Evidence map›Paper›PMID 35736659›Full record

ArticlePediatric reports2022

Recognizing the Emergent and Submerged Iceberg of the Celiac Disease: ITAMA Project-Global Strategy Protocol.

Giuseppe Magazzù, Samuel Aquilina, Christopher Barbara, Ramon Bondin, Ignazio Brusca, Jacqueline Bugeja, Mark Camilleri, Donato Cascio, Stefano Costa, Chiara Cuzzupè and 22 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pediatric reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05715970 (ICT Tools for the Diagnosis of Autoimmune Diseases in the Mediterranean Area_CAPITALISATION PROJECT), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 23% 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.

NCT05715970 nacompletednot on this mapstarted 2023, after this paper: background citation

ICT Tools for the Diagnosis of Autoimmune Diseases in the Mediterranean Area_CAPITALISATION PROJECT

TypeinterventionalSponsorUniversity of PalermoRan2023 to 2024Enrolled25,000ConditionsCeliac DiseaseArmsPoCT+questionnaire administration
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. 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

32 authors at 7 institutions in 2 countries.

Giuseppe MagazzùDipartimento di Patologia Umana dell'Adulto e dell'Età Evolutiva "Gaetano Barresi", Università di Messina, 98122 Messina, Italy.ORCID 0000-0003-2622-4013
Samuel AquilinaDepartment of Paediatrics, Mater Dei Hospital, 2090 Msida, Malta.
Christopher BarbaraDepartment of Pathology, Mater Dei Hospital, 2090 Msida, Malta.
Ramon BondinDepartment of Paediatrics, Mater Dei Hospital, 2090 Msida, Malta.
Ignazio BruscaOspedale Fatebenefratelli, Buccheri La Ferla, 90123 Palermo, Italy.ORCID 0000-0001-6243-7732
Jacqueline BugejaAcrossLimits Ltd., 4013 Birkirkara, Malta.
Mark CamilleriDepartment of Pathology, Mater Dei Hospital, 2090 Msida, Malta.ORCID 0000-0002-3789-4912
Donato CascioDipartimento di Fisica e Chimica-"E. Segrè", Università di Palermo, 90133 Palermo, Italy.ORCID 0000-0001-6522-1259
Stefano CostaDAI Materno-Infantile, AOU Policlinico G. Martino, 98124 Messina, Italy.
Chiara CuzzupèDipartimento di Patologia Umana dell'Adulto e dell'Età Evolutiva "Gaetano Barresi", Università di Messina, 98122 Messina, Italy.
Annalise DucaAcrossLimits Ltd., 4013 Birkirkara, Malta.
Maria FregapaneOspedale Fatebenefratelli, Buccheri La Ferla, 90123 Palermo, Italy.
Vito GentileDipartimento di Fisica e Chimica-"E. Segrè", Università di Palermo, 90133 Palermo, Italy.
Angele GiulianoAcrossLimits Ltd., 4013 Birkirkara, Malta.ORCID 0000-0002-2281-6970
Alessia GrifòDipartimento di Patologia Umana dell'Adulto e dell'Età Evolutiva "Gaetano Barresi", Università di Messina, 98122 Messina, Italy.
Anne-Marie GrimaDepartment of Paediatrics, Mater Dei Hospital, 2090 Msida, Malta.
Antonio IeniDipartimento di Patologia Umana dell'Adulto e dell'Età Evolutiva "Gaetano Barresi", Università di Messina, 98122 Messina, Italy.
Giada Li CalziDipartimento di Fisica e Chimica-"E. Segrè", Università di Palermo, 90133 Palermo, Italy.
Fabiana MaisanoDipartimento di Patologia Umana dell'Adulto e dell'Età Evolutiva "Gaetano Barresi", Università di Messina, 98122 Messina, Italy.
Giuseppinella MelitaDipartimento di Patologia Umana dell'Adulto e dell'Età Evolutiva "Gaetano Barresi", Università di Messina, 98122 Messina, Italy.
Socrate PallioDipartimento di Medicina Clinica e Sperimentale, Università di Messina, 98122 Messina, Italy.
Ilenia PanasitiDipartimento di Patologia Umana dell'Adulto e dell'Età Evolutiva "Gaetano Barresi", Università di Messina, 98122 Messina, Italy.
Salvatore PellegrinoDAI Materno-Infantile, AOU Policlinico G. Martino, 98124 Messina, Italy.
Claudio RomanoDipartimento di Patologia Umana dell'Adulto e dell'Età Evolutiva "Gaetano Barresi", Università di Messina, 98122 Messina, Italy.
Salvatore SorceDipartimento di Fisica e Chimica-"E. Segrè", Università di Palermo, 90133 Palermo, Italy.ORCID 0000-0003-1976-031X
Marco Elio TabacchiDipartimento di Matematica e Informatica, Università di Palermo, 90133 Palermo, Italy.ORCID 0000-0001-7230-8192
Vincenzo TaorminaDipartimento di Fisica e Chimica-"E. Segrè", Università di Palermo, 90133 Palermo, Italy.
Domenico TegoloDipartimento di Matematica e Informatica, Università di Palermo, 90133 Palermo, Italy.
Andrea TortoraDAI Scienze Mediche, AOU Policlinico G. Martino, 98124 Messina, Italy.
Cesare ValentiDipartimento di Matematica e Informatica, Università di Palermo, 90133 Palermo, Italy.ORCID 0000-0002-4961-2054
Cecil VellaDepartment of Paediatrics, Mater Dei Hospital, 2090 Msida, Malta.
Giuseppe RasoDipartimento di Fisica e Chimica-"E. Segrè", Università di Palermo, 90133 Palermo, Italy.
University of Messina · ITUniversity of Palermo · ITMater Dei Hospital · MTAcrossLimits · MTAzienda Ospedaliera Universitaria Policlinico "G. Martino" · ITOspedale Buccheri la Ferla Fatebenefratelli · ITUniversità degli Studi di Enna Kore · IT

Funding

EU international cooperation program INTERREG V-A JS-Code C1-1.1-18
6 · The paper itself

Abstract

Coeliac disease (CD) is frequently underdiagnosed with a consequent heavy burden in terms of morbidity and health care costs. Diagnosis of CD is based on the evaluation of symptoms and anti-transglutaminase antibodies IgA (TGA-IgA) levels, with values above a tenfold increase being the basis of the biopsy-free diagnostic approach suggested by present guidelines. This study showcased the largest screening project for CD carried out to date in school children (n=20,000) aimed at assessing the diagnostic accuracy of minimally invasive finger prick point-of-care tests (POCT) which, combined with conventional celiac serology and the aid of an artificial intelligence-based system, may eliminate the need for intestinal biopsy. Moreover, this study delves deeper into the "coeliac iceberg" in an attempt to identify people with disorders who may benefit from a gluten-free diet, even in the absence of gastrointestinal symptoms, abnormal serology and histology. This was achieved by looking for TGA-IgA mucosal deposits in duodenal biopsy. This large European multidisciplinary health project paves the way to an improved quality of life for patients by reducing the costs for diagnosis due to delayed findings of CD and to offer business opportunities in terms of diagnostic tools and support.

Indexed as

anti-transglutaminaseartificial intelligencecoeliac diseaseESPGHANguidelinesintestinal biopsymucosal depositsnegative predictive valuepoint-of-care test

Identifiers

PMID35736659
PMCPMC9227897
OpenAlexW4282582795

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.