between July 2016 and June 2017, down from 1.8 million in 2012/2013, with a corresponding cost reduction from £25.4 million to £18.7 million. There was substantial variation in prescribing rates among practices (range 0 to 148 prescriptions per 1000 patients, IQR 7.3-31.8), driven in part by substantial variation at the CCG level, likely due to differences in prescribing policy. Practices in the most deprived quintile of deprivation score had a lower prescribing rate than those in the highest quintile (incidence rate ratio 0.89, 95% CI 0.87 to 0.91). This is potentially a reflection of the lower rate of diagnosed coeliac disease in more deprived populations.
conclusionGluten-free prescribing is in a state of flux, with substantial clinically unwarranted variation between practices and CCGs.
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