Evidence map›Paper›PMID 29898932›Full record

ReviewCanadian family physician Medecin de famille canadien2018

Management of bone health in patients with celiac disease: Practical guide for clinicians.

Donald Duerksen, Maria Ines Pinto-Sanchez, Alexandra Anca, Joyce Schnetzler, Shelley Case, Jenni Zelin, Adrianna Smallwood, Justine Turner, Elena Verdú, J Decker Butzner and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in Canadian family physician Medecin de famille canadien, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Review
  3. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Review
  4. Diagnosis and management of celiac disease.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Review
  5. Celiac Disease: Beyond Diet and Food Awareness.Foods (Basel, Switzerland) · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Bone Mineral Density Screening and the Frequency of Osteopenia/Osteoporosis in Turkish Adult Patients With Celiac Disease.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021
    Article
  13. Article
  14. Review
  15. The Progression of Celiac Disease, Diagnostic Modalities, and Treatment Options.Journal of investigative medicine high impact case reports
    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

11 authors at 2 institutions in 1 country.

Donald DuerksenAssociate Professor in the Department of Medicine at the University of Manitoba in Winnipeg, Member of the Professional Advisory Council for the Canadian Celiac Association.
Maria Ines Pinto-SanchezAssistant Professor in the Department of Medicine at McMaster University in Hamilton, Ont.
Alexandra AncaRegistered dietitian in Toronto, Ont, Member of the Professional Advisory Council for the Canadian Celiac Association.
Joyce SchnetzlerRegistered dietitian in Victoria, BC, Member of the Professional Advisory Council for the Canadian Celiac Association.
Shelley CaseRegistered dietitian in Regina, Sask, Member of the Professional Advisory Council for the Canadian Celiac Association.
Jenni ZelinFamily physician in Charlottetown, PEI, Member of the Professional Advisory Council for the Canadian Celiac Association.
Adrianna SmallwoodRegistered dietitian in St John's, NL, Member of the Professional Advisory Council for the Canadian Celiac Association.
Justine TurnerAssociate Professor of Pediatrics in the Department of Pediatrics at the University of Alberta in Edmonton, Member of the Professional Advisory Council for the Canadian Celiac Association.
Elena VerdúProfessor in the Department of Medicine at McMaster University, Member of the Professional Advisory Council for the Canadian Celiac Association.
J Decker ButznerProfessor in the Department of Pediatrics in the University of Calgary in Alberta, Member of the Professional Advisory Council for the Canadian Celiac Association.
Mohsin RashidProfessor of Pediatrics and Medicine in the Division of Gastroenterology and Nutrition in the Department of Pediatrics at Dalhousie University in Halifax, NS, Member of the Professional Advisory Council for the Canadian Celiac Association. mohsin.rashid@iwk.nshealth.ca.
Canadian Celiac Association · CAMcMaster University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe clinical issues related to bone health in patients with celiac disease (CD) and to provide guidance on monitoring bone health in these patients. SOURCES OF INFORMATION: A PubMed search was conducted to review literature relevant to CD and bone health, including guidelines published by professional gastroenterological organizations. MAIN MESSAGE: Bone health can be negatively affected in both adults and children with CD owing to the inflammatory process and malabsorption of calcium and vitamin D. Most adults with symptomatic CD at diagnosis have low bone mass. Bone mineral density should be tested at diagnosis and at follow-up, especially in adult patients. Vitamin D levels should be measured at diagnosis and annually until they are normal. In addition to a strict gluten-free diet, supplementation with calcium and vitamin D should be provided and weight-bearing exercises encouraged.

conclusionBone health can be adversely affected in patients with CD. These patients require adequate calcium and vitamin D supplementation, as well as monitoring of vitamin D levels and bone mineral density with regular follow-up to help prevent osteoporosis and fractures.

Indexed as

Disease ManagementBone DensityBone Diseases, MetabolicCalciumCeliac DiseaseDietary SupplementsFractures, BoneHumansOsteoporosisPrimary Health CareVitamin DCalciumVitamin D

Identifiers

PMID29898932
PMCPMC5999247
OpenAlexW2808397645

What OpenQuestion holds

Textmetadata
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.