{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T10:00:26Z","timestamp":1776506426332,"version":"3.51.2"},"reference-count":18,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Frontline Gastroenterol"],"accepted":{"date-parts":[[2019,4,7]]},"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Once clinically stable, patients with coeliac disease should have annual follow-up. Lack of capacity in gastroenterology outpatient clinics mean alternatives are required.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>We studied the effectiveness of follow-up deferred to general practitioners (GP-FU) and compared this with a neighbouring Trust where follow-up was through a dedicated nurse-led telephone clinic (T-FU).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>All patients with coeliac disease were posted a questionnaire examining patient satisfaction, adherence with gluten-free diet and calcium intake.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>517 of 825 patients (62.7%) completed a postal questionnaire (median age 61, 72% female). 28% of GP-FU and 84% of T-FU patients received an annual review. Of those seen, 33% (GP-FU) and 53% (T-FU) were weighed (\u03c7<jats:sup>2<\/jats:sup> 65.8, p&lt;0.001), 44% and 63% had symptom review (\u03c7<jats:sup>2<\/jats:sup> 81.1, p&lt;0.001) and 33% and 51% had dietary adherence checked (\u03c7<jats:sup>2<\/jats:sup> 60.6, p&lt;0.001). Almost all patients considered their adherence with gluten-free diet (GFD) good or excellent, although the majority of patients failed to achieve the recommended daily intake of calcium. GP-FU patients were more likely to receive calcium\u00b1vitamin D supplements (77% vs 42%, \u03c7<jats:sup>2<\/jats:sup> 88.2, p&lt;0.001) and they were also more likely to receive appropriate vaccinations (67% vs 38%, \u03c7<jats:sup>2<\/jats:sup> 17.6, p&lt;0.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Discharge of patients with coeliac disease to primary-care in many cases results in their complete loss to follow-up. When patients were reviewed, either by GP-FU and T-FU, many aspects of their care are not addressed. Whether this will result in late complications remains to be seen.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/flgastro-2018-101156","type":"journal-article","created":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T18:25:42Z","timestamp":1556562342000},"page":"93-97","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Comparing alternative follow-up strategies for patients with stable coeliac disease"],"prefix":"10.1136","volume":"11","author":[{"given":"Lucy","family":"Pritchard","sequence":"first","affiliation":[{"name":"Dietetics, Derriford Hospital, Plymouth, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn","family":"Waters","sequence":"additional","affiliation":[{"name":"Gastroenterology, Royal Cornwall Hospitals NHS Trust, Truro, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1795-3647","authenticated-orcid":false,"given":"Iain Alexander","family":"Murray","sequence":"additional","affiliation":[{"name":"Gastroenterology, Royal Cornwall Hospitals NHS Trust, Truro, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Bebb","sequence":"additional","affiliation":[{"name":"Gastroenterology, Royal Cornwall Hospitals NHS Trust, Truro, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4862-6139","authenticated-orcid":false,"given":"Stephen","family":"Lewis","sequence":"additional","affiliation":[{"name":"Gastroenterology, Derriford Hospital, Plymouth, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,4,29]]},"reference":[{"key":"2025090709395255000_11.2.93.1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2003.029603"},{"key":"2025090709395255000_11.2.93.2","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2013-306578"},{"key":"2025090709395255000_11.2.93.3","unstructured":"NICE guideline . 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