Sex and racial disparities in duodenal biopsy to evaluate for celiac disease

Benjamin Lebwohl, Christina A. Tennyson, Jennifer L. Holub, David Lieberman, Alfred I. Neugut, Peter H R Green

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: Celiac disease (CD) is common but underdiagnosed in the United States. Serological screening studies indicate that, although CD occurs at the same frequency in both sexes, women are diagnosed more frequently than men (2:1). CD is less frequently diagnosed among black patients, though the seroprevalence in this group is not known. Objective: To measure the rates of duodenal biopsy during EGD for symptoms consistent with CD. Design: Retrospective cohort study. Setting: Clinical Outcomes Research Initiative National Endoscopy Database, spanning the years 2004 through 2009. Patients: Adults undergoing EGD for the indication of diarrhea, anemia, iron deficiency, or weight loss, in which the endoscopic appearance of the upper GI tract was normal. Main Outcome Measurement: Performance of duodenal biopsy. Results: Of 13,091 individuals (58% female patients, 9% black patients) who met the inclusion criteria, duodenal biopsy was performed in 43%, 45% of female patients and 39% of male patients (P

Original languageEnglish (US)
Pages (from-to)779-785
Number of pages7
JournalGastrointestinal Endoscopy
Volume76
Issue number4
DOIs
StatePublished - Oct 2012

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Celiac Disease
Biopsy
Upper Gastrointestinal Tract
Iron-Deficiency Anemias
Seroepidemiologic Studies
Endoscopy
Weight Loss
Diarrhea
Cohort Studies
Retrospective Studies
Outcome Assessment (Health Care)
Databases

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

Sex and racial disparities in duodenal biopsy to evaluate for celiac disease. / Lebwohl, Benjamin; Tennyson, Christina A.; Holub, Jennifer L.; Lieberman, David; Neugut, Alfred I.; Green, Peter H R.

In: Gastrointestinal Endoscopy, Vol. 76, No. 4, 10.2012, p. 779-785.

Research output: Contribution to journalArticle

Lebwohl, Benjamin ; Tennyson, Christina A. ; Holub, Jennifer L. ; Lieberman, David ; Neugut, Alfred I. ; Green, Peter H R. / Sex and racial disparities in duodenal biopsy to evaluate for celiac disease. In: Gastrointestinal Endoscopy. 2012 ; Vol. 76, No. 4. pp. 779-785.
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