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Dietary management of celiac disease.

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eMediNexus    27 June 2019

The purpose of a recent study published in Nutrition was to review and critically appraise celiac disease (CD)-specific medical nutrition therapy (MNT) clinical practice guidelines (CPGs) and identify areas in need of improvement for better adherence and outcomes. This study entailed a comprehensive search from PubMed, Guidelines International Network (GIN), Google Scholar, gray literature and websites of CD scientific organizations for CPGs, consensus and practice papers on the dietary management of CD. Overall, 12 CPGs were retrieved and critically appraised using the Appraisal of Guidelines Research & Evaluation (AGREE) II instrument. The findings showed that all CPGs were of low quality based on AGREE II. Among these, the National Institute for Health and Care Excellence guidelines achieved the highest score and were unanimously recommended without modifications. Whereas the American Gastroenterology Association, Alberta Health Services, British Society of Paediatric Gastroenterology, Hepatology and Nutrition, Clinical Resource Efficiency Support Team and Federation of International Societies of Pediatric Gastroenterology, Hepatology and Nutrition guidelines received the lowest scores. Hence, the results disclosed the low quality of guidelines regarding the MNT of CD patients, indicating the need for updated and improved guidelines taking into consideration the proposed items of AGREE II.

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