Are Australian Regional Hospitals Doing Enough for Coeliac Disease Testing in 2012-2013? A Pilot Study
| العنوان: | Are Australian Regional Hospitals Doing Enough for Coeliac Disease Testing in 2012-2013? A Pilot Study |
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| المؤلفون: | Arup Bhattacharya, Shu Wen Xu, Rafiqul Islam |
| المصدر: | Universal Journal of Public Health. 5:275-278 |
| بيانات النشر: | Horizon Research Publishing Co., Ltd., 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | medicine.medical_specialty, Pediatrics, Health (social science), Protein–energy malnutrition, business.industry, Health Policy, Public Health, Environmental and Occupational Health, Medicine (miscellaneous), Disease, medicine.disease, Health Professions (miscellaneous), Coeliac disease, Serology, Surgery, Malnutrition, Iron-deficiency anemia, Continuing medical education, medicine, business, Irritable bowel syndrome |
| الوصف: | Coeliac disease diagnosis requires adequate testing, and insufficient testing may increase complications. This pilot study determined the prevalence of appropriate testing for coeliac disease among eligible in-patients admitted in a regional Australian hospital. A retrospective review of all admissions were conducted between August 2012 and January 2013 in the medical, surgical and geriatric divisions for the patients diagnosed with haematinic-deficiency anaemia due to unspecified causes, protein-energy malnutrition due to unspecified causes and irritable Bowel Syndrome. Secondarily an extended review between February 2012 and February 2013 was also conducted to review all serology test requests for coeliac disease to identify the positive serology testing. We observed that, except for Iron Deficiency Anemia (IDA) and Irritable Bowel Syndrome (IBS), a very small proportion of unspecified anaemia and Protein Energy Malnutrition (PEM) patients were investigated (15.6% and 11%, respectively) for celiac disease. Invasive testing such as histopathology was requested only for about 52% of serology positive cases. Low diagnostic test requests for coeliac disease warrants the demand for availability of specialist gastroenterologist services and telemedicine support in regional Australia. Training for practicing doctors and continuing medical education around this may help adequate testing and diagnosis. |
| تدمد: | 2331-8945 2331-8880 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::ec6f9a08d64c81205d535427bff07280 https://doi.org/10.13189/ujph.2017.050510 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........ec6f9a08d64c81205d535427bff07280 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23318945 23318880 |
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