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Transition from childhood to adulthood in coeliac disease: the Prague consensus report

The process of transition from childhood to adulthood is characterised by physical, mental and psychosocial development. Data on the transition and transfer of care in adolescents/young adults with coeliac disease (CD) are scarce. In this paper, 17 physicians from 10 countries (Sweden, Italy, the US...

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Autores principales: Ludvigsson, Jonas F, Agreus, Lars, Ciacci, Carolina, Crowe, Sheila E, Geller, Marilyn G, Green, Peter H R, Hill, Ivor, Hungin, A Pali, Koletzko, Sibylle, Koltai, Tunde, Lundin, Knut E A, Mearin, M Luisa, Murray, Joseph A, Reilly, Norelle, Walker, Marjorie M, Sanders, David S, Shamir, Raanan, Troncone, Riccardo, Husby, Steffen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4975833/
https://www.ncbi.nlm.nih.gov/pubmed/27196596
http://dx.doi.org/10.1136/gutjnl-2016-311574
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author Ludvigsson, Jonas F
Agreus, Lars
Ciacci, Carolina
Crowe, Sheila E
Geller, Marilyn G
Green, Peter H R
Hill, Ivor
Hungin, A Pali
Koletzko, Sibylle
Koltai, Tunde
Lundin, Knut E A
Mearin, M Luisa
Murray, Joseph A
Reilly, Norelle
Walker, Marjorie M
Sanders, David S
Shamir, Raanan
Troncone, Riccardo
Husby, Steffen
author_facet Ludvigsson, Jonas F
Agreus, Lars
Ciacci, Carolina
Crowe, Sheila E
Geller, Marilyn G
Green, Peter H R
Hill, Ivor
Hungin, A Pali
Koletzko, Sibylle
Koltai, Tunde
Lundin, Knut E A
Mearin, M Luisa
Murray, Joseph A
Reilly, Norelle
Walker, Marjorie M
Sanders, David S
Shamir, Raanan
Troncone, Riccardo
Husby, Steffen
author_sort Ludvigsson, Jonas F
collection PubMed
description The process of transition from childhood to adulthood is characterised by physical, mental and psychosocial development. Data on the transition and transfer of care in adolescents/young adults with coeliac disease (CD) are scarce. In this paper, 17 physicians from 10 countries (Sweden, Italy, the USA, Germany, Norway, the Netherlands, Australia, Britain, Israel and Denmark) and two representatives from patient organisations (Association of European Coeliac Societies and the US Celiac Disease Foundation) examined the literature on transition from childhood to adulthood in CD. Medline (Ovid) and EMBASE were searched between 1900 and September 2015. Evidence in retrieved reports was evaluated using the Grading of Recommendation Assessment, Development and Evaluation method. The current consensus report aims to help healthcare personnel manage CD in the adolescent and young adult and provide optimal care and transition into adult healthcare for patients with this disease. In adolescence, patients with CD should gradually assume exclusive responsibility for their care, although parental support is still important. Dietary adherence and consequences of non-adherence should be discussed during transition. In most adolescents and young adults, routine small intestinal biopsy is not needed to reconfirm a childhood diagnosis of CD based on European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) or North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) criteria, but a biopsy may be considered where paediatric diagnostic criteria have not been fulfilled, such as, in a patient without biopsy at diagnosis, additional serology (endomysium antibody) has not been performed to confirm 10-fold positivity of tissue transglutaminase antibodies or when a no biopsy strategy has been adopted in an asymptomatic child.
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spelling pubmed-49758332016-08-18 Transition from childhood to adulthood in coeliac disease: the Prague consensus report Ludvigsson, Jonas F Agreus, Lars Ciacci, Carolina Crowe, Sheila E Geller, Marilyn G Green, Peter H R Hill, Ivor Hungin, A Pali Koletzko, Sibylle Koltai, Tunde Lundin, Knut E A Mearin, M Luisa Murray, Joseph A Reilly, Norelle Walker, Marjorie M Sanders, David S Shamir, Raanan Troncone, Riccardo Husby, Steffen Gut Guidelines The process of transition from childhood to adulthood is characterised by physical, mental and psychosocial development. Data on the transition and transfer of care in adolescents/young adults with coeliac disease (CD) are scarce. In this paper, 17 physicians from 10 countries (Sweden, Italy, the USA, Germany, Norway, the Netherlands, Australia, Britain, Israel and Denmark) and two representatives from patient organisations (Association of European Coeliac Societies and the US Celiac Disease Foundation) examined the literature on transition from childhood to adulthood in CD. Medline (Ovid) and EMBASE were searched between 1900 and September 2015. Evidence in retrieved reports was evaluated using the Grading of Recommendation Assessment, Development and Evaluation method. The current consensus report aims to help healthcare personnel manage CD in the adolescent and young adult and provide optimal care and transition into adult healthcare for patients with this disease. In adolescence, patients with CD should gradually assume exclusive responsibility for their care, although parental support is still important. Dietary adherence and consequences of non-adherence should be discussed during transition. In most adolescents and young adults, routine small intestinal biopsy is not needed to reconfirm a childhood diagnosis of CD based on European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) or North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) criteria, but a biopsy may be considered where paediatric diagnostic criteria have not been fulfilled, such as, in a patient without biopsy at diagnosis, additional serology (endomysium antibody) has not been performed to confirm 10-fold positivity of tissue transglutaminase antibodies or when a no biopsy strategy has been adopted in an asymptomatic child. BMJ Publishing Group 2016-08 2016-04-18 /pmc/articles/PMC4975833/ /pubmed/27196596 http://dx.doi.org/10.1136/gutjnl-2016-311574 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Guidelines
Ludvigsson, Jonas F
Agreus, Lars
Ciacci, Carolina
Crowe, Sheila E
Geller, Marilyn G
Green, Peter H R
Hill, Ivor
Hungin, A Pali
Koletzko, Sibylle
Koltai, Tunde
Lundin, Knut E A
Mearin, M Luisa
Murray, Joseph A
Reilly, Norelle
Walker, Marjorie M
Sanders, David S
Shamir, Raanan
Troncone, Riccardo
Husby, Steffen
Transition from childhood to adulthood in coeliac disease: the Prague consensus report
title Transition from childhood to adulthood in coeliac disease: the Prague consensus report
title_full Transition from childhood to adulthood in coeliac disease: the Prague consensus report
title_fullStr Transition from childhood to adulthood in coeliac disease: the Prague consensus report
title_full_unstemmed Transition from childhood to adulthood in coeliac disease: the Prague consensus report
title_short Transition from childhood to adulthood in coeliac disease: the Prague consensus report
title_sort transition from childhood to adulthood in coeliac disease: the prague consensus report
topic Guidelines
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4975833/
https://www.ncbi.nlm.nih.gov/pubmed/27196596
http://dx.doi.org/10.1136/gutjnl-2016-311574
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