Table 2.
Factors associated with celiac care patient satisfaction
| Variable | Satisfied (%) | Not Satisfied (%) | p-value |
|---|---|---|---|
|
| |||
| Approximately how many years ago were you diagnosed? | 10.5 yrs | 9.1yrs | 0.21 |
|
| |||
| Length of symptoms prior to diagnosis? | |||
| < 5 years | 99/132 (75%) | 33/132 (25%) | |
| ≥ 5 years | 62/97 (64%) | 35/97 (36%) | 0.07 |
|
| |||
| Presenting symptoms? | |||
| None/Screening | 16/18 (89%) | 2/18 (11%) | |
| Classic Diarrhea/Non-Classical | 98/148 (66%) | 50/148 (34%) | 0.09 |
| Other (OA, anemia) | 47/63 (75%) | 16/63 (25%) | |
|
| |||
| Who do you follow with for celiac disease management? | |||
| Primary Care Physician | 44/65 (68%) | 21/65 (32%) | 0.59 |
| Registered Dietitian/Nutritionist | 16/21 (76%) | 5/21 (24%) | 0.54 |
| Gastroenterologist | 60/82 (73%) | 22/82 (27%) | 0.48 |
| Celiac Specialist | 76/94 (81%) | 18/94 (19%) | ≤0.01* |
| Naturopath | 2/7 (29%) | 5/7 (71%) | 0.03* |
| I don’t have follow-up | 14/34 (41%) | 20/34 (59%) | ≤0.01* |
| Other | 2/4 (50%) | 2/4 (50%) | 0.58 |
|
| |||
| Who do you follow with for celiac disease management? | |||
| Follow with ≤ 1 provider | 117/169 (69%) | 52/169 (31%) | 0.55 |
| Follow with > 1 provider | 44/60 (73%) | 16/60 (27%) | |
|
| |||
| Is management of celiac disease addressed at least once per year by a physician? | |||
| Yes | 125/145 (86%) | 20/145 (14%) | ≤0.01* |
| No | 22/50 (44%) | 28/50 (56%) | |
|
| |||
| How often have the emotional/psych impacts of living with celiac disease been addressed? | |||
| ≥ Once | 89/107 (83%) | 18/107 (17%) | ≤0.01* |
| Never | 58/88 (66%) | 30/88 (34%) | |
|
| |||
| Are celiac antibody levels checked yearly? | |||
| Yes | 98/111 (88%) | 13/111 (12%) | ≤0.01* |
| No | 37/66 (56%) | 29/66 (44%) | |
|
| |||
| If not followed by nutritionist/dietitian ever referred to one? | |||
| Yes | 103/143 (72%) | 40/143 (28%) | 0.01* |
| No | 22/43 (51%) | 21/43 (49%) | |
|
| |||
| Yearly bloodwork? (Hgb, Ca, Fe, etc) | |||
| Yes | 147/197 (75%) | 50/197 (25%) | ≤0.01* |
| No | 13/27 (48%) | 14/27 (52%) | |
|
| |||
| Has a medical professional discussed how celiac disease can impact your bone health? | |||
| Yes | 133/178 (75%) | 45/178 (25%) | 0.01* |
| No | 22/40 (55%) | 18/40 (45%) | |
|
| |||
| Offered or had a bone density scan? | |||
| Yes | 129/181 (71%) | 52/181 (29%) | 0.37 |
| No | 27/42 (64%) | 15/42 (36%) | |
|
| |||
| Persistent symptoms despite GFD? | |||
| No | 89/116 (77%) | 27/116 (23%) | 0.01* |
| Yes | 61/100 (61%) | 39/100 (39%) | |
|
| |||
| Repeat EGD with biopsy since diagnosis? | |||
| Yes | 103/137 (75%) | 34/137 (25%) | 0.05* |
| No | 58/92 (63%) | 34/92 (37%) | |
|
| |||
| Offered or received flu vaccine this year? | |||
| Yes | 148/206 (72%) | 58/206 (28%) | 0.13 |
| No | 13/23 (57%) | 10/23 (43%) | |
|
| |||
| Offered/Received Pneumovax? | |||
| Yes | 59/81 (73%) | 22/81 (27%) | 0.44 |
| No | 82/121 (68%) | 39/121 (32%) | |
|
| |||
| Member of celiac disease support group? | |||
| Yes | 51/66 (77%) | 15/66 (23%) | 0.14 |
| No | 110/163 (67%) | 53/163 (33%) | |
|
| |||
| Have you been an active member of the celiac disease support group in the last year? | |||
| Yes | 21/27 (78%) | 6/27 (22%) | 0.90 |
| No | 29/38 (76%) | 9/38 (24%) | |
|
| |||
| Do you go to a specialized celiac disease care center? | |||
| Yes | 82/103 (80%) | 21/103 (20%) | ≤0.01* |
| No | 79/126 (63%) | 47/126 (37%) | |
|
| |||
| Satisfied with primary care physician? | |||
| Yes** | 130/165 (79%) | 35/165 (21%) | ≤0.01* |
| No** | 24/55 (44%) | 35/55 (56%) | |
|
| |||
| Satisfied with GI or celiac disease doctor? | |||
| Yes** | 146/193 (76%) | 47/193 (24%) | ≤0.01* |
| No** | 4/17 (24%) | 13/17 (76%) | |
|
| |||
| Satisfied with my nutritionist/dietitian? | |||
| Yes** | 47/50 (94%) | 3/50 (6%) | ≤0.01* |
| No** | 18/29 (62%) | 11/29 (38%) | |
|
| |||
| Satisfied with my doctor who diagnosed my celiac disease? | |||
| Yes** | 127/165 (77%) | 38/165 (23%) | ≤0.01* |
| No** | 34/64 (53%) | 30/64 (47%) | |
|
| |||
| My physician who cares for my celiac disease is readily available if needed? | |||
| Yes** | 130/149 (87%) | 19/149 (13%) | ≤0.01* |
| No** | 17/46 (37%) | 29/46 (63%) | |
|
| |||
| The nutritionist/dietitian who cares for your celiac disease is available if needed? | |||
| Yes** | 66/73 (90%) | 7/73 (10%) | ≤0.01* |
| No** | 12/24 (50%) | 12/24 (50%) | |
|
| |||
| The physician caring for my celiac disease spends ample time managing my celiac disease needs? | |||
| Yes** | 125/134 (93%) | 9/134 (7%) | ≤0.01* |
| No** | 22/61 (36%) | 39/61 (64%) | |
|
| |||
| I feel that my physician who cares for my celiac disease is knowledgeable about celiac disease? | |||
| Yes** | 126/149 (85%) | 23/149 (15%) | ≤0.01* |
| No** | 21/46 (46%) | 25/46 (54%) | |
Indicates statistical significance
Yes**-Strongly agree/Agree; No**-Strongly Disagree/Disagree/Neutral