A multicentre case control study on complicated coeliac disease: two different patterns of natural history, two different prognoses
Background Coeliac disease is a common enteropathy characterized by an increased mortality mainly due to its complications. The natural history of complicated coeliac disease is characterised by two different types of course: patients with a new diagnosis of coeliac disease that do not improve despite a strict gluten-free diet (type A cases) and previously diagnosed coeliac patients that initially improved on a gluten-free diet but then relapsed despite a strict diet (type B cases). Our aim was to study the prognosis and survival of A and B cases. Methods Clinical and laboratory data from coeliac patients who later developed complications (A and B cases) and sex- and age-matched coeliac patients who normally responded to a gluten-free diet (controls) were collected among 11 Italian centres. Results 87 cases and 136 controls were enrolled. Complications tended to occur rapidly after the diagnosis of coeliac disease and cumulative survival dropped in the first months after diagnosis of complicated coeliac disease. Thirty-seven cases died (30/59 in group A, 7/28 in group B). Type B cases presented an increased survival rate compared to A cases. Conclusions Complicated coeliac disease is an extremely serious condition with a high mortality and a short survival. Survival depends on the type of natural history..
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2014 |
|---|---|
| Erschienen: |
2014 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:14 |
|---|---|
| Enthalten in: |
BMC gastroenterology - 14(2014), 1 vom: 07. Aug. |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Biagi, Federico [VerfasserIn] |
|---|
| Links: |
Volltext [kostenfrei] |
|---|
| Themen: |
Celiac disease |
|---|
| Anmerkungen: |
© Biagi et al.; licensee BioMed Central Ltd. 2014 |
|---|
| doi: |
10.1186/1471-230X-14-139 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
SPR027414604 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | SPR027414604 | ||
| 003 | DE-627 | ||
| 005 | 20230519170722.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 201007s2014 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1186/1471-230X-14-139 |2 doi | |
| 035 | |a (DE-627)SPR027414604 | ||
| 035 | |a (SPR)1471-230X-14-139-e | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Biagi, Federico |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A multicentre case control study on complicated coeliac disease: two different patterns of natural history, two different prognoses |
| 264 | 1 | |c 2014 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a © Biagi et al.; licensee BioMed Central Ltd. 2014 | ||
| 520 | |a Background Coeliac disease is a common enteropathy characterized by an increased mortality mainly due to its complications. The natural history of complicated coeliac disease is characterised by two different types of course: patients with a new diagnosis of coeliac disease that do not improve despite a strict gluten-free diet (type A cases) and previously diagnosed coeliac patients that initially improved on a gluten-free diet but then relapsed despite a strict diet (type B cases). Our aim was to study the prognosis and survival of A and B cases. Methods Clinical and laboratory data from coeliac patients who later developed complications (A and B cases) and sex- and age-matched coeliac patients who normally responded to a gluten-free diet (controls) were collected among 11 Italian centres. Results 87 cases and 136 controls were enrolled. Complications tended to occur rapidly after the diagnosis of coeliac disease and cumulative survival dropped in the first months after diagnosis of complicated coeliac disease. Thirty-seven cases died (30/59 in group A, 7/28 in group B). Type B cases presented an increased survival rate compared to A cases. Conclusions Complicated coeliac disease is an extremely serious condition with a high mortality and a short survival. Survival depends on the type of natural history. | ||
| 650 | 4 | |a Celiac disease |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Complications |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a EATL |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Prognosis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Glutens |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Gluten-free diet |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Marchese, Alessandra |4 aut | |
| 700 | 1 | |a Ferretti, Francesca |4 aut | |
| 700 | 1 | |a Ciccocioppo, Rachele |4 aut | |
| 700 | 1 | |a Schiepatti, Annalisa |4 aut | |
| 700 | 1 | |a Volta, Umberto |4 aut | |
| 700 | 1 | |a Caio, Giacomo |4 aut | |
| 700 | 1 | |a Ciacci, Carolina |4 aut | |
| 700 | 1 | |a Zingone, Fabiana |4 aut | |
| 700 | 1 | |a D’Odorico, Anna |4 aut | |
| 700 | 1 | |a Carroccio, Antonio |4 aut | |
| 700 | 1 | |a Ambrosiano, Giuseppe |4 aut | |
| 700 | 1 | |a Mansueto, Pasquale |4 aut | |
| 700 | 1 | |a Gasbarrini, Antonio |4 aut | |
| 700 | 1 | |a Piscaglia, Anna Chiara |4 aut | |
| 700 | 1 | |a Andrealli, Alida |4 aut | |
| 700 | 1 | |a Astegiano, Marco |4 aut | |
| 700 | 1 | |a Segato, Sergio |4 aut | |
| 700 | 1 | |a Neri, Matteo |4 aut | |
| 700 | 1 | |a Meggio, Alberto |4 aut | |
| 700 | 1 | |a de Pretis, Giovanni |4 aut | |
| 700 | 1 | |a De Vitis, Italo |4 aut | |
| 700 | 1 | |a Gobbi, Paolo |4 aut | |
| 700 | 1 | |a Corazza, Gino Roberto |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t BMC gastroenterology |d London : BioMed Central, 2001 |g 14(2014), 1 vom: 07. Aug. |w (DE-627)SPR027401618 |w (DE-600)2041351-8 |x 1471-230X |7 nnns |
| 773 | 1 | 8 | |g volume:14 |g year:2014 |g number:1 |g day:07 |g month:08 |
| 856 | 4 | 0 | |u https://dx.doi.org/10.1186/1471-230X-14-139 |z kostenfrei |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_SPRINGER | ||
| 912 | |a SSG-OLC-PHA | ||
| 951 | |a AR | ||
| 952 | |d 14 |j 2014 |e 1 |b 07 |c 08 | ||