Evidence map›Paper›PMID 33020103›Full record

ArticleBMJ open2020

Accuracy of potential diagnostic indicators for coeliac disease: a systematic review protocol.

Martha Maria Christine Elwenspoek, Joni Jackson, Sarah Dawson, Hazel Everitt, Peter Gillett, Alastair D Hay, Hayley E Jones, Deborah L Lane, Susan Mallett, Gerry Robins and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

15 authors at 7 institutions in 1 country.

Martha Maria Christine ElwenspoekThe National Institute for Health Research Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol NHS Foundation Trust, Bristol, UK martha.elwenspoek@bristol.ac.uk.ORCID 0000-0002-9824-9335
Joni JacksonThe National Institute for Health Research Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Sarah DawsonThe National Institute for Health Research Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Hazel EverittPrimary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
Peter GillettPaediatric Gastroenterology, Hepatology and Nutrition Department, Royal Hospital for Sick Children, Edinburgh, UK.
Alastair D HayPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Hayley E JonesPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Deborah L LanePatient representative, Patient representative, UK.
Susan MallettSchool of Health and Population Sciences, University of Birmingham, Birmingham, West Midlands, UK.
Gerry RobinsDepartment of Gastroenterology, York Teaching Hospital NHS Foundation Trust, York, North Yorkshire, UK.
Athena Louise SheppardDepartment of Health Sciences, University of Leicester, Leicester, Leicestershire, UK.ORCID 0000-0003-1564-0740
Jo StubbsPatient representative, Patient representative, UK.
Howard ThomPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Jessica WatsonPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.ORCID 0000-0002-8177-6438
Penny WhitingPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
University of Bristol · GBUniversity Hospitals Bristol NHS Foundation Trust · GBRoyal Hospital for Sick Children · GBUniversity of Birmingham · GBUniversity of Leicester · GBUniversity of Southampton · GBYork Teaching Hospital NHS Foundation Trust · GB

Funding

Department of Health NIHR129020Medical Research Council MR/M014533/1
6 · The paper itself

Abstract

introductionCoeliac disease (CD) is a systemic immune-mediated disorder triggered by gluten in genetically predisposed individuals. CD is diagnosed using a combination of serology tests and endoscopic biopsy of the small intestine. However, because of non-specific symptoms and heterogeneous clinical presentation, diagnosing CD is challenging. Early detection of CD through improved case-finding strategies can improve the response to a gluten-free diet, patients' quality of life and potentially reduce the risk of complications. However, there is a lack of consensus in which groups may benefit from active case-finding. METHODS AND ANALYSIS: We will perform a systematic review to determine the accuracy of diagnostic indicators (such as symptoms and risk factors) for CD in adults and children, and thus can help identify patients who should be offered CD testing. MEDLINE, Embase, Cochrane Library and Web of Science will be searched from 1997 until 2020. Screening will be performed in duplicate. Data extraction will be performed by one and checked by a second reviewer. Disagreements will be resolved through discussion or referral to a third reviewer. We will produce a narrative summary of identified prediction models. Studies, where 2×2 data can be extracted or reconstructed, will be treated as diagnostic accuracy studies, that is, the diagnostic indicators are the index tests and CD serology and/or biopsy is the reference standard. For each diagnostic indicator, we will perform a bivariate random-effects meta-analysis of the sensitivity and specificity. ETHICS AND DISSEMINATION: Results will be reported in peer-reviewed journals, academic and public presentations and social media. We will convene an implementation panel to advise on the optimum strategy for enhanced dissemination. We will discuss findings with Coeliac UK to help with dissemination to patients. Ethical approval is not applicable, as this is a systematic review and no research participants will be involved. PROSPERO REGISTRATION NUMBER: CRD42020170766.

Indexed as

Celiac DiseaseAdultChildHumansMass ScreeningMeta-Analysis as TopicQuality of LifeResearch DesignSensitivity and SpecificitySystematic Reviews as Topiccoeliac diseasediagnosisrisk factorssymptomssystematic review protocol

Identifiers

PMID33020103
PMCPMC7537462
OpenAlexW3081750431

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.