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Time spent managing disease, annual testing predict satisfaction in coeliac disease patients

07 Jan 2018
Savvy physicians should take advantage of these resources to deliver a message that presents their practices in the best light.

A recent survey has shown that coeliac disease (CD) care is satisfactory for a majority of patients who report higher approval when they feel physicians spend time caring for their CD needs and when they receive annual CD-antibody testing.

“On the basis of our study, these factors are more important than disease severity, seeing a CD specialist, and quality of life in determining patient satisfaction with CD care,” the authors said.

Of the 387 individuals (22 percent) who completed the survey, 229 met the inclusion criteria of biopsy-proven CD. With regard to their CD care, a total of 79 participants (34.5 percent) reported being “very satisfied,” 82 (35.8 percent) “satisfied,” 46 (20.1 percent) “neutral,” 14 (6.1 percent) “dissatisfied,” and eight (3.5 percent) “very dissatisfied.”

Multivariable analysis revealed that physicians spending ample time managing CD needs of patients (p=0.013) and having CD-antibody levels monitored every year positively predicted patient satisfaction. On the other hand, symptom severity (p=0.268), quality of life (p=0.13), and following with a CD specialist (p=0.139) did not correlate with patient satisfaction.

To assess how satisfied patients were with their CD care and to determine factors influencing satisfaction, the authors distributed an online questionnaire to adults receiving programmatic updates from a CD referral centre. The survey focused on aspects of CD care and used disease-specific validated instruments to measure quality of life and dietary adherence.

The authors also conducted univariable and multivariable analyses with the use of satisfaction as a binary outcome comparing grouped “satisfied” and “very satisfied” respondents to “neutral,” “dissatisfied,” and “very dissatisfied” respondents.

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Most Read Articles
15 Sep 2018
Prenatal and postpartum vitamin D supplementation does not appear to improve foetal or infant growth, a study reports.
13 Sep 2018
Excessive daytime sleepiness appears to increase the long-term risk of amyloid β (Aβ) deposition, a recent study has shown.
Tristan Manalac, 2 days ago
The causes, presentations and management of anaphylaxis vary considerably with age, according to a recent Singapore study, which reported that children are more likely to present with food anaphylaxis, while drug anaphylaxis is more common in adults.
13 Sep 2018
Substituting diets high in carbohydrates with those high in monounsaturated fatty acids in the context of low saturated fatty acids do not appear to yield favourable effects on blood pressure, according to a meta-analysis.