{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T15:46:32Z","timestamp":1758123992016},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,5,2]],"date-time":"2013-05-02T00:00:00Z","timestamp":1367452800000},"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 Human Nutrition Diet"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Coeliac disease is an autoimmune disorder that is considered to affect approximately one in 100 people. In the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>, gluten\u2010free (GF) foods can be prescribed by general practitioners (<jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s) to treat this condition and there are national guidelines on the quantities of <jats:styled-content style=\"fixed-case\">GF<\/jats:styled-content> food an individual should receive on prescription. Information on actual prescribing behaviour by <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s, and how this compares with guideline recommendations, is scarce. The present study aimed to describe <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s prescribing practice of GF foods, within one locality in the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>, comparing this with national guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective evaluation of <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> electronic medical records for all patients with a gluten\u2010sensitive enteropathy diagnosis and\/or those prescribed GF food between April 2010 and March 2011 was carried out in 16 <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> practices in the west of Scotland, serving a total of 85\u00a0667 patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 175 (0.18% of the total practice population) patients, 152 were identified with coeliac disease, eight with dermatitis herpetiformis and six with both conditions. A further nine patients received <jats:styled-content style=\"fixed-case\">GF<\/jats:styled-content> foods on prescriptions with no recorded diagnosis. There was a positive association between adherence to the prescribing guidelines and female sex (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001) and (for those with a recorded diagnosis) increasing age (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.001). There was no significant association between either socio\u2010economic deprivation or co\u2010morbidities and adherence to the prescribing guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There was significant under prescribing of <jats:styled-content style=\"fixed-case\">GF<\/jats:styled-content> foods in those identified. Further research is required to establish whether these results are representative of wider practice in the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.12116","type":"journal-article","created":{"date-parts":[[2013,5,2]],"date-time":"2013-05-02T14:25:57Z","timestamp":1367504757000},"page":"96-104","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A comparison of <scp>g<\/scp>eneral <scp>p<\/scp>ractitioners prescribing of gluten\u2010free foods for the treatment of coeliac disease with national prescribing guidelines"],"prefix":"10.1111","volume":"27","author":[{"given":"U.","family":"Martin","sequence":"first","affiliation":[{"name":"Pharmacy Prescribing Support Unit Prescribing Support Team NHS Greater Glasgow &amp; Clyde Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. W.","family":"Mercer","sequence":"additional","affiliation":[{"name":"General Practice and Primary Care Institute of Health and Wellbeing Glasgow University Glasgow UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,5,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7435.322"},{"key":"e_1_2_9_3_1","unstructured":"British Medical Association and Royal Pharmaceutical Society. (2011)British National Formulary 61st edn. London: British Medical Association and Royal Pharmaceutical Society. Available at:http:\/\/bnf.org\/bnf\/bnf\/current\/28615.htm(accessed on 17 March 2011)."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1996.tb14244.x"},{"key":"e_1_2_9_5_1","unstructured":"Ciclitira P.J. Dewar D.H. McLaughlin S.D.&Sanders D.S.(2010)British Society of Gastroenterology.The Management of Adults with Coeliac Disease. Available at:http:\/\/www.bsg.org.uk\/images\/stories\/clinical\/bsg_coeliac_10.pdf(accessed 22 February 2011)."},{"key":"e_1_2_9_6_1","unstructured":"Coeliac UK Primary Care Society for Gastroenterology and the British Dietetic Association. (2004)Gluten\u2010Free Foods:A Prescribing Guide. High Wycombe: Coeliac UK Primary Care Society for Gastroenterology and the British Dietetic Association."},{"key":"e_1_2_9_7_1","unstructured":"Coeliac UK.(2011)Gluten\u2010Free Foods A Revised Prescribing Guide 2011. Available at:http:\/\/www.coeliac.org.uk\/sites\/files\/coeliac\/a5_prescribing_guidelines_web_feb_12_0.pdf(accessed 29 September 2011)."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/isbn.978-3-8055-8527-9"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7204.236"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2001.03462.x"},{"key":"e_1_2_9_11_1","unstructured":"Inverclyde CHCP. (2011)Population Statistics for Inverclyde Community Health and Care Partnership. Available at:http:\/\/www.chps.org.uk\/content\/default.asp?page=home_CHP%20Inverclyde(accessed on 14 February 2011)."},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)65142-2"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI30253"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1602856"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2010.256"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1021956200382"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.2217\/phe.10.22"},{"key":"e_1_2_9_18_1","unstructured":"NHS Bolton. (2011)Commissioning Policy Number 13.Gluten\u2010Free Foods Available on NHS Prescriptions. Available at:http:\/\/www.bolton.nhs.uk\/Library\/your_career\/Service_Specifications\/PIL%20-%20Gluten-free%20foods.pdf(accessed on 1 October 2011)."},{"key":"e_1_2_9_19_1","unstructured":"NHS East Sussex. (2011)Update on the Prescribing of Gluten Free Foods. Available at:http:\/\/www.esdw.nhs.uk\/about-us\/news\/press-releases\/2011-press-releases\/update-on-the-prescribing-of-gluten-free-products\/(accessed on 23 August 2011)."},{"key":"e_1_2_9_20_1","unstructured":"NHS Greater Manchester Medicines Management Group. (2011)Gluten Free Foods Available on NHS Prescriptions. Available at:http:\/\/www.nyrdtc.nhs.uk\/GMMMG\/Groups\/Publications\/gmmmg_recomm\/GM%20Gluten%20Free%20Policy%20Final%20for%20website.pdf(accessed on 1 October 2011)."},{"key":"e_1_2_9_21_1","volume-title":"Guidance on Prescribing Gluten Free Products","author":"NHS Hartlepool","year":"2010"},{"key":"e_1_2_9_22_1","unstructured":"NHS National Services Scotland. (2011)ISDprisms. Available at:https:\/\/www.bic.scot.nhs.uk(accessed on 28 November 2011)."},{"key":"e_1_2_9_23_1","unstructured":"NHS South Staffordshire Primary Care Trust. (2011)Guidelines for The Prescribing of Gluten\u2010Free Products Within Primary Care on NHS Prescriptions. Available at:http:\/\/www.southstaffordshirepct.nhs.uk\/YourHealth\/docs\/meds\/PPS\/GlutenFreePrescribingGuidelines.pdf(accessed on 23 August 2011)."},{"key":"e_1_2_9_24_1","unstructured":"NHS Tayside. (2011)Coeliac Disease Improvement Project \u2013 Direct Gluten Free Food Scheme Pilot. Available at:http:\/\/www.knowledge.scot.nhs.uk\/taysidenutrition\/coeliac-disease.aspx(accessed on 22 August 2011)."},{"key":"e_1_2_9_25_1","unstructured":"NHS Telford and Wrekin. (2011)NHS Prescriptions for Gluten Free Products. Available at:http:\/\/www.telford.nhs.uk\/Documents\/docs_common\/Newsroom\/Gluten%20Free%20Prescriptions\/Prescribing%20of%20GLUTEN%20FREE%20PRODUCTS%20at%20NHS%20expense%20FAQs%20September%202011.pdf(accessed on 1 October 2011)."},{"key":"e_1_2_9_26_1","volume-title":"Coeliac Disease: Recognition and Assessment of Coeliac Disease, Clinical Guideline 86","author":"National Institute for Health and Clinical Excellence (NICE)","year":"2009"},{"key":"e_1_2_9_27_1","volume-title":"A Step\u2010by\u2010step Guide to Data Analysis Using SPSS version 15: SPSS Survival Manual","author":"Pallant J.","year":"2007"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2006.094045"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31812e5710"},{"key":"e_1_2_9_30_1","unstructured":"Scottish Government. (2009)Scottish Index of Multiple Deprivation. Available at:http:\/\/www.scotland.gov.uk\/Topics\/Statistics\/SIMD(accessed on 31 March 2011)."},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(93)90912-V"},{"key":"e_1_2_9_32_1","unstructured":"UK National Screening Committee. (2008)Proposal For Assessing Coeliac Disease Against UKNSC Screening Criteria. Available at:http:\/\/www.screening.nhs.uk\/coeliacdisease(accessed on 29 September 2011)."},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2005.075119"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.52.7.960"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjhn.12116","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjhn.12116","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.12116","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T02:32:23Z","timestamp":1696213943000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.12116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,2]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,2]]}},"alternative-id":["10.1111\/jhn.12116"],"URL":"https:\/\/doi.org\/10.1111\/jhn.12116","archive":["Portico"],"relation":{},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,2]]},"assertion":[{"value":"2013-05-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}