# Practices of North American pediatric gastroenterologists in the management of celiac disease—A survey study

## TL;DR

This study surveys North American pediatric gastroenterologists to understand how they manage celiac disease in practice.

## Contribution

This is the first study to assess the management practices of North American pediatric gastroenterologists for celiac disease.

## Key findings

- Most providers adhere to the latest celiac disease guidelines.
- Only 36% screen for hepatitis B virus immunization at diagnosis.
- Female respondents screen for vitamin D deficiency more frequently than males.

## Abstract

Celiac disease (CD) is a common autoimmune disorder characterized by an immune‐mediated reaction to gluten. We conducted a survey study of the pediatric gastroenterology list server to assess the practices of North American pediatric gastroenterologists in the management of CD. Overall, 160 out of 2400 respondents participated in the study, of which 52.5% of the respondents were females and 72.5% were practicing in university hospitals. Overall, respondents were practicing in adherence to the latest guidelines, except only 36% were screening for hepatitis B virus immunization at diagnosis on most of the visits, and 25% were utilizing human leukocyte antigens typing on most visits if serologies were negative. In addition, female respondents screened for vitamin D deficiency more often than males with a p value < 0.05.

Celiac disease (CD) is a common autoimmune disease that affects 1% of the world's population and is characterized by an autoimmune‐mediated reaction to gluten in genetically predisposed individuals.Most of the current studies are focused on the diagnosis with relatively little attention given to follow‐up.

Celiac disease (CD) is a common autoimmune disease that affects 1% of the world's population and is characterized by an autoimmune‐mediated reaction to gluten in genetically predisposed individuals.

Most of the current studies are focused on the diagnosis with relatively little attention given to follow‐up.

To our knowledge, this is the first study to assess the practices of North American pediatric gastroenterologists in the management of CD.Our study found most providers adhere to the latest guidelines.

To our knowledge, this is the first study to assess the practices of North American pediatric gastroenterologists in the management of CD.

Our study found most providers adhere to the latest guidelines.