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Lack of Follow-up of Pediatric Patients With Celiac Disease

2018; Elsevier BV; Volume: 17; Issue: 12 Linguagem: Inglês

10.1016/j.cgh.2018.12.027

1542-7714

Bradley Blansky, Zackary J. Hintze, Eaman Alhassan, Alan M. Leichtner, Dascha C. Weir, Jocelyn A. Silvester,

Eosinophilic Esophagitis

Celiac disease (CD) is often diagnosed in childhood, and the treatment is a lifelong gluten-free diet (GFD).1,2 It may take several years to gain competence in the skills required to follow a GFD successfully. Inadequately treated CD is associated with bone fractures, nutritional deficiencies, and lymphoma.3,4 Healthcare providers are key resources for patients with CD. Consultation with a dietitian with GFD expertise at diagnosis and annual disease-specific follow-up care are recommended.2,5 The primary objective of this study was to evaluate adherence to guidelines for dietitian consultation and follow-up for children with CD. A secondary objective was to identify factors associated with loss to follow-up.