Researchers Develop Best Practices for Managing Celiac Disease in Children

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Researchers developed best practices for managing pediatric celiac disease.
Researchers developed best practices for managing pediatric celiac disease.

HealthDay News -- Best practices have been developed for managing children with celiac disease, according to a special article published online in Pediatrics.

John Snyder, MD, from the Children's National Health Systems in Washington, D.C., and colleagues performed a critical review of the literature in 6 categories associated with celiac disease to develop a set of best practices. The categories included bone health, hematologic issues, endocrine problems, liver disease, issues related to nutrition, and testing. Standardized criteria were used for assessing the quality of the data, grade of evidence, and the strength of the conclusions. One hundred seventy-two publications were included.

The researchers found that the quality of evidence was frequently inadequate for providing unequivocal best practices. Based on the available data and clinical experience of the panel, the researchers created a practical framework for management of celiac disease in children. Consensus, measured by the outcome of anonymous voting, was reached by the panel for 24 of the 25 questions.

"We hope that these best practices may be useful to the pediatric gastroenterology and larger general pediatric communities," the researchers wrote.

Disclosures: One author disclosed financial ties to the pharmaceutical and nutrition industries.


  1. Snyder J, Butzner JD, DeFelice AJ, et al. Evidence-informed expert recommendations for the management of celiac disease in children. Pediatrics. 2016. doi:10.1542/peds.2015-3147.
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