The Global Burden of Childhood Coeliac Disease: A Neglected Component of Diarrhoeal Mortality?
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Mendeley | Further Information

{"title"=>"The global burden of childhood coeliac disease: A neglected component of diarrhoeal mortality?", "type"=>"journal", "authors"=>[{"first_name"=>"Peter", "last_name"=>"Byass", "scopus_author_id"=>"7006527895"}, {"first_name"=>"Kathleen", "last_name"=>"Kahn", "scopus_author_id"=>"35452627500"}, {"first_name"=>"Anneli", "last_name"=>"Ivarsson", "scopus_author_id"=>"7004986446"}], "year"=>2011, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-79960760226", "doi"=>"10.1371/journal.pone.0022774", "sgr"=>"79960760226", "isbn"=>"0470025115", "pmid"=>"21818388", "issn"=>"19326203", "pui"=>"362223707"}, "id"=>"8cf67123-906c-3c80-94b4-beb6d6b4a0a9", "abstract"=>"OBJECTIVES: Coeliac disease has emerged as an increasingly recognised public health problem over the last half-century, and is now coming to be seen as a global phenomenon, despite a profound lack of globally representative epidemiological data. Since children with coeliac disease commonly present with chronic diarrhoea and malnutrition, diagnosis is often overlooked, particularly in poorer settings where children often fail to thrive and water-borne infectious diarrhoeas are common. This is the first attempt to make global estimates of the burden of coeliac disease in childhood.\\n\\nMETHODS: We built a relatively crude model of childhood coeliac disease, incorporating estimates of population prevalence, probability of non-diagnosis, and likelihood of mortality among the undiagnosed across all countries from 1970 to 2010, based around the few available data. All our assumptions are stated in the paper and the model is available as a supplementary file.\\n\\nFINDINGS: Our model suggests that in 2010 there were around 2.2 million children under 5 years of age living with coeliac disease. Among these children there could be 42,000 deaths related to coeliac disease annually. In 2008, deaths related to coeliac disease probably accounted for approximately 4% of all childhood diarrhoeal mortality.\\n\\nCONCLUSIONS: Although coeliac disease may only account for a small proportion of diarrhoeal mortality, these deaths are not preventable by applying normal diarrhoea treatment guidelines, which may even involve gluten-based food supplements. As other causes of diarrhoeal mortality decline, coeliac disease will become a proportionately increasing problem unless consideration is given to trying gluten-free diets for children with chronic diarrhoea and malnutrition.", "link"=>"http://www.mendeley.com/research/global-burden-childhood-coeliac-disease-neglected-component-diarrhoeal-mortality", "reader_count"=>54, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>6, "Librarian"=>1, "Researcher"=>8, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>4, "Student > Master"=>6, "Other"=>4, "Student > Bachelor"=>4, "Lecturer > Senior Lecturer"=>2, "Professor"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>6, "Librarian"=>1, "Researcher"=>8, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>4, "Student > Master"=>6, "Other"=>4, "Student > Bachelor"=>4, "Lecturer > Senior Lecturer"=>2, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Nursing and Health Professions"=>3, "Biochemistry, Genetics and Molecular Biology"=>3, "Mathematics"=>1, "Agricultural and Biological Sciences"=>14, "Medicine and Dentistry"=>23, "Arts and Humanities"=>1, "Psychology"=>1, "Social Sciences"=>4, "Computer Science"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>23}, "Social Sciences"=>{"Social Sciences"=>4}, "Psychology"=>{"Psychology"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>14}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>3}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "reader_count_by_country"=>{"Netherlands"=>1, "United States"=>1}, "group_count"=>2}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/753651"], "description"=>"<p>Sensitivity analyses for key estimates of coeliac-related morbidity and mortality, applied to numbers of undiagnosed cases and deaths in 1990, 2000 and 2010.</p>", "links"=>[], "tags"=>["analyses", "estimates", "coeliac-related", "morbidity", "applied", "numbers", "undiagnosed", "cases", "deaths", "2000"], "article_id"=>424013, "categories"=>["Biotechnology", "Medicine", "Chemistry", "Immunology"], "users"=>["Peter Byass", "Kathleen Kahn", "Anneli Ivarsson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0022774.t001", "stats"=>{"downloads"=>6, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Sensitivity_analyses_for_key_estimates_of_coeliac_related_morbidity_and_mortality_applied_to_numbers_of_undiagnosed_cases_and_deaths_in_1990_2000_and_2010_/424013", "title"=>"Sensitivity analyses for key estimates of coeliac-related morbidity and mortality, applied to numbers of undiagnosed cases and deaths in 1990, 2000 and 2010.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-07-26 01:06:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/753054"], "description"=>"<p>World map by WHO Regions, as used as the basis for modelled estimates, showing underlying assumptions about the population prevalence of childhood coeliac disease.</p>", "links"=>[], "tags"=>["modelled", "assumptions", "prevalence", "coeliac"], "article_id"=>423422, "categories"=>["Biotechnology", "Medicine", "Chemistry", "Immunology"], "users"=>["Peter Byass", "Kathleen Kahn", "Anneli Ivarsson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0022774.g001", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_World_map_by_WHO_Regions_as_used_as_the_basis_for_modelled_estimates_showing_underlying_assumptions_about_the_population_prevalence_of_childhood_coeliac_disease_/423422", "title"=>"World map by WHO Regions, as used as the basis for modelled estimates, showing underlying assumptions about the population prevalence of childhood coeliac disease.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-07-26 00:57:02"}
  • {"files"=>["https://ndownloader.figshare.com/files/378713"], "description"=>"<div><h3>Objectives</h3><p>Coeliac disease has emerged as an increasingly recognised public health problem over the last half-century, and is now coming to be seen as a global phenomenon, despite a profound lack of globally representative epidemiological data. Since children with coeliac disease commonly present with chronic diarrhoea and malnutrition, diagnosis is often overlooked, particularly in poorer settings where children often fail to thrive and water-borne infectious diarrhoeas are common. This is the first attempt to make global estimates of the burden of coeliac disease in childhood.</p> <h3>Methods</h3><p>We built a relatively crude model of childhood coeliac disease, incorporating estimates of population prevalence, probability of non-diagnosis, and likelihood of mortality among the undiagnosed across all countries from 1970 to 2010, based around the few available data. All our assumptions are stated in the paper and the model is available as a supplementary file.</p> <h3>Findings</h3><p>Our model suggests that in 2010 there were around 2.2 million children under 5 years of age living with coeliac disease. Among these children there could be 42,000 deaths related to coeliac disease annually. In 2008, deaths related to coeliac disease probably accounted for approximately 4% of all childhood diarrhoeal mortality.</p> <h3>Conclusions</h3><p>Although coeliac disease may only account for a small proportion of diarrhoeal mortality, these deaths are not preventable by applying normal diarrhoea treatment guidelines, which may even involve gluten-based food supplements. As other causes of diarrhoeal mortality decline, coeliac disease will become a proportionately increasing problem unless consideration is given to trying gluten-free diets for children with chronic diarrhoea and malnutrition.</p> </div>", "links"=>[], "tags"=>["coeliac", "neglected", "diarrhoeal"], "article_id"=>134851, "categories"=>["Biotechnology", "Medicine", "Chemistry", "Immunology"], "users"=>["Peter Byass", "Kathleen Kahn", "Anneli Ivarsson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0022774", "stats"=>{"downloads"=>5, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/The_Global_Burden_of_Childhood_Coeliac_Disease_A_Neglected_Component_of_Diarrhoeal_Mortality_/134851", "title"=>"The Global Burden of Childhood Coeliac Disease: A Neglected Component of Diarrhoeal Mortality?", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-07-26 01:20:51"}
  • {"files"=>["https://ndownloader.figshare.com/files/753453"], "description"=>"<p>(AFRO African region, EMRO Eastern Mediterranean region, EURO European region, PAHO Pan-American region, SEARO South-east Asian region, WPRO Western Pacific region; as shown in <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0022774#pone-0022774-g001\" target=\"_blank\">Figure 1</a>).</p>", "links"=>[], "tags"=>["coeliac", "rates", "under-5", "populations"], "article_id"=>423825, "categories"=>["Biotechnology", "Medicine", "Chemistry", "Immunology"], "users"=>["Peter Byass", "Kathleen Kahn", "Anneli Ivarsson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0022774.g006", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Estimates_of_coeliac_disease_related_mortality_rates_in_under_5_populations_by_WHO_region_and_year_/423825", "title"=>"Estimates of coeliac disease related mortality rates in under-5 populations by WHO region and year.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-07-26 01:03:45"}
  • {"files"=>["https://ndownloader.figshare.com/files/753532"], "description"=>"<p>(AFRO African region, EMRO Eastern Mediterranean region, EURO European region, PAHO Pan-American region, SEARO South-east Asian region, WPRO Western Pacific region; as shown in <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0022774#pone-0022774-g001\" target=\"_blank\">Figure 1</a>).</p>", "links"=>[], "tags"=>["under-5", "diarrhoeal", "deaths", "2008", "coeliac-related", "bars", "numbers"], "article_id"=>423896, "categories"=>["Biotechnology", "Medicine", "Chemistry", "Immunology"], "users"=>["Peter Byass", "Kathleen Kahn", "Anneli Ivarsson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0022774.g007", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Estimated_under_5_diarrhoeal_deaths_in_2008_by_WHO_region_showing_the_estimated_coeliac_related_component_red_bars_and_numbers_of_cases_/423896", "title"=>"Estimated under-5 diarrhoeal deaths in 2008 by WHO region, showing the estimated coeliac-related component (red bars and numbers of cases).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-07-26 01:04:56"}
  • {"files"=>["https://ndownloader.figshare.com/files/753296"], "description"=>"<p>(AFRO African region, EMRO Eastern Mediterranean region, EURO European region, PAHO Pan-American region, SEARO South-east Asian region, WPRO Western Pacific region; as shown in <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0022774#pone-0022774-g001\" target=\"_blank\">Figure 1</a>).</p>", "links"=>[], "tags"=>["numbers", "coeliac", "under-5", "deaths"], "article_id"=>423670, "categories"=>["Biotechnology", "Medicine", "Chemistry", "Immunology"], "users"=>["Peter Byass", "Kathleen Kahn", "Anneli Ivarsson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0022774.g004", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Estimated_numbers_of_coeliac_disease_related_under_5_deaths_by_WHO_region_and_year_/423670", "title"=>"Estimated numbers of coeliac disease related under-5 deaths by WHO region and year.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-07-26 01:01:10"}
  • {"files"=>["https://ndownloader.figshare.com/files/753219"], "description"=>"<p>(AFRO African region, EMRO Eastern Mediterranean region, EURO European region, PAHO Pan-American region, SEARO South-east Asian region, WPRO Western Pacific region; as shown in <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0022774#pone-0022774-g001\" target=\"_blank\">Figure 1</a>).</p>", "links"=>[], "tags"=>["numbers", "under-5", "children", "undiagnosed", "coeliac"], "article_id"=>423588, "categories"=>["Biotechnology", "Medicine", "Chemistry", "Immunology"], "users"=>["Peter Byass", "Kathleen Kahn", "Anneli Ivarsson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0022774.g003", "stats"=>{"downloads"=>2, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Estimated_numbers_of_under_5_children_with_undiagnosed_coeliac_disease_by_WHO_region_and_year_/423588", "title"=>"Estimated numbers of under-5 children with undiagnosed coeliac disease, by WHO region and year.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-07-26 00:59:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/753122"], "description"=>"<p>(AFRO African region, EMRO Eastern Mediterranean region, EURO European region, PAHO Pan-American region, SEARO South-east Asian region, WPRO Western Pacific region; as shown in <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0022774#pone-0022774-g001\" target=\"_blank\">Figure 1</a>).</p>", "links"=>[], "tags"=>["plots", "probabilities", "non-diagnosis", "coeliac", "grouped"], "article_id"=>423489, "categories"=>["Biotechnology", "Medicine", "Chemistry", "Immunology"], "users"=>["Peter Byass", "Kathleen Kahn", "Anneli Ivarsson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0022774.g002", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Scatter_plots_of_probabilities_of_non_diagnosis_of_coeliac_disease_by_country_and_year_grouped_by_WHO_region_/423489", "title"=>"Scatter plots of probabilities of non-diagnosis of coeliac disease by country and year, grouped by WHO region.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-07-26 00:58:09"}
  • {"files"=>["https://ndownloader.figshare.com/files/753374"], "description"=>"<p>(AFRO African region, EMRO Eastern Mediterranean region, EURO European region, PAHO Pan-American region, SEARO South-east Asian region, WPRO Western Pacific region; as shown in <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0022774#pone-0022774-g001\" target=\"_blank\">Figure 1</a>).</p>", "links"=>[], "tags"=>["coeliac", "case-fatality", "rates", "under-5", "children"], "article_id"=>423743, "categories"=>["Biotechnology", "Medicine", "Chemistry", "Immunology"], "users"=>["Peter Byass", "Kathleen Kahn", "Anneli Ivarsson"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0022774.g005", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Estimates_of_coeliac_disease_case_fatality_rates_among_under_5_children_by_WHO_region_and_year_/423743", "title"=>"Estimates of coeliac disease case-fatality rates among under-5 children by WHO region and year.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-07-26 01:02:23"}

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