{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:42:35Z","timestamp":1793040155470,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"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":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dietitian\u2010led coeliac clinics have the potential to be a cost\u2010effective way of monitoring patients living with coeliac disease (CD). The aim of this service evaluation was to explore the impact of a dietitian\u2010led coeliac clinic on gluten\u2010free diet (GFD) adherence and the frequency of endoscopies with repeat duodenal biopsies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adults with biopsy\u2010proven CD were transferred to a new dietitian\u2010led coeliac clinic where data were collected from medical records and analysed using SPSS. GFD adherence was assessed by a specialist dietitian, specialist nurse, consultant gastroenterologists and a validated GFD adherence questionnaire. Repeat duodenal biopsy findings were compared with the most recent dietitian GFD adherence assessment. Project and ethics approval was granted by the hospital trust and affiliated university.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data from 170 patients (White: 51%, South Asian: 45%) are presented, with most being 35\u201364 years old (61%). Specialist dietitian assessments identified 67 (39%) of patients were adhering to the GFD, whereas prior gastroenterologist or coeliac nurse assessments identified 122 (72%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and the validated GFD adherence questionnaire identified 97 (57%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Dietitian assessments identified involuntary gluten consumption in 39\/104 (38%) of those who self\u2010reported GFD adherence, consequently avoiding the need for nine endoscopies with repeat duodenal biopsies once patients had received dietary education from the dietitian. On follow\u2010up, within the dietitian\u2010led coeliac clinic, significantly fewer patients consumed gluten involuntarily (14%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In addition, a reduction in voluntary gluten consumption was observed from three to five to one to two times per month (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) in 66 patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The dietitian\u2010led coeliac clinic helped to identify involuntary gluten ingestion, avoid repeat endoscopies with duodenal biopsies and was associated with significantly improved GFD adherence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.13206","type":"journal-article","created":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T07:18:57Z","timestamp":1690442337000},"page":"1751-1759","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["A dietitian\u2010led coeliac service helps to identify and reduce involuntary gluten ingestion with subsequent reduction in the frequency of repeat endoscopies"],"prefix":"10.1111","volume":"36","author":[{"given":"Cristian","family":"Costas\u2010Batlle","sequence":"first","affiliation":[{"name":"Dietetic Department Bradford Teaching Hospitals NHS Foundation Trust Bradford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Trott","sequence":"additional","affiliation":[{"name":"Academic Unit of Gastroenterology, Royal Hallamshire Hospital Sheffield Teaching Hospital NHS Foundation Trust  Sheffield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0108-1645","authenticated-orcid":false,"given":"Yvonne","family":"Jeanes","sequence":"additional","affiliation":[{"name":"School of Health and Life Sciences University of Roehampton  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Seamark","sequence":"additional","affiliation":[{"name":"Community Dietetics Somerset NHS Foundation Trust Somerset UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6999-8230","authenticated-orcid":false,"given":"Claire","family":"Gardiner","sequence":"additional","affiliation":[{"name":"School of Health Leeds Beckett University  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,27]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2013-306578"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-019-1380-z"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2019.02.019"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2010.04327.x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31796-8"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-019-0980-6"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000000523"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.16974"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/flgastro-2020-101493"},{"key":"e_1_2_11_11_1","unstructured":"National Institute of Clinical Excellence (NICE). Coeliac disease: recognition assessment and management [NG20] [online]. London: National Institute of Health Care and Excellence;2015[cited 2023 Jan 10]. Available from:https:\/\/www.nice.org.uk\/guidance\/ng20"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12379"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050640619844125"},{"key":"e_1_2_11_14_1","unstructured":"National Health Service. Long\u2010term plan [online].2019[cited 2023 Jan 15]. Available from:https:\/\/www.longtermplan.nhs.uk\/publication\/nhs-long-term-plan\/"},{"key":"e_1_2_11_15_1","unstructured":"National Health Service England. The allied health professions strategy for England: 2022 to 2027 AHPs to deliver [online].2022[cited 2023 Jan 15]. Available from:https:\/\/www.england.nhs.uk\/publication\/the-allied-health-professions-ahps-strategy-for-england\/"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.giec.2012.07.010"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12082300"},{"key":"e_1_2_11_18_1","first-page":"11","article-title":"Dietitian\u2010led coeliac clinic: a successful change in working practice in modern healthcare","volume":"15","author":"Wylie C","year":"2005","journal-title":"Gastroenterol Today"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114511007367"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2016.01.021"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/flgastro-2020-101643"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1017\/S002966511800277X"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13072274"},{"key":"e_1_2_11_24_1","unstructured":"National Health Service (NHS). Improvement and NHS England. 2019\/20 national tariff payment system: national prices and prices for emergency care services [online].2019[cited 2023 Jan 15]. Available from:https:\/\/www.enhertsccg.nhs.uk\/sites\/default\/files\/foi\/AnnexA_1920_National_tariff_workbook.xlsx"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2002.05917.x"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v18.i12.1348"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v27.i13.1311"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14132776"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12010216"},{"key":"e_1_2_11_30_1","first-page":"E3","article-title":"Evaluation of dietetic led coeliac clinical annual review as a safe and cost\u2010effective solution to medical review","volume":"30","author":"Mulholland P","year":"2017","journal-title":"J Hum Nutr Diet"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2006.02824.x"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.13206","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,21]],"date-time":"2023-09-21T02:12:02Z","timestamp":1695262322000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.13206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,27]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1111\/jhn.13206"],"URL":"https:\/\/doi.org\/10.1111\/jhn.13206","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JHN.13206\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13206\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13206\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13206\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13206\/v1\/decision1","asserted-by":"object"}]},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,27]]},"assertion":[{"value":"2023-03-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}