Journal of Pediatric Gastroenterology and Nutrition · 6 authors, 8 centres
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This cohort study compared health outcomes in 162 children with celiac disease who lacked routine follow-up versus those with continued follow-up. The central result was that lack of follow-up was not significantly associated with poorer dietary adherence, disease remission, or quality of life.
This regional Swedish cohort study investigated whether a lack of clinical follow-up for celiac disease (CD) in children and adolescents was linked to poorer health outcomes. The authors note the cohort was largely asymptomatic with high rates of serological remission. Limitations include the cross-sectional design, which precludes causal inference, a sample size that may limit statistical power, and potential selection bias, as participants may be more engaged with their care. The findings suggest that follow-up frequency could potentially be individualized for stable, older children, though the authors caution that generalizability is limited and the impact of longer-term follow-up into adulthood requires further study.
