Evidence map›Paper›PMID 29689265›Full record

SynthesisGastroenterology2018

Prevalence of Celiac Disease in Patients With Iron Deficiency Anemia-A Systematic Review With Meta-analysis.

Srihari Mahadev, Monika Laszkowska, Johan Sundström, Magnus Björkholm, Benjamin Lebwohl, Peter H R Green, Jonas F Ludvigsson

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07563582 (Efficacy of Oral Sucrosomial Iron Supplementation in Children With Celiac Disease and Iron Deficiency or Anemia), which is not on this map. Cited by 59 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 6 pooled it
8.8field-weighted citation impact, top 2% 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.

NCT07563582 narecruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Oral Sucrosomial Iron Supplementation in Children With Celiac Disease and Iron Deficiency or Anemia: a Double-blind, Randomized, Placebo-controlled Trial

TypeinterventionalSponsorIstituto Giannina GasliniRan2025 to 2027Enrolled60ConditionsCeliac Disease in Children, Anemia, Iron DeficienciesArmsSideral forte® VERUM drops, Sideral forte® matching PLACEBO drops
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 6 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Deficiency and Insufficiency of Vitamin D in Women of Childbearing Age: A Systematic Review and Meta-analysis.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022
    Pooled it
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Celiac disease and iron deficiency.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  17. Article
  18. Coeliac disease: complications and comorbidities.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  19. Dietary assessments in individuals living with coeliac disease: key considerations.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Review
  20. 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 4 institutions in 3 countries.

Srihari MahadevCeliac Disease Center, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York.
Monika LaszkowskaCeliac Disease Center, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York.
Johan SundströmDepartment of Medical Sciences, Uppsala University, and Uppsala Clinical Research Center, Uppsala, Sweden.
Magnus BjörkholmDepartment of Medicine, Division of Hematology, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.
Benjamin LebwohlCeliac Disease Center, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York.
Peter H R GreenCeliac Disease Center, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York.
Jonas F LudvigssonCeliac Disease Center, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Pediatrics, Örebro University Hospital, Örebro, Sweden; Division of Epidemiology and Public Health, School of Medicine, University of Nottingham, Nottingham, United Kingdom. Electronic address: jonasludvigsson@yahoo.com.
Columbia University · USKarolinska University Hospital · SEUniversity of Nottingham · GBUppsala University · SE

Funding

Multidisciplinary Training in Translational Gastrointestinal and Liver ResearchT32DK083256 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Timothy Cragin Wang · 2009 to 2026
$5.5M
NIDDK NIH HHS T32 DK083256
6 · The paper itself

Abstract

BACKGROUND &

aimsAnemia is common in patients with celiac disease (CD) and a frequent mode of presentation. Guidelines recommend screening patients with iron-deficiency anemia (IDA) for CD. However, the reported prevalence of CD in patients with IDA varies. We performed a systematic review to determine the prevalence of biopsy-verified CD in patients with IDA.

methodsWe performed a systematic review of articles published in PubMed Medline or EMBASE through July 2017 for the term "celiac disease" combined with "anemia" or "iron deficiency." We used fixed-effects inverse variance-weighted models to measure the pooled prevalence of CD. Meta-regression was used to assess subgroup heterogeneity.

resultsWe identified 18 studies composed of 2998 patients with IDA for inclusion in our analysis. Studies originated from the United Kingdom, United States, Italy, Turkey, Iran, and Israel. The crude unweighted prevalence of CD was 4.8% (n = 143). Using a weighted pooled analysis, we found a prevalence of biopsy-confirmed CD of 3.2% (95% confidence interval = 2.6-3.9) in patients with IDA. However, heterogeneity was high (I

conclusionsIn a systematic review and meta-analysis, we found that approximately 1 in 31 patients with IDA have histologic evidence of CD. This prevalence value justifies the practice of testing patients with IDA for CD.

Indexed as

Age FactorsAnemia, Iron-DeficiencyBiopsyCeliac DiseaseHumansIntestine, SmallPrevalenceSex FactorsCeliacCoeliacIron DeficiencyMeta-Analysis

Identifiers

PMID29689265
PMCPMC7057414
OpenAlexW2800090685

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.