{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T11:04:32Z","timestamp":1762254272747,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T00:00:00Z","timestamp":1663891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the perceptions and practices of Australasian paediatric gastroenterologists in diagnosing coeliac disease (CD) before and during the COVID\u201019 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Paediatric gastroenterologists in Australasia were invited via email to complete an anonymous online questionnaire over a 2\u2010week period in 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The questionnaire was completed by 39 respondents: 33 from Australia and six from New Zealand (NZ) equating to a 66% response rate. Thirty\u2010four (87%) of the 39 respondents reported they currently practised non\u2010biopsy diagnosis of CD in eligible children, while the rest diagnosed CD using biopsy confirmation only. All NZ respondents practised non\u2010biopsy CD diagnosis. A majority of responders (76%) who practised non\u2010biopsy CD diagnosis followed the 2020 European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) guidelines. Twenty\u2010two (56%) respondents reported that they started using a non\u2010biopsy CD diagnosis protocol before the pandemic and did not change their practice during the pandemic, 10 (26%) started diagnosing non\u2010biopsy CD during the pandemic, 5 (13%) stated their practices of CD were not impacted by the pandemic and 2 (5%) did not respond on whether the pandemic changed their practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The majority of Australasian gastroenterologist respondents reported they routinely utilised the 2020 ESPGHAN diagnostic criteria in eligible children; half of them started prior to the pandemic and another quarter started this approach due to the pandemic. A minority of practitioners routinely rely only on biopsy confirmation to diagnose CD.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16227","type":"journal-article","created":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T10:29:51Z","timestamp":1663928991000},"page":"2280-2285","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Australasian paediatric gastroenterologist practices of coeliac disease diagnosis before and during the COVID\u201019 pandemic"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5690-6560","authenticated-orcid":false,"given":"Shaun S C","family":"Ho","sequence":"first","affiliation":[{"name":"Department of Paediatrics University of Otago Christchurch  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8860-2705","authenticated-orcid":false,"given":"Helen M","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Paediatric Gastroenterology and Hepatology Starship Child Health  Auckland New Zealand"},{"name":"Department of Paediatrics: Child and Youth Health University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7873-7385","authenticated-orcid":false,"given":"Amin J","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Paediatric Gastroenterology and Hepatology Starship Child Health  Auckland New Zealand"},{"name":"Department of Paediatrics: Child and Youth Health University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikhil","family":"Thapar","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology and Liver Transplantation Queensland Children's Hospital  Brisbane Queensland Australia"},{"name":"School of Medicine University of Queensland  Brisbane Queensland Australia"},{"name":"Woolworths Centre for Child Nutrition Research Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoma","family":"Dutt","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The Children's Hospital at Westmead  Sydney New South Wales Australia"},{"name":"CHW Clinical School, Children's Hospital Westmead, Faculty of Medicine and Health The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kunal","family":"Thacker","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The Children's Hospital at Westmead  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Usha","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Department of Paediatric Gastroenterology Sydney Children's Hospital Randwick  Sydney New South Wales Australia"},{"name":"School of Clinical Medicine, Randwick Clinical Campus, Discipline of Paediatrics &amp; Child Health University of New South Wales Medicine &amp; Health  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7111-0926","authenticated-orcid":false,"given":"Chee Y","family":"Ooi","sequence":"additional","affiliation":[{"name":"Department of Paediatric Gastroenterology Sydney Children's Hospital Randwick  Sydney New South Wales Australia"},{"name":"School of Clinical Medicine, Randwick Clinical Campus, Discipline of Paediatrics &amp; Child Health University of New South Wales Medicine &amp; Health  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Yap","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Clinical Nutrition The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Medicine, Dentistry and Health Sciences University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2321-8275","authenticated-orcid":false,"given":"Ajay","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, and Paediatric Gastroenterology Joondalup Health Campus, SJOG Midland and Perth Paediatrics  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2290-7386","authenticated-orcid":false,"given":"Andrew S","family":"Day","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Otago Christchurch  Christchurch New Zealand"},{"name":"School of Clinical Medicine, Randwick Clinical Campus, Discipline of Paediatrics &amp; Child Health University of New South Wales Medicine &amp; Health  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the PEDiatric Australasian Gastroenterology Research NEtwork (PEDAGREE)","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-11-188"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1746.2000.02290.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.5409\/wjcp.v4.i4.148"},{"key":"e_1_2_7_5_1","unstructured":"NICE.Coeliac Disease: Recognition Assessment and Management United Kingdom: NICE Guidelines; 2015 [Updated December 2019]. 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