TABLE 5.
Elements of long-term follow-up of celiac disease
|
Gastroenterologists who follow-up |
P† | OR (95% CI) | |||
|---|---|---|---|---|---|
| All (n=181)* | Adult (n=138) | Pediatric (n=42) | |||
| Disease status evaluation | |||||
| Measure weight and height | 131 (72) | 88 (64) | 42 (100) | <0.001 | Not calculable |
| Calculate body mass index | 69 (38) | 43 (31) | 26 (62) | <0.01 | 0.28 (0.14–0.57) |
| Physical examination | 141 (78) | 99 (72) | 41 (98) | <0.01 | 0.064 (0.009–0.483) |
| Laboratory investigations | |||||
| Serology | 117 (65) | 81 (59) | 35 (83) | <0.01 | 0.28 (0.12–0.69) |
| Hemoglobin or complete blood count | 151 (83) | 118 (86) | 32 (76) | 0.16 | |
| Folate | 72 (40) | 64 (46) | 7 (17) | <0.01 | 4.3 (1.8–10) |
| Ferritin | 117 (65) | 97 (70) | 20 (48) | <0.01 | 2.6 (1.3–5.3) |
| Vitamin B12 | 54 (30) | 49 (36) | 5 (12) | <0.01 | 4.1 (1.5–11) |
| Albumin | 116 (64) | 87 (63) | 29 (69) | 0.48 | |
| Electrolytes | 61 (34) | 58 (42) | 3 (7) | <0.01 | 9.4 (2.8–32) |
| Liver transaminases | 108 (60) | 86 (62) | 22 (52) | 0.25 | |
| Alkaline phosphatase | 92 (51) | 77 (56) | 15 (36) | 0.02 | 2.3 (1.1–4.6) |
| Prothrombin time | 53 (29) | 48 (35) | 5 (12) | <0.01 | 3.9 (1.5–11) |
| Calcium | 90 (50) | 79 (57) | 11 (26) | <0.01 | 3.8 (1.8–10) |
| Vitamin D | 38 (21) | 29 (21) | 9 (21) | 0.95 | |
| Parathyroid hormone | 8 (4) | 6 (4) | 2 (5) | 0.90 | |
| Vitamin A | 21 (12) | 14 (10) | 7 (17) | 0.25 | |
| Vitamin E | 13 (7) | 6 (4) | 7 (17) | <0.01 | 0.23 (0.072–0.72) |
| Thyroid-stimulating hormone | 72 (40) | 50 (36) | 21 (50) | 0.11 | |
| Radiological investigations | |||||
| Dual energy x-ray absorptiometry scanning | 94 (52) | 85 (62) | 8 (19) | <0.01 | 6.8 (2.9–16) |
| Self-management support | |||||
| Dietary review | 138 (76) | 101 (74) | 36 (86) | 0.11 | |
| Reinforce need for adherence to gluten-free diet | 163 (90) | 120 (87) | 42 (100) | 0.02 | Not calculable |
| Recommend advocacy group membership | 117 (65) | 85 (62) | 31 (74) | 0.17 | |
*
Includes one respondent with a mixed practice of 60:40 who could not be classified as either an adult or pediatric gastroenterologist;
†
Comparison between adult and pediatric gastroenterologists who provided long-term follow-up