Navigation Links
Screening at-risk adolescents for celiac disease proves cost-effective
Date:6/10/2013

Bethesda, MD (June 10, 2013) The current standard practice of screening adolescents who are either symptomatic or at high-risk for celiac disease proves to be more cost-effective than universal screening. Additionally, the strategy is successful in preventing bone loss and fractures in celiac patients, according to a new study in Clinical Gastroenterology and Hepatology, the official clinical practice journal of the American Gastroenterological Association.

As many as 70 percent of untreated celiac patients experience decreased bone mineral density, which can lead to increased risk of osteoporosis and non-traumatic hip and vertebral fractures. Stanford University researchers sought to understand the cost-effectiveness of universal screening for celiac disease versus screening only patients who are at risk for or showing symptoms of celiac disease, given the high risk, and associated costs, of non-traumatic hip and vertebral fractures if untreated or undiagnosed.

"Our study showed that conducting systematic screening of patients at risk of celiac disease is more cost effective than screening all adolescents for the disease," said KT Park, MD, MS, division of gastroenterology, hepatology and nutrition, department of pediatrics, Stanford University, and co-lead study author. "We determined that adopting a universal screening strategy fails to increase the long-term quality of life of the population as a whole, and introduces potential harm from unnecessary endoscopic evaluations of healthy individuals."

While the two methods proved similar in lifetime costs and quality of life measurements, screening only those who are at risk or who are showing symptoms was ultimately more cost effective by a margin of $60 in preventing bone loss and fractures among patients with undiagnosed or subclinical disease.

"There is an ongoing clinical concern in the GI community that the current practice of celiac disease screening misses a considerable proportion of asymptomatic patients due to the frequency of silent or inactive disease," added Dr. Park. "However, implementing universal screening to prevent bone disease and subsequent non-traumatic fractures alone in undiagnosed or untreated celiac disease patients does not appear to be a viable health policy alternative to the standard of care."

Further analysis of risk and cost of other potential consequences of undiagnosed and untreated celiac disease, such as anemia, infertility and malignancy, could change the cost-effectiveness of universal screening for celiac disease.


'/>"/>

Contact: Rachel Steigerwald
media@gastro.org
301-272-1603
American Gastroenterological Association
Source:Eurekalert

Related medicine news :

1. IntegraGen launches ARISk test, a genetic screening tool for autism in high-risk children
2. Obese White Women Shying Away From Colon Cancer Screening
3. Lung Cancer Screening Might Pay Off, Analysis Shows
4. U.S. Panel Rejects Ovarian Cancer Screening
5. AstraZeneca and DNDi to collaborate on drug screening for neglected tropical diseases
6. Role of Screening, Monitoring in Early Kidney Disease Unclear
7. Screening programs detect cases of undiagnosed rheumatic heart disease in low-resource countries
8. Additional blood pressure screening may reduce incidence of CVD events and death by up to 3 percent
9. Routine Kidney Disease Screening Not Worthwhile, Experts Say
10. Risk factors may inform breast cancer screening
11. Research examines when benefits of screening mammography outweigh the harms for women in their 40s
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... NJ (PRWEB) , ... October 13, 2017 , ... Global ... at scenic Alexandria Park in Milford, NJ. This free event, sponsored by Global ... physical activity. The fun run is geared towards children of all ages; it ...
(Date:10/13/2017)... ... ... “America On The Brink”: the Christian history of the United States and the ... published author, William Nowers. Captain Nowers and his wife, Millie, have six children, ... in the Navy. Following his career as a naval aviator and carrier pilot, ...
(Date:10/12/2017)... ... October 12, 2017 , ... IsoComforter, Inc. ( https://isocomforter.com ... the introduction of an innovative new design of the shoulder pad. The shoulder ... maximum comfort while controlling your pain while using cold therapy. By utilizing ice and ...
(Date:10/12/2017)... ... , ... HMP , a leader in healthcare events and education, today announced ... Award for ‘Best B-to-B Healthcare Website.’ Winners were announced during the Eddie & Ozzie ... competition recognizes editorial and design excellence across a range of sectors. This year’s program ...
(Date:10/12/2017)... ... 12, 2017 , ... In the United States, single-family home ... states—like New York, New Jersey, Massachusetts, Texas, Virginia, Connecticut, and California—the average is ... low property-tax rates, which contributes to the relatively lower cost of living in ...
Breaking Medicine News(10 mins):
(Date:10/4/2017)... Oct. 4, 2017  According to the Centers for Disease Control and ... October . PhysicianOne Urgent Care is helping communities across Massachusetts ... , by offering no-cost* flu shots through the end of the ... certain health insurance regulations. ... time to get a flu shot is by the end of October, ...
(Date:10/2/2017)... , Oct. 2, 2017  AllianceRx Walgreens Prime, ... formed by Walgreens and pharmacy benefit manager Prime Therapeutics ... new brand, which included the unveiling of new signage ... , as well as at a few other company-owned ... new brand to patients, some of whom will begin ...
(Date:9/28/2017)... -- Cohen Veterans Bioscience and Early Signal Foundation announce ... home sensors for real-time monitoring of patients with trauma-related ... organization focused on disruptive health solutions for rare disorders ... to record and integrate behavioral, cognitive, physiological and contextual ... ...
Breaking Medicine Technology: