Evidence map›Paper›PMID 33599429›Full record

ArticlePediatric endocrinology, diabetes, and metabolism2021

Increased prevalence of celiac disease and its clinical picture among patients with diabetes mellitus type 1 - observations from a single pediatric center in Central Europe.

Anna Wędrychowicz, Mari Minasyan, Alicja Pietraszek, Janusz Centkowski, Maria Stręk, Joanna Różańska, Kamila Chełmecka, Barbara Zdzierak, Marcelina Wilk, Patrycja Czekańska and 7 more

Open access · diamondAbstract read
In one paragraph

Article in Pediatric endocrinology, diabetes, and metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

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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

17 authors at 2 institutions in 1 country.

Anna WędrychowiczDepartment of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Mari MinasyanStudent Science Circle, Department of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Alicja PietraszekStudent Science Circle, Department of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Janusz CentkowskiStudent Science Circle, Department of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Maria StrękStudent Science Circle, Department of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Joanna RóżańskaStudent Science Circle, Department of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Kamila ChełmeckaStudent Science Circle, Department of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Barbara ZdzierakStudent Science Circle, Department of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Marcelina WilkStudent Science Circle, Department of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Patrycja CzekańskaStudent Science Circle, Department of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Peter PacutStudent Science Circle, Department of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Zofia Grzenda-AdamekDepartment of Pediatrics, Gastroenterology and Nutrition, University Children's Hospital in Krakow, Poland.
Jadwiga MałekDepartment of Endocrinology of Children and Adolescents, University Children's Hospital in Krakow, Poland.
Marta CiechanowskaDepartment of Endocrinology of Children and Adolescents, University Children's Hospital in Krakow, Poland.
Małgorzata StelmachDepartment of Endocrinology of Children and Adolescents, University Children's Hospital in Krakow, Poland.
Joanna NazimDepartment of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Jerzy B StarzykStudent Science Circle, Department of Endocrinology of Children and Adolescents, Jagiellonian University Collegium Medicum, Institute of Pediatrics, Krakow, Poland.
Jagiellonian University · PLUniwersytecki Szpital Dziecięcy · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of our study was to analyze the incidence and the clinical characteristic of celiac disease (CD) in pediatric population with type 1 diabetes mellitus (T1DM). MATERIAL AND

methodsThe data of 880 patients with T1DM, 429 girls, mean age 12.14 ±4.0 years was retrospectively retrieved from medical records. Patients with T1DM and CD were selected and a detailed analysis of CD prevalence and its clinical characteristic at the time of CD diagnosis was performed. The data were compared with the previous data from our center published a decade ago.

resultsCD was suspected in 85/880 patients (9.65%) on the base of results of serological tests, but finally CD was diagnosed in 73/880 patients with T1DM (8.3%), in 53/429 girls (12.3%) and in 20/451 boys (4.4%). Most patients (71%) had CD diagnosed after T1DM onset. The majority of CD patients (72%) was asymptomatic. The CD diagnosis was not associated with inappropriate metabolic control of diabetes. The onset age of diabetes in children with CD was significantly lower than in those without CD (5.8 ±3.6 years vs. 7.56 ±4.0 years, p = 0.04). The prevalence of CD is significantly higher than a decade ago in our center (8.3% vs. 5.7%, p = 0.001).

conclusionsIn light of increasing prevalence of mainly asymptomatic CD in patients with T1DM, CD screening is necessary. However positive serological tests, which are currently used in screening, and are the first step of diagnostics, in some patients allow only to suspect the CD and further diagnostic steps should be performed.

Indexed as

Celiac DiseaseDiabetes Mellitus, Type 1AdolescentChildChild, PreschoolEuropeFemaleHumansMalePrevalenceRetrospective Studiesceliac diseasechildren and adolescentsincidencesigns and symptoms.type 1 diabetes mellitus

Identifiers

PMID33599429
PMCPMC10227479
OpenAlexW3130755479

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.