title: Coeliac disease in children with type 1 diabetes: are current guidelines proving difficult to implement in practice?
abstract: Updated European guidelines for the diagnosis of coeliac disease (CD) in the paediatric population (the European Society for Gastroenterology, Hepatology, and Nutrition, January 2012) outlined distinct diagnostic algorithms for patients with type 1 diabetes mellitus (T1DM). In this short report we demonstrate a period prevalence of CD in the T1DM population of 5.8% at a large tertiary centre. In addition to this, using a questionnaire circulated to paediatricians, we assessed present practice in the diagnosis of CD in T1DM 16 months following the European Society for Gastroenterology, Hepatology, and Nutrition guideline publication. Our results indicate that present practice and adherence to guidelines varies substantially. Further dissemination and perhaps simplification of guidelines may be required.
authors: *Department of Paediatric Gastroenterology, Hepatology and Nutrition, Addenbrooke's Hospital †Department of Histopathology ‡Department of Paediatric Endocrinology, Addenbrooke's Hospital, Cambridge, UK.
authors: Rachel
authors: R
authors: Atherton
authors: Alexander
authors: A
authors: Ross
authors: Flora
authors: F
authors: Jessop
authors: Rachel
authors: R
authors: Williams
authors: Robert
authors: R
authors: Heuschkel
authors: Matthias
authors: M
authors: Zilbauer
mesh_terms: D000293:Adolescent; D000465:Algorithms; D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D005762:Gastroenterology; D019983:Guideline Adherence; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010372:Pediatrics; D017410:Practice Guidelines as Topic; D015995:Prevalence; D011795:Surveys and Questionnaires; D062606:Tertiary Care Centers; D006113:United Kingdom / Q000453:epidemiology