Evidence map›Paper›PMID 37554748›Full record

ArticleGastroenterology and hepatology from bed to bench2023

Celiac disease: experience of general practitioners in Brianza Area- Monza- Milan-Italy.

Giovanni Casella, Maria Teresa Bardella, Fabio Ingravalle, Adriana Ingravalle, Stefano Andreotti, Aurelio Limonta, Claudio Monti, Vincenzo Villanacci, Gabrio Bassotti

Open access · greenAbstract read
In one paragraph

Article in Gastroenterology and hepatology from bed to bench, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 1 institution in 1 country.

Giovanni CasellaATS Brianza Limbiate, 20812 Limbiate (Monza Brianza), Italy.
Maria Teresa BardellaCenter for the Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Fabio IngravalleHospital Health Management Area, Local Health Authority "Roma 6", 00041 Albano Laziale, Italy.
Adriana IngravalleDepartment of Anesthesiology and Critical Care, University of Rome Sapienza, Policlinico Umberto I, 00185 Rome, Italy.
Stefano AndreottiRSA "E. Bernardelli", Clinica Polispecialistica San Carlo, 20037 Paderno Dugnano (Milan), Italy.
Aurelio LimontaATS Brianza Concorezzo, 20863 Concorezzo (Monza Brianza), Italy.
Claudio MontiATS Brianza Barlassina, 20825 Barlassina (Monza Brianza), Italy.
Vincenzo VillanacciPathology Section, Department of Molecular and Translational Medicine, Spedali Civili and University of Brescia, 25126 Brescia, Italy.
Gabrio BassottiPathology Section, Department of Molecular and Translational Medicine, Spedali Civili and University of Brescia, 25126 Brescia, Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: The purpose of the study was to better investigate the degree of knowledge and the diagnostic approach concerning celiac disease and its extra-intestinal manifestations by general practitioners in Italy. Background: Celiac Disease is a common chronic disease, but often goes undiagnosed because of atypical symptoms or silent disease. Currently there are non-definitive data about the disease management approach concerning celiac disease by general practitioners. Methods: To better investigate the degree of knowledge and the diagnostic approach concerning celiac disease and its extra-intestinal manifestations, questionnaire was used to assess the daily practice of diagnosis, treatment, and follow-up of this condition by general practitioners in two densely populated area in Italy: Monza-Brianza Area and Milan City. The questionnaire was composed of 18 questions that explored 3 precise domains: diagnosis criteria, correct management of celiac disease and availability for training. The frequencies of the domains explored were analyzed, analyzes were carried out to identify differences between the groups of general practitioners interviewed. Results: Analysis of the questionnaires showed a degree of knowledge and preparation comparable to that of other countries, even though not sufficient to guarantee access to early diagnosis for all patients with celiac disease. The knowledge was not influenced by the years of experience or specific curriculum of health professionals. General practitioners under 40 were much more in favor of continuous training and were aware of its importance (OR=10.55; CI95%: 1.62-445.39), although this need was a high priority in the whole group interviewed (84.7%). Conclusion: Continuous specific training aimed at primary care physicians and general practitioners is the first tool to improve early diagnosis. A second opportunity is represented by the continuous dialogue between general practitioners and tertiary level hospitals and universities.

Indexed as

Celiac diseaseGeneral practitionersQuestionnairesSurveys

Identifiers

PMID37554748
PMCPMC10404821
OpenAlexW4385684755

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.