{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T07:25:26Z","timestamp":1760081126523,"version":"3.41.2"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Given lengthy diagnosis and treatment delays existed for adult outpatients with newly diagnosed celiac disease (CD), a dietitian\u2010led celiac disease clinic (DLCC) was implemented in 2020. Under DLCC, the dietitian removed eligible patients from the gastroenterology waitlist and ordered pathology and endoscopy for CD diagnosis, and those with CD were given timely, regular dietetic education. This pretest\/posttest study aimed to compare time to CD diagnosis and treatment, and the proportion of patients were offered gastroenterologist appointments between the previous (pre\u2010DLCC) and the DLCC expanded scope (post\u2010DLCC) clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eligible patients were adults, referred to the gastroenterology dietitian between 2018 and 2021, with newly diagnosed CD. Demographic, medical, and appointment data were sourced from medical records. A satisfaction survey was administered to post\u2010DLCC patients. Chi\u2010squared and <jats:italic>t<\/jats:italic>\u2010tests were used to compare groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010four patients were eligible (69%F, 43\u2009\u00b1\u200915\u2009years, 86% had anti\u2010TTG\u2009&gt;\u200920\u2009U\/mL, <jats:italic>n<\/jats:italic>\u2009=\u200933 post\u2010DLCC). Time from gastroenterologist referral triage to treatment commencement was improved by 404\u2009days from pre\u2010 to post\u2010DLCC (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) in those whose CD diagnosis was not led by nursing staff, with reductions observed in both time from referral triage to CD diagnosis and CD diagnosis to treatment (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). These improvements were conservative given COVID\u201019 delayed services for most (<jats:italic>n<\/jats:italic>\u2009=\u200929\/33) post\u2010DLCC patients. Thirty\u2010six percent fewer post\u2010DLCC patients were offered gastroenterologist appointments (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). All (100%) post\u2010DLCC respondents reported satisfaction with the clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A DLCC expanded scope clinic may provide more timely diagnosis and treatment access for adult patients with newly diagnosed CD, with fewer requiring gastroenterologist appointments.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.17011","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T04:35:45Z","timestamp":1748320545000},"page":"1899-1909","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Does A Dietitian\u2010Led Celiac Disease Clinic (DLCC) Facilitate Timely Diagnosis and Nutrition Care for Patients With Celiac Disease?"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6528-760X","authenticated-orcid":false,"given":"M.","family":"Palmer","sequence":"first","affiliation":[{"name":"Nutrition &amp; Dietetics Queensland Health, Logan Hospital  Meadowbrook Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"MacDermott","sequence":"additional","affiliation":[{"name":"Nutrition &amp; Dietetics Queensland Health, Logan Hospital  Meadowbrook Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Patel","sequence":"additional","affiliation":[{"name":"Nutrition &amp; Dietetics Queensland Health, Logan Hospital  Meadowbrook Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"McIvor","sequence":"additional","affiliation":[{"name":"Gastroenterology, Queensland Health, Logan Hospital  Meadowbrook Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Purcell","sequence":"additional","affiliation":[{"name":"Nutrition &amp; Dietetics Queensland Health, Logan Hospital  Meadowbrook Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2011-301346"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl\u20102013\u2010306578"},{"key":"e_1_2_9_4_1","unstructured":"National Institute for Health and Care Excellence \u201cCoeliac Disease Quality Standard [QS134] \u201dhttps:\/\/www.nice.org.uk\/guidance\/qs134."},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v28.i1.154"},{"key":"e_1_2_9_6_1","unstructured":"National Institute for Health and Care Excellence \u201cA Dietetic\u2010Led Coeliac Service Incorporating Group Education. 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