Celiac.com Sponsor (A1):

Celiac.com Sponsor (A1-m):

  • You've found your Celiac Tribe! Join our like-minded, private community and share your story, get encouragement and connect with others.


    • Sign In
    • Sign Up
  • Jefferson Adams

    Better Celiac Disease Diagnosis in Italy Drives Rise in Overall Cases

    Jefferson Adams
    Reviewed and edited by a celiac disease expert.

      Despite the implementation of new and more accurate disease testing tools, Italy still has a long way to go to achieve a 100% diagnosis rate. 

    Rome, Italy. Image: CC BY-SA 2.0--derrickbrutel
    Caption: Rome, Italy. Image: CC BY-SA 2.0--derrickbrutel

    Celiac.com 07/17/2019 - Improved celiac disease diagnosis is likely driving the rise in overall celiac disease cases. That's the takeaway from the latest annual report on celiac disease by the Italian Ministry of Health, which highlights a significant increase in celiac diagnoses in the first half of the decade. 

    For example, from 2012 and 2017, celiac diagnoses rose by about 10,000 new cases every year, reaching a total of 206,561 people or 0.34% of Italian residents. The report's authors insist that the rise is due to better and more diagnoses, rather, an increase in new celiac cases. There is evidence to support their position.

    Celiac.com Sponsor (A12):

    Celiac.com Sponsor (A12-m):

    In 2017, for example, just 8,135 people were diagnosed with celiac disease approximately half of the total for 2016.  The Ministry credits the implementation of a new diagnostic protocol. This reduction in diagnoses is probably due to clearer scientific guidelines and procedures that reduce unnecessary exams, develop timely diagnostic hypotheses and limit errors, write the report's authors. 

    However, despite the implementation of new and more accurate disease testing tools, Italy still has a long way to go to achieve a 100% diagnosis rate. 

    With about 1% of the population genetically predisposed to celiac disease, even with strong improvements in celiac screening and diagnosis, an estimated 400,000 people in Italy remain un-diagnosed. Ideally, if everyone were screened, and all cases diagnosed, the number of total celiac cases should be about 1% of the total population.

    As more countries move toward active screening and diagnosis of celiac disease, look for overall diagnostic numbers and numbers of total celiac cases to rise. Eventually, these numbers should level off and begin to approach 1% of the total population.


    User Feedback

    Recommended Comments

    There are no comments to display.

    Join the conversation

    You are posting as a guest. If you have an account, sign in now to post with your account.
    Note: Your post will require moderator approval before it will be visible.

    Add a comment...

    ×   Pasted as rich text.   Restore formatting

      Only 75 emoji are allowed.

    ×   Your link has been automatically embedded.   Display as a link instead

    ×   Your previous content has been restored.   Clear editor

    ×   You cannot paste images directly. Upload or insert images from URL.

  • About Me

    Jefferson Adams is Celiac.com's senior writer and Digital Content Director. He earned his B.A. and M.F.A. at Arizona State University, and has authored more than 2,500 articles on celiac disease. His coursework includes studies in science, scientific methodology, biology, anatomy, medicine, logic, and advanced research. He previously served as SF Health News Examiner for Examiner.com, and devised health and medical content for Sharecare.com. Jefferson has spoken about celiac disease to the media, including an appearance on the KQED radio show Forum, and is the editor of the book "Cereal Killers" by Scott Adams and Ron Hoggan, Ed.D.

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):

    Celiac.com Sponsors (A17-m):

  • Related Articles

    Jefferson Adams
    Celiac.com 03/02/2011 - New blood screening tests have improved rates of diagnosis for celiac disease in recent decades, but better diagnosis has not reduced celiac-associated deaths, according to a report by UK researchers in the American Journal of Gastroenterology.
    After serologic tests became available, there was an approximate tenfold increase in the numbers of people being diagnosed with celiac disease. Intuitively, one would expect this increase in diagnosis to be followed by a decrease in celiac-related deaths. The idea being that earlier diagnosis means earlier treatment with gluten-free diet, and, ideally, less associated conditions and deaths...

    Diana Gitig Ph.D.
    Celiac.com 05/27/2011 - Refractory Celiac Disease (RCD) is exactly what it sounds like: persistent malabsorption symptoms and intestinal villous atrophy even after following a gluten free diet. It is divided into two subtypes. RCDI has normal intraepithelial lymphocytes (IELs) while RCDII has abnormal IELs. RCDII is by far the more severe - there is no effective treatment, and it is often fatal within five years. Recent studies in Amsterdam and Paris have reported that RCDII can account for 28-75% of RCD patients. A group of researchers led by Ciaran Kelly at the Celiac Center at Beth Israel Deaconess Medical Center in Boston, the only specialized celiac...

    Jefferson Adams
    Celiac.com 05/01/2014 - While estimates indicate that about 1% of the world's population is affected by celiac disease, it is thought to be uncommon in both India and Asia. However, very little study has been done on celiac disease in Asian nations.
    A team of researchers recently set out to estimate rates of celiac disease in the Indian population. The research team included G.K. Makharia, A.K. Verma, R. Amarchand, S. Bhatnagar, P. Das, A. Goswami, V. Bhatia, V. Ahuja, S. Datta Gupta, and K. Anand. They are affiliated with the Department of Gastroenterology and Human Nutrition at the All India Institute of Medical Sciences in New Delhi, India.

    Jefferson Adams
    Celiac.com 01/14/2015 - Recent epidemiological studies show that celiac disease rates are still underestimated, both in Europe and in Mediterranean regions. But how is better testing impacting higher celiac numbers in Europe?
    To get a clearer picture, a team of researchers recently set out to review the latest data on celiac rates and incidence in the European Union (EU) as of September 2014.
    The research team included E. Altobelli, R. Paduano, R. Petrocelli, and F. Di Orio. They are variously affiliated with the Department of Life, Health and Environmental Sciences at the University of L'Aquila in L'Aquila, Italy, and with ASREM in Molise, Italy...