Skip to main content

Table 3 Self-reported practices of primary-care pediatricians on the management of celiac disease (CD) in children

From: A survey of primary-care pediatricians regarding the management of Helicobacter pylori infection and celiac disease

 Number/ Total (percent)Weighted percent*Comment [6]
Reasons for testing for CD  Patients with CD may present with a wide range of symptoms and signs or be asymptomatic
 Chronic/intermittent diarrhea100/108 (93%)92% 
 Growth impairment105/108 (97%)98% 
 IDA102/108 (94%)95% 
 Abdominal pain92/108 (85%)86% 
Reasons for screening for CD  First-degree relatives with CD, type 1 diabetes, Down syndrome, Turner syndrome autoimmune thyroid disease, Williams syndrome, IgA deficiency and autoimmune liver disease.
 Autoimmune diseases, e.g., type 1 diabetes99/108 (92%)91% 
 Down syndrome66/108 (61%)62% 
 First-degree relatives of CD patients106/108 (98%)98% 
Referral for diagnosis in suspected cases of CD**
 Specialist in gastroenterology17/108 (16%)16% 
 Serological assays108/108 (100%)100%Recommended as the first tool to identify patients with symptoms and signs suggestive of CD for further diagnostic workup
 In cases of positive serological test; referral to specialist in gastroenterology for final diagnosis.96/108 (89%)90%If anti-TG2 antibody testing is positive, then patients should be referred to a pediatric gastroenterologist for further diagnostic workup
 Final decision of intestinal biopsy by specialist in gastroenterology106/108 (98%)98% 
Treatment and follow-up**
 Recommend on gluten free diet only after diagnosis of CD107/107 (100%)100% 
 Recommend yearly follow-up for physical growth106/108 (98%)98% 
 Recommend follow-up by specialist in gastroenterology69/108 (64%)65% 
  1. *Inverse probability weighting; **Physicians who answered “always” or “usually”. CD Celiac disease, IDA Iron deficiency anemia, IgA Immunoglobulin A