{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T14:23:01Z","timestamp":1788272581025,"version":"build-2803163510"},"reference-count":20,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T00:00:00Z","timestamp":1677110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Children\u2019s Memorial Health Institute","award":["S147\/2016"],"award-info":[{"award-number":["S147\/2016"]}]},{"name":"The Polish\u2013Ukrainian Foundation of Medicine Development (Lublin, Poland)","award":["S147\/2016"],"award-info":[{"award-number":["S147\/2016"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>A high quality of knowledge and how it is communicated by healthcare professionals (HCPs) let the patient understand coeliac disease (CD) and result in better adherence to therapeutic recommendations. Therefore, the aim of the current study was to assess the opinion of Polish respondents with CD on the comprehension of CD among Polish HCPs. The analysis was based on 796 responses from patients (the members of the Polish Coeliac Society) with confirmed CD diagnosis (224; 28.1% children and 572; 71.9% adults). The most frequently consulted HCPs regarding CD symptoms in the analysed group were gastroenterologists, and various support groups and associations for CD patients. Furthermore, their comprehension of CD was rated best, as 89.3% (n = 552) of the patients who had contact with support groups and associations classified their knowledge on CD as good. More than a half of the respondents (n = 310, 56.6%) who had contact with general practitioners (GPs) due to their symptoms, rated the doctor\u2019s knowledge on CD as bad. Nurses\u2019 comprehension on CD was classified as bad by 45 (52.3%) respondents who had contact with a nurse. Out of 294 Polish patients with CD who had contact with a dietician, 247 (84.0%) assessed that the dietician communicated their knowledge on CD well. The respondents rated that GPs and nurses communicated their knowledge on CD in the worst manner (60.4% and 58.1%, respectively). Out of 796 respondents, 792 (99.5%) provided information about the number of appointments with GPs due to symptoms that occurred prior to CD diagnosis. The respondents had contact with GPs 13 863 times before obtaining a CD diagnosis due to their symptoms. After the establishment of a CD diagnosis, the number of appointments with GPs decreased to 3850, and the average number of appointments decreased from 17.8 to 5.1. The respondents assessed that the knowledge on CD of HCPs is not satisfactory. The work of support groups and associations on CD, who promote reliable CD diagnosis and treatment methods, should be promoted. The cooperation between various HCPs needs to be encouraged, which may lead to better compliance.<\/jats:p>","DOI":"10.3390\/ijerph20053990","type":"journal-article","created":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T04:59:44Z","timestamp":1677128384000},"page":"3990","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Opinion of Polish Coeliac Patients on the Knowledge of Medical Professionals and Support Groups about Coeliac Disease\u2014A Pilot Study"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3638-9292","authenticated-orcid":false,"given":"Emilia","family":"Majsiak","sequence":"first","affiliation":[{"name":"Department of Basic Nursing, Chair of Development in Nursing, Faculty of Health Promotion, Medical University, Staszica 4\/6, 20-081 Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Choina","sequence":"additional","affiliation":[{"name":"Polish-Ukrainian Foundation of Medicine Development, Na\u0142\u0119czowska 14, 20-701 Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6887-0094","authenticated-orcid":false,"given":"Bo\u017cena","family":"Cukrowska","sequence":"additional","affiliation":[{"name":"Department of Pathomorphology, The Children\u2019s Memorial Health Institute, Aleja Dzieci Polskich 20, 04-730 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1097\/MPG.0000000000002497","article-title":"European Society Paediatric Gastroenterology, Hepatology and Nutrition Guidelines for Diagnosing Coeliac Disease 2020","volume":"70","author":"Husby","year":"2020","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1177\/2050640617751253","article-title":"Delayed celiac disease diagnosis predisposes to reduced quality of life and incremental use of health care services and medicines: A prospective nationwide study","volume":"6","author":"Fuchs","year":"2018","journal-title":"United Eur. Gastroenterol. J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"751","DOI":"10.15537\/smj.2015.6.11519","article-title":"Assessment of knowledge of celiac disease among health care professionals","volume":"36","author":"Assiri","year":"2015","journal-title":"Saudi Med. J."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Majsiak, E., Choina, M., Golicki, D., Gray, A.M., and Cukrowska, B. (2021). The impact of symptoms on quality of life before and after diagnosis of coeliac disease: The results from a Polish population survey and comparison with the results from the United Kingdom. BMC Gastroenterol., 21.","DOI":"10.1186\/s12876-021-01673-0"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Gray, A.M., and Papanicolas, I.N. (2010). Impact of symptoms on quality of life before and after diagnosis of coeliac disease: Results from a UK population survey. BMC Health Serv. Res., 10.","DOI":"10.1186\/1472-6963-10-105"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1538","DOI":"10.1038\/ajg.2012.219","article-title":"The prevalence of celiac disease in the United States","volume":"107","author":"Ludvigsson","year":"2012","journal-title":"Am. J. Gastroenterol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.3109\/00365521.2014.923502","article-title":"Factors associated with long diagnostic delay in celiac disease","volume":"49","author":"Fuchs","year":"2014","journal-title":"Scand. J. Gastroenterol."},{"key":"ref_8","first-page":"203","article-title":"Lack of health care professional\u2019s awareness for management of celiac disease may contribute to the under diagnosis of celiac disease","volume":"12","author":"Barzegar","year":"2019","journal-title":"Gastroenterol. Hepatol. Bed Bench"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1097\/MPG.0000000000003019","article-title":"The Knowledge about Celiac Disease Among Healthcare Professionals and Patients in Central Europe","volume":"72","author":"Riznik","year":"2021","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"491","DOI":"10.3390\/nu14030491","article-title":"Clinical Manifestation and Diagnostic Process of Celiac Disease in Poland&mdash;Comparison of Pediatric and Adult Patients in Retrospective Study","volume":"14","author":"Majsiak","year":"2022","journal-title":"Nutrients"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Spencer, M., Lenhart, A., Baker, J., Dickens, J., Weissman, A., Read, A.J., Saini, S., and Saini, S.D. (2017). Primary care physicians are under-testing for celiac disease in patients with iron deficiency anemia: Results of a national survey. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0184754"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Majsiak, E., Cukrowska, B., Choina, M., Bielawski, K., Cielecka-Kuszyk, J., Konopka, E., Wysoki\u0144ski, M., and Bier\u0142a, J.B. (2022). Evaluation of the Usefulness of a Serological Test for Diagnosis of Celiac Disease Simultaneously Detecting Specific Antibodies and Total IgA. Nutrients, 15.","DOI":"10.3390\/nu15010202"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1007\/s11606-005-0111-7","article-title":"Physician awareness of celiac disease: A need for further education","volume":"20","author":"Zipser","year":"2005","journal-title":"J. Gen. Intern. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e12","DOI":"10.1097\/MCG.0b013e31822f0da0","article-title":"Do gastroenterologists adhere to diagnostic and treatment guidelines for celiac disease?","volume":"46","author":"Parakkal","year":"2012","journal-title":"J. Clin. Gastroenterol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1136\/flgastro-2018-101156","article-title":"Comparing alternative follow-up strategies for patients with stable coeliac disease","volume":"11","author":"Pritchard","year":"2020","journal-title":"Frontline Gastroenterol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"178","DOI":"10.4291\/wjgp.v13.i6.178","article-title":"Knowledge regarding celiac disease among healthcare professionals, patients and their caregivers in Turkey","volume":"13","author":"Sahin","year":"2022","journal-title":"World J. Gastrointest Pathophysiol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e000544","DOI":"10.1136\/bmjgast-2020-000544","article-title":"Do gastroenterologists have medical inertia towards coeliac disease? A UK multicentre secondary care study","volume":"8","author":"Taylor","year":"2021","journal-title":"BMJ Open Gastroenterol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"414","DOI":"10.3389\/fped.2019.00414","article-title":"Navigating the Gluten-Free Boom: The Dark Side of Gluten Free Diet","volume":"7","author":"Lerner","year":"2019","journal-title":"Front. Pediatr."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Dembi\u0144ski, \u0141., Mazur, A., D\u0105browski, M., Jackowska, T., and Banaszkiewicz, A. (2021). Knowledge of Medical Students and Medical Professionals Regarding Nutritional Deficiencies in Patients with Celiac Disease. Nutrients, 13.","DOI":"10.3390\/nu13061771"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"419","DOI":"10.5152\/tjg.2018.17236","article-title":"Physicians\u2019 attitude and perception regarding celiac disease: A questionnaire-based study","volume":"29","author":"Jinga","year":"2018","journal-title":"Turk. J. Gastroenterol. Off. J. Turk. Soc. Gastroenterol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/5\/3990\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:40:25Z","timestamp":1760121625000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/5\/3990"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,23]]},"references-count":20,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["ijerph20053990"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20053990","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,23]]}}}