000079827 001__ 79827
000079827 005__ 20231215090949.0
000079827 0247_ $$2doi$$a10.1186/s12913-019-4407-4
000079827 0248_ $$2sideral$$a112648
000079827 037__ $$aART-2019-112648
000079827 041__ $$aeng
000079827 100__ $$0(orcid)0000-0002-0493-1641$$aFueyo-Díaz, Ricardo$$uUniversidad de Zaragoza
000079827 245__ $$aPrevalence of celiac disease in primary care: the need for its own code
000079827 260__ $$c2019
000079827 5060_ $$aAccess copy available to the general public$$fUnrestricted
000079827 5203_ $$aBackground: Celiac disease (CD) is an autoimmune chronic enteropathy of the small intestine caused by exposure to gluten in genetically predisposed individuals. CD is not easy to diagnose due to its unspecific symptomatology, especially in adults, a diagnosed/undiagnosed ratio of 1:7 is estimated. CD does not have its own code in the International Classification of Primary Care (ICPC) but it is coded under code D99 “Disease digestive system, other”, which hinders diagnosis, intervention and research. The aim of this study is to investigate the prevalence of CD in Arago´n, Spain, using the information available from Primary Care, as well as to discuss the difficulties involved in determining prevalence of CD from data collected at this level of medical intervention.
Methods: We designed an epidemiological cross-sectional study and analysed 26,964 electronic clinical records from the Aragonese Health Service under code ICPC D99 collected up to December 31st, 2016. The clinical records were classified by their editable field “descriptor” according to their probability of being related to CD. Analyses of gender, age, age at diagnosis, province and health sector were carried out.
Results: We found 4534 clinical records under 293 different descriptors with a high probability of referring to CD. Prevalence in Arago´n was estimated to be 0.35% ranging from 0.24 to 0.81% with important differences among health sectors.
Conclusions: The prevalence of 0.35% is a long way from the generally accepted 1% but within the usually considered ratio 1:7 of diagnosed:undiagnosed cases. Differences among sectors should be carefully analysed. Lacking its own ICPC code, diagnosis of CD in Primary Care Services is not included in a single category, but it is distributed under several descriptors, which makes it difficult to offer any firm diagnosis for treatment and hinders research. Finally, the high prevalence of CD justifies its own ICPC code and the need to withdraw CD from the generic D99 code “Disease digestive system other”.
000079827 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/PI16-00570$$9info:eu-repo/grantAgreement/ES/DGA/B21-17R
000079827 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000079827 590__ $$a1.987$$b2019
000079827 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b56 / 102 = 0.549$$c2019$$dQ3$$eT2
000079827 592__ $$a0.995$$b2019
000079827 593__ $$aHealth Policy$$c2019$$dQ1
000079827 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000079827 700__ $$0(orcid)0000-0002-5494-6550$$aMagallón-Botaya, Rosa$$uUniversidad de Zaragoza
000079827 700__ $$0(orcid)0000-0001-9887-2250$$aMasluk, Barbara$$uUniversidad de Zaragoza
000079827 700__ $$0(orcid)0000-0002-9408-1280$$aPalacios-Navarro, Guillermo$$uUniversidad de Zaragoza
000079827 700__ $$0(orcid)0000-0002-4252-115X$$aAsensio-Martínez, Angela$$uUniversidad de Zaragoza
000079827 700__ $$0(orcid)0000-0002-3723-0673$$aGascón-Santos, Santiago$$uUniversidad de Zaragoza
000079827 700__ $$0(orcid)0000-0001-6565-9699$$aOlivan-Blázquez, Bárbara$$uUniversidad de Zaragoza
000079827 700__ $$0(orcid)0000-0003-1272-7365$$aSebastián-Domingo, Juan José$$uUniversidad de Zaragoza
000079827 7102_ $$14009$$2740$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Social
000079827 7102_ $$14009$$2730$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Básica
000079827 7102_ $$15008$$2785$$aUniversidad de Zaragoza$$bDpto. Ingeniería Electrón.Com.$$cÁrea Tecnología Electrónica
000079827 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000079827 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac
000079827 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló.
000079827 773__ $$g19, 578 (2019), 1-9$$pBMC HEALTH SERV RES$$tBMC HEALTH SERVICES RESEARCH$$x1472-6963
000079827 8564_ $$s1016039$$uhttps://zaguan.unizar.es/record/79827/files/texto_completo.pdf$$yVersión publicada
000079827 8564_ $$s101407$$uhttps://zaguan.unizar.es/record/79827/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000079827 909CO $$ooai:zaguan.unizar.es:79827$$particulos$$pdriver
000079827 951__ $$a2023-12-15-08:57:37
000079827 980__ $$aARTICLE