Evidence map›Paper›PMID 30013744›Full record

ReviewGastroenterology and hepatology from bed to bench2018

The serological diagnosis of coeliac disease - a step forward.

Geoffrey Holmes, Carolina Ciacci

Open access · greenAbstract readReview
In one paragraph

Review in Gastroenterology and hepatology from bed to bench, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Patterns of practice in the diagnosis, dietary counselling and follow-up of patients with celiac disease- A patient-based survey.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023
    Article
  4. Article
  5. Article
  6. No-biopsy diagnostic approach to coeliac disease.Gastroenterology and hepatology from bed to bench · 2023
    Review
  7. Observational
  8. Article
  9. Diagnosing coeliac disease in the elderly: a United Kingdom cohort study.Gastroenterology and hepatology from bed to bench · 2020
    Article
  10. Article
  11. The serological diagnosis of adult coeliac disease - a cautious step forward?Gastroenterology and hepatology from bed to bench · 2018
    Article
  12. Seronegative coeliac disease: Are they coeliac? When biopsy in adult can be avoided?Gastroenterology and hepatology from bed to bench · 2018
    Article
  13. Article
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

2 authors at 2 institutions in 2 countries.

Geoffrey HolmesRoyal Derby Hospital, Derby, UK.
Carolina CiacciCoeliac Center at Department of Medicine and Surgery, Scuola Medica Salernitana, University of Salerno, Salerno, Italy.
Royal Derby Hospital · GBUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The development of highly performing serological tests to identify patients with coeliac disease (CD), allowed large scale screening studies to be carried out and the results transformed our understanding of the prevalence of the condition in the general population. The next logical step was to ask whether CD could be reliably diagnosed by these tests without the need for small intestinal biopsies. This was shown to be the case. Studies from Derby, UK, indicated that about half of adult patients can be diagnosed in this way and similar figures have been provided for children. When considering this approach, it is essential that laboratories only use highly performing test kits that they have validated to measure tissue transglutaminase antibodies because all kits do not function to the same high standard. There remains a place for biopsy when criteria for serological diagnosis are not met, if the diagnosis of CD is strongly suspected but serological tests are negative or in patients not showing the expected responses to gluten free diet or otherwise causing concern, when not only small bowel biopsy will be indicated but also other investigations. Those with refractory CD should not be compromised by this diagnostic strategy. As serological tests become more refined and information accumulates, it is likely that this mode of diagnosis will gather momentum for the benefit of patients and carers. This brief review looks at the evidence for making the diagnosis of CD in some cases by serological tests alone.

Indexed as

Celiac diseaseDiagnosisSerologyTissue transglutaminase

Identifiers

PMID30013744
PMCPMC6040038
OpenAlexW2866447674

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.