Celiac Disease and Gluten-Free Diet Support
Follow / Share
|Get Email Alerts|
- Safe Gluten-Free Food List (Safe Ingredients)
- Unsafe Gluten-Free Food List (Unsafe Ingredients)
- Gluten-Free Alcoholic Beverages
- Celiac Disease Symptoms
- The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free
- Interpretation of Celiac Disease Blood Test Results
- Is Buckwheat Flour Really Gluten-Free?
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?
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.
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.
Celiac.com welcomes your comments below (registration is NOT required).
Should We Have Mass Screening for Celiac Disease?
Should there be mass screening for celiac disease? Currently, there is no consensus among scientists or among public policy makers in favor of mass screening for celiac disease as a public health intervention.... [READ MORE]
Everyone with Osteoporosis Should Be Screened for Celiac Disease
Arch Intern Med.... [READ MORE]
Jefferson Adams is a freelance writer living in San Francisco. His poems, essays and photographs have appeared in Antioch Review, Blue Mesa Review, CALIBAN, Hayden's Ferry Review, Huffington Post, the Mississippi Review, and Slate among others.
He is a member of both the National Writers Union, the International Federation of Journalists, and covers San Francisco Health News for Examiner.com.View all articles by Jefferson Adams