ArticleThe European journal of general practice2018
The daily practice of (suspected) coeliac disease management by general practitioners: A qualitative approach.
Article in The European journal of general practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Daily gluten consumption of pediatric first-degree relatives of coeliac patients, is it so low that we miss diagnoses?European journal of pediatrics · 2025Article
- A Dedicated Celiac Disease Program Improves Celiac Quality Care Metrics and Short-Term Outcomes in Real Life.Digestive diseases and sciences · 2024Article
- Celiac disease: experience of general practitioners in Brianza Area- Monza- Milan-Italy.Gastroenterology and hepatology from bed to bench · 2023Article
- Insight in the diagnosis and treatment of coeliac disease in general practice: A survey and case vignette study among 106 general practitioners.The European journal of general practice · 2021Article
- Testing for coeliac disease rarely leads to a diagnosis: a population-based study.Scandinavian journal of primary health care · 2021Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGeneral practitioners (GPs) play a crucial role in diagnosing coeliac disease (CD). However, data on GP management of (suspected) CD patients is sparse.
objectivesTo provide insights into the daily practice of diagnosis, treatment, and follow-up of CD by GPs.
methodsA qualitative study using topic list-based semi-structured in-depth interviews with Dutch GPs with more than five years' experience carried out between January and March 2017. GPs were purposively sampled. The number of GPs interviewed depended on when data saturation was reached. We applied content analysis to the semi-structured interviews.
resultsSeven GPs were interviewed, five of whom were female. Analysis of the interviews resulted in three main themes: 'awareness,' 'diagnostics' and 'management.' Vague gastrointestinal symptoms and diarrhoea were often mentioned as a possible presentation of CD. Antibodies were used in CD diagnosis, although some GPs would start a gluten-free diet as a first diagnostic tool. Some GPs diagnosed CD only based on positive antibodies without referring to secondary care or duodenal biopsy analysis. GPs mentioned no role for primary care physicians in the follow-up of CD and noted the important role of dieticians in CD management.
conclusionThe different views of GPs on how to diagnose and monitor CD could be a basis for further research to improve CD detection rate and CD care.
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