Younger age at diagnosis predisposes to mucosal recovery in celiac disease on a gluten-free diet: A meta-analysis

Zsolt Szakács, Péter Mátrai, Péter Hegyi, Imre Szabó, Áron Vincze, Márta Balaskó, Bernadett Mosdósi, Patrícia Sarlós, Mária Simon, Katalin Márta, Alexandra Mikó, Dániel Pécsi, Alexandra Demcsák and Judit Bajor

PLOS ONE, 2017, vol. 12, issue 11, 1-24

Abstract: Background and aims: Persistent intestinal damage is associated with higher complication rates in celiac disease. We aimed to assess the potential modifiers of mucosal recovery. Materials and methods: We screened databases (PubMed, Embase, Cochrane Trials, and Web of Science) for papers on celiac disease. Papers discussing (1) celiac patients (2) follow-up biopsy and (3) mucosal recovery after commencement of a gluten-free diet were included. The primary outcome was to produce a comprehensive analysis of complete mucosal recovery (i.e., Marsh 0 on follow-up). We compared children’s recovery ratios to those of adults. Patients following a strict gluten-free dietary regimen were included in a subgroup. Summary point estimates, 95% confidence intervals (CIs), and 95% predictive intervals (PIs) were calculated. Heterogeneity was tested with I2-statistic. The PROSPERO registration number is CRD42016053482. Results: The overall complete mucosal recovery ratio, calculated from 37 observational studies, was 0.36 (CI: 0.28–0.44, PI: -0.12–0.84; I2: 98.4%, p

Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0187526

DOI: 10.1371/journal.pone.0187526

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