"ASKing" the Right Questions About Screening for Celiac Disease
- PMID: 33079752
- DOI: 10.14309/ajg.0000000000001026
"ASKing" the Right Questions About Screening for Celiac Disease
Abstract
Make a distinction between investigating symptoms and screening for disease. Understand the performance characteristics of a test for those with symptoms and for screening those without symptoms, whether at elevated risk or average risk of disease. Positive test results require patient education and follow-up. Importantly, screening should be advantageous to an individual, and disease treatment should be in their interest. The practical application of these principles in relation to population-based Celiac disease screening may be difficult, as a large Colorado study has found.
Copyright © 2020 by The American College of Gastroenterology.
Comment on
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Mass Screening for Celiac Disease: The Autoimmunity Screening for Kids Study.Am J Gastroenterol. 2021 Jan 1;116(1):180-187. doi: 10.14309/ajg.0000000000000751. Am J Gastroenterol. 2021. PMID: 32701732 Free PMC article.
References
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- Stahl MG, Geno-Rasmussen C, Dong F, et al. Mass screening for Celiac disease: The Autoimmunity Screening for Kids (ASK) study. Am J Gastroenterol 2021;116(1):180–77.
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- van Koppen EJ, Schweizer JJ, Csizmadia CG, et al. Long-term health and quality-of-life consequences of mass screening for childhood celiac disease: A 10-year follow-up study. Pediatrics 2009;123:e582–8.
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- US Preventive Services Task Force. Screening for Celiac disease. US Preventive Services Task Force Recommendation Statement. JAMA 2017;317:1252–7.
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- ESPGHAN. 2020 New Guidelines for the Diagnosis of Paediatric Coeliac Disease. ( https://www.espghan.org/knowledge-center/publications/Clinical-Advice-Gu... ). Accessed September 6, 2020.
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- Chou R, Bougatsos C, Blazina I, et al. Screening for Celiac disease: Evidence report and systematic review for the US Preventive Services Task Force. JAMA 2017;317:1258–68.
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