Celiac screening rates in pediatric patients not linked to ethnicity

Source / Disclosures Published by:

Source:

Hailey C, et al. Abstract 164. Presented at: Digestive Disease Week; May 21-23, 2021 (virtual meeting).

Disclosures:
Hailey does not report relevant financial information. See the study for all relevant financial disclosures from other authors.

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Ethnicity was not associated with celiac disease screening in pediatric patients with type 1 diabetes, according to study presented at Digestive Disease Week.

“The concomitant occurrence of celiac disease and type 1 diabetes is well documented in the white population. However, the prevalence of both diseases in humans from non-white populations has been underexposed, ” Claire Hailey, MD, Pediatrics from the University of Chicago, said. “As you may know, multiple gastroenterology and endocrinology organizations and associations are recommending routine celiac disease screening in patients with type 1 diabetes, but it is unclear whether health care providers are consistently following these recommendations.”

To evaluate the celiac disease screening processes for pediatric patients with type 1 diabetes, researchers retrospectively reviewed the charts of 55 patients (45% girls; 53% Caucasian non-Hispanic) treated in the pediatric department at the University of Chicago. Analysis showed that 54 patients underwent celiac disease screening since their diabetes diagnosis (mean age, 8.4 years) with a median of 0.95 years between diagnosis and screening in White patients versus a median of 0.24 years in non-White patients. Screenings identified nine patients with an elevated diagnosis of celiac disease and four diagnoses; all patients diagnosed with celiac disease were white.

“Looking ahead, we will increase the sample size for this research study and, ideally, include additional study populations, by expanding our research to other hospitals and other clinic sites; in this way we hope that we will ensure an appropriate diversification that reflects the national population in the US, ”concluded Hailey. “Our future research will examine whether both the diagnostic approaches and outcomes for patients with celiac disease and type 1 diabetes differ based on ethnicity.”

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Digestive Disease Week

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