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Who Should Be Screened for Celiac Disease and When?

Celiac.com 05/19/2015 - What should be the screening standards for celiac disease in the general population, and in high-risk groups?

Photo: CC--Sreejith K.To gain an answer, a team of researchers recently set out to review medical literature on screening for celiac disease in relation to the current World Health Organization (WHO) criteria for mass screening.

The research team included J.F. Ludvigsson, T.R. Card, K. Kaukinen, J. Bai, F. Zingone, D.S. Sanders, and J.A. Murray. They are variously affiliated with Department of Paediatrics, Örebro University Hospital, Örebro, Sweden, the Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden, the Department of Epidemiology and Public Health at the University of Nottingham in Nottingham, UK, the School of Medicine at the University of Tampere, the Department of Internal Medicine at Tampere University Hospital in Tampere, Finland, the Department of Internal Medicine at Seinäjoki Central Hospital in Seinäjoki, Finland, the Department of Medicine at C. Bonorino Udaondo Gastroenterology Hospital at the Universidad del Salvador in Buenos Aires, Argentina, the Department of Medicine and Surgery at the University of Salerno in Salerno, Italy, the Regional GI and Liver Unit at Royal Hallamshire Hospital in Sheffield, UK, and with the Department of Medicine and the Department of Immunology at the Mayo Clinic College of Medicine in Rochester, USA.

For their study, the team conducted a PubMed search to identify indexed papers on celiac disease screening published between 1900 and 1 June 2014. The team then read the papers for all relevant abstracts.

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They found that, although celiac disease fulfills several WHO criteria for mass screening, such as high prevalence, and available treatment and difficult clinical detection, current medical evidence does not support mass celiac disease screening,

Also, treatment of asymptomatic celiac disease not been shown to be cost effective, nor likely reduce the excessive risk of severe complications, thus leading to higher QOL

The team points out that active case-finding may be appropriate, even though many celiac patients will still be missed by this strategy.

They also note that, even though proof of medical necessity or benefit is still lacking, mass celiac disease screening may be appropriate for high-risk groups.

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1 Response:

 
Michael
Rating: ratingfullratingfullratingfullratingfullratingfull Unrated
said this on
25 May 2015 9:06:54 AM PDT
This is just a political strategy of wheat-addicted doctors who are controlled by medical, insurance, pharmaceutical, chemical, agricultural and food manufacturing corporations to keep gluten perceived as a tiny problem, so that they don't lose the trillions of dollars invested in the machinery and experience that easily keeps the rich growing richer, all the way down to the not so rich restaurants, food retailers and bakers. As soon as enough pharmaceuticals to treat celiac disease have been approved, including those that suppress your immune system but can kill you 10 different ways, like they are cranking out for all the extra intestinal symptoms, will they want everyone to get tested? That's hard to say because they are making trillions on all of the advertised drugs for the symptoms. Never mind that the extra intestinal autoimmune diseases caused by gluten have bankrupted governments, it's a good strategy for the corporations to keeps all of the money flowing to them for now. They don't want their gravy train to end.




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Yes but...

I didn't read that far. Yikes... A hefty dose of perspective in that one. For anyone reading this is the post:

Hi! I'm new to the Celiac world. I have been gluten free for around seven months, but still seem to get glutened on a regular basis. I have been sick since January '16 and think that is when it triggered, but I didn't realize until October what it was. By that time I was pregnant with my little boy who is due in June. I also have an almost 4 year old daughter. I am really torn and wondering if I need to really be tested? I have very strong suspicions that I am a true celiac because my aunt has been diagnosed. Part of me says it doesn't matter, just live gluten free and assume you are, but the other part says I need to get tested so I know if my kids are at risk. So far my daughter is fine. She was grain free until after her first birthday, I plan on doing the same with my son. But I also don't want them to suffer the way I have. What would you do? The reason I don't want to get tested is I don't want to start eating it again and feel terrible while I have little kids, last year was so hard and I just want to get strong again. I also plan to bf for a few years and don't necessarily think it's a good idea to eat gluten while bf right? Thank you!

Welcome too! Sorry to hear you're suffering now. If you can nail the diet you should improve. You should also think about vitamin supplements. There's a good chance that you're suffering from one or more deficiencies as a result of the affects of celiac on your intestine's capacity to draw nutrients from your food. A good multi vitamin is a must, just make sure its gluten free and see if your doctor can refer you to a dietician as Lochella's has.

Oh I had heard his name and read some stuff about him but hadn't come across this video! Thanks!!