How to manage celiac disease and gluten-free diet during the COVID-19 era: proposals from a tertiary referral center in a high-incidence scenario

Elli, Luca; Barisani, Donatella; Vaira, Valentina; Bardella, Maria Teresa; Topa, Matilde; Vecchi, Maurizio; Doneda, Luisa; Scricciolo, Alice; Lombardo, Vincenza; Roncoroni, Leda

doi:10.1186/s12876-020-01524-4

Cited by 27 publications

(27 citation statements)

References 66 publications

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“…The beginning of COVID-19 vaccination campaigns worldwide has prompted the main medical organizations focused on CD, such as the Society for the Study of Celiac Disease, to comment on the lack of contraindications to the use of available COVID-19 vaccines in CD patients [ 17 ]. Likewise, the authors strongly recommended COVID-19 vaccination in every CD patient, to reduce the morbidity and mortality associated with COVID-19, even if it has not been indicated to have an increased risk of severe outcomes in CD patients [ 9 , 10 , 11 , 12 , 13 , 14 , 30 ]. However, we do not know if CD patients should be encouraged to get vaccinated against COVID-19 with priority because of their chronic autoimmune disorder.…”

Section: Discussionmentioning

confidence: 99%

“…Adherence to a gluten-free diet (GFD) is an effective treatment in most patients. Compared to the general population, those affected by chronic illnesses such as CD may be more apprehensive about COVID-19, although recent data are reassuring [ 9 , 10 , 11 , 12 , 13 , 14 ]. A questionnaire was sent to CD patients, asking whether the COVID-19 pandemic made them feel more vulnerable because of their CD, with 56.6% answering negatively; elderly, women, and patients with other comorbidities were the most apprehensive [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 Vaccine: A Survey of Hesitancy in Patients with Celiac Disease

et al. 2021

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(1) Background: COVID-19 vaccination campaigns offer the best hope of controlling the pandemic. However, the fast production of COVID-19 vaccines has caused concern among the general public regarding their safety and efficacy. In particular, patients with chronic illnesses, such as celiac disease (CD), may be more fearful. Information on vaccine hesitancy plays a pivotal role in the development of an efficient vaccination campaign. In our study, we aimed to evaluate COVID-19 vaccine hesitancy among Italian CD patients. (2) Methods: an anonymous questionnaire was sent to CD patients followed at our tertiary referral center for CD in Milan, Italy. Patients were defined as willing, hesitant and refusing. We evaluated the reasons for hesitancy/refusal and the possible determinants, calculating crude and adjusted odds ratios [AdjORs] with 95% confidence intervals [CIs]. (3) Results: the questionnaire was sent to 346 patients with a response rate of 29.8%. Twenty-six (25.2%) of the 103 respondents were hesitant, with a total refusal rate of 4.8%. The main reason was fear of adverse events related to vaccination (68.2%). Among hesitant patients, 23% declared that their opinion was influenced by their CD. The determinants positively influencing willingness to be vaccinated against COVID-19 were adherence to a GFD, perception of good knowledge about COVID-19 and its vaccines, and a positive attitude to previous vaccines (AdjOR 12.71, 95% CI 1.82–88.58, AdjOR 6.50, 95% CI 1.44–29.22, AdjOR 0.70, 95% CI 0.11–4.34, respectively). (4) Conclusions: CD patients should be vaccinated against COVID-19 and a specific campaign to address the determinants of hesitancy should be developed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

COVID-19 Vaccine: A Survey of Hesitancy in Patients with Celiac Disease

et al. 2021

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“…Similarly, current research measures the level of life satisfaction with the help of a visual analog rating scale by taking the answer on a 10 cm line with anchor statements on the left (No Level) and the right (High Level) (Roncoroni, et al, 2020). According to Zikmund, Carr, Babin, and Griffin, (2013) data is reliable if the value of Cronbach's Alpha ≥ 0.60.…”

Section: Research Instrumentsmentioning

confidence: 99%

The Relationship of Hope with Life Satisfaction through the Path of Resilience

Rehman

Alvi

Ahmad

2021

RJSSER

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This research aims to check the mediating role of resilience between the relationships of hope with life satisfaction. Hope and mindfulness are independent variables and life satisfaction is the dependent variable. This is cross-sectional research and data was collected from 350 employees of an engineering company randomly. Simple linear and multiple regression analyses are performed for testing the hypotheses of the study. Results indicate that hope has a direct positive impact on life satisfaction and resilience respectively. Moreover, resilience is partially mediating the relationship of hope with life satisfaction. The current study considers only the employees of Mott MacDonald Group. Current research is a case study on Mott MacDonald Group, so cannot generalize the results on other types of industry and describes only a few predictors of life satisfaction. Future researches will also conduct on the same kind of engineering firm for generalization. In future researches, some other variables as predictors and outcomes may also include for explaining the phenomenon of life satisfaction. It is also beneficial to conduct this kind of research on sectors like the textile sector, banking sector, and telecom sector. Life satisfaction is very supportive for the organizations to maintain balance in work and lives of employees which may result in dedicated employees. The proposed research model of life satisfaction is satisfactorily supported by empirical tests.

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“…Moreover, in almost every Italian hospital, scheduled outpatient visits had been canceled, medical services were discontinued, and the medical staff were referred to perform other duties. In this scenario, telemedicine emerged as the ideal (and only) solution to overcome the impossibility of carrying out regular visits, allowing the continuation of patient assistance ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Nutritional and Gastroenterological Monitoring of Patients With Celiac Disease During COVID-19 Pandemic: The Emerging Role of Telemedicine and Point-of-Care Gluten Detection Tests

et al. 2021

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Background and Aims: Since the beginning of the coronavirus disease 2019 (COVID-19) pandemic, telemedicine has been supporting many patients with chronic diseases worldwide. However, data on celiac disease (CeD) nutritional and gastroenterological remote monitoring are scanty. The aims of our study were to verify patients' trust in telemedicine and to evaluate the feasibility of telemedicine in nutritional monitoring.Material and Methods: We used telemedicine in place of the scheduled but not provided follow-up visits during the first lockdown of the COVID-19 pandemic. Patients received a phone call, and televisits were conducted for CeD patients with mild or moderate symptoms and/or with blood alterations. The patient's adherence to the gluten-free diet (GFD) was evaluated according to the Celiac Dietary Adherence Test (CDAT). When gluten contamination was suspected, a point-of-care gluten detection test was prescribed. The patient's trust in telemedicine was assessed, through an adapted version of the Patient Trust Assessment Tool (PATAT) questionnaire, as the percentage of patients giving a score of at least 4 out of 5 on a Likert scale for three selected key statements: “I can trust televisit,” “I can trust that possible problems with the telemedicine service will be solved properly,” and “I feel at ease when working with this website.”Results: One hundred and twelve CeD patients were phone called; among symptomatic patients, 39 out of the 42 scheduled (92.9%) televisits were performed. Among the 39 visits, 34 (87.2%) questionnaires were compiled. The patients included in the study obtained a CDAT score from 7 to 13 (11 ± 2). Gluten detection tests were prescribed to 11 patients, resulting positive in 2. Trust in the telemedicine service was achieved in 94.1, 88.2, and 97.1% for the three selected key statements of the PATAT questionnaire.Conclusion: During the COVID-19 pandemic, telemedicine showed to be feasible and the majority of patients trusted the combined gastroenterological and nutritional televisits. Gluten detection tests demonstrated to be useful tools for the patient and for the caregiver to confirm adherence to the GFD remotely.

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How to manage celiac disease and gluten-free diet during the COVID-19 era: proposals from a tertiary referral center in a high-incidence scenario

Cited by 27 publications

References 66 publications

COVID-19 Vaccine: A Survey of Hesitancy in Patients with Celiac Disease

COVID-19 Vaccine: A Survey of Hesitancy in Patients with Celiac Disease

The Relationship of Hope with Life Satisfaction through the Path of Resilience

Nutritional and Gastroenterological Monitoring of Patients With Celiac Disease During COVID-19 Pandemic: The Emerging Role of Telemedicine and Point-of-Care Gluten Detection Tests

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