A Dedicated Celiac Disease Program Improves Celiac Quality Care Metrics and Short-Term Outcomes in Real Life

Background and Aims Dedicated multidisciplinary programs in gastroenterology are emerging with the goal to improve care. There is little information about the effects of a celiac disease program on disease-related quality care metrics and outcomes. We aimed to compare quality care metrics, symptom r...

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Bibliographic Details
Published in:Digestive diseases and sciences 2024-04, Vol.69 (4), p.1118-1124
Main Authors: Ford, Andrew, Payne, Kaitlin, Jansson-Knodell, Claire, Cavagnaro, Stacy, Weekley, Kendra, Gardinier, David, Rubio-Tapia, Alberto
Format: Article
Language:English
Subjects:
Adult
Biochemistry
Biopsy
Celiac disease
Celiac Disease - diagnosis
Diarrhea
Diet, Gluten-Free
Female
Gastroenterology
Hepatology
Humans
Medicine
Medicine & Public Health
Oncology
Original Article
Retrospective Studies
Serology
Standard of care
Transplant Surgery
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Summary:Background and Aims Dedicated multidisciplinary programs in gastroenterology are emerging with the goal to improve care. There is little information about the effects of a celiac disease program on disease-related quality care metrics and outcomes. We aimed to compare quality care metrics, symptom resolution, and serological response among patients diagnosed and treated in a celiac disease program with a standard of care cohort. Methods We performed a retrospective cohort study with adult celiac disease patients. We divided patients into two groups: celiac disease patients treated in our program and those treated by gastroenterologists not affiliated with the program (standard of care). We abstracted data from electronical medical records and compared frequency at which guideline-driven quality care metrics were obtained, assessed symptom resolution, and serological response based on IgA anti-tissue transglutaminase levels. Results We included 340 patients, 120 in the celiac disease program (89 women) and 220 (166 women) in the standard of care. Frequency of quality care metrics implementation in program patients was significantly greater for all variables ( p  
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-024-08349-1