Evidence map›Paper›PMID 34466665›Full record

ArticleBMJ paediatrics open2021

Early diagnosis of coeliac disease in the Preventive Youth Health Care Centres in the Netherlands: study protocol of a case finding study (GLUTENSCREEN).

Caroline Meijer-Boekel, M Elske van den Akker, Leti van Bodegom, Johanna Escher, Nan van Geloven, Floris van Overveld, Edmond H H M Rings, Lucy Smit, Martine Charlotte de Vries, M Luisa Mearin

Abstract read
In one paragraph

Article in BMJ paediatrics open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

  1. Article
  2. Review
  3. 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

10 authors.

Caroline Meijer-BoekelPaediatric Gastroenterology, Leiden University Medical Center, Leiden, Zuid Holland, The Netherlands.ORCID 0000-0003-4109-2047
M Elske van den AkkerBiomedical Data Sciences, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands.
Leti van BodegomBiomedical Data Sciences, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands.
Johanna EscherPaediatric Gastroenterology, Erasmus University Rotterdam, Rotterdam, Zuid-Holland, The Netherlands.
Nan van GelovenBiomedical Data Sciences, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands.
Floris van OverveldDutch Coeliac Patients Society, Naarden, The Netherlands.
Edmond H H M RingsPaediatric Gastroenterology, Leiden University Medical Center, Leiden, Zuid Holland, The Netherlands.
Lucy SmitYouth Health Care Centre, Kennemerland, The Netherlands.
Martine Charlotte de VriesDepartment of Medical Ethics and Health Law, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands.
M Luisa MearinPaediatric Gastroenterology, Leiden University Medical Center, Leiden, Zuid Holland, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Coeliac disease (CD) occurs in 1% of the population, develops early in life and is severely underdiagnosed. Undiagnosed and untreated disease is associated with short-term and long-term complications. The current healthcare approach is unable to solve the underdiagnosis of CD and timely diagnosis and treatment is only achieved by active case finding. Aim: to perform a case finding project to detect CD children who visit the Youth Health Care Centres (YHCCs) in a well-described region in the Netherlands to evaluate whether it is feasible, cost-effective and well accepted by the population. Methods/analysis: Prospective intervention cohort study. Parents of all children aged 12 months and 4 years attending the YHCCs for a regular visit are asked whether their child has one or more CD-related symptoms from a standardised list. If so, they will be invited to participate in the case finding study. After informed consent, a point of care test (POCT) to assess CD-specific antibodies against tissue transglutaminase (TG2A) is performed onsite the YHCCs. If the POCT is positive, CD is highly suspected and the child will be referred to hospital for definitive diagnosis according to the Guideline Coeliac Disease of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition guideline. Main outcomes: Incidence rate of new CD diagnoses in the study region in comparison to the one in the same age diagnosed by standard of care in the rest of the Netherlands.Feasibility and cost-effectiveness of active CD case finding at the YHCCs. All costs of active case finding, diagnostics and treatment of CD and the potential short-term and long-term consequences of the disease will be calculated for the setting with and without case finding.Ethical acceptability: by questionnaires on parental and healthcare professionals' satisfaction.A statistical analysis plan was prepared and is published on the GLUTENSCREEN website (Statistical-Analysis-Plan-11-5-2021_def.pdf (glutenscreen.nl) and added as annex 1). Ethics and dissemination: The Medical Ethics Committee Leiden approved this study. If we prove that case finding at the YHCC is feasible, cost-effective and well accepted by the population, implementation is recommended. Trial registration number: NL63291.058.17.

Indexed as

Celiac DiseaseAdolescentChildCohort StudiesDelivery of Health CareEarly DiagnosisHumansInfantNetherlandsProspective Studiesgastroenterology

Identifiers

PMID34466665
PMCPMC8359518

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