Evidence map›Paper›PMID 36904257›Full record

ArticleNutrients2023

Evaluation of a Single Determination of Gluten Immunogenic Peptides in Urine from Unaware Celiac Patients to Monitor Gluten-Free Diet Adherence.

Vincenza Lombardo, Alice Scricciolo, Andrea Costantino, Luca Elli, Giorgia Legnani, Ángel Cebolla, Luisa Doneda, Federica Mascaretti, Maurizio Vecchi, Leda Roncoroni

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In one paragraph

Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Review
  4. Dietary assessments in individuals living with coeliac disease: key considerations.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Review
  5. Review
  6. Global Approach to Follow-Up of Celiac Disease.Foods (Basel, Switzerland) · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Vincenza LombardoFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; Center for Prevention and Diagnosis of Celiac Disease; Gastroenterology and Endoscopy Unit.
Alice ScriccioloFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; Center for Prevention and Diagnosis of Celiac Disease; Gastroenterology and Endoscopy Unit.ORCID 0000-0002-4014-4573
Andrea CostantinoFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; Center for Prevention and Diagnosis of Celiac Disease; Gastroenterology and Endoscopy Unit.ORCID 0000-0003-4345-6051
Luca ElliFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; Center for Prevention and Diagnosis of Celiac Disease; Gastroenterology and Endoscopy Unit.ORCID 0000-0002-0873-0759
Giorgia LegnaniFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; Center for Prevention and Diagnosis of Celiac Disease; Gastroenterology and Endoscopy Unit.
Ángel CebollaBiomedal S.L., Polígono Industrial Parque Plata, Calle Calzada Romana 40, Camas, 41900 Sevilla, Spain.ORCID 0000-0002-6976-4522
Luisa DonedaDepartment of Biomedical, Surgical and Dental Sciences, Università degli Studi di Milano, 20122 Milan, Italy.
Federica MascarettiFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; Center for Prevention and Diagnosis of Celiac Disease; Gastroenterology and Endoscopy Unit.
Maurizio VecchiFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; Center for Prevention and Diagnosis of Celiac Disease; Gastroenterology and Endoscopy Unit.
Leda RoncoroniFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; Center for Prevention and Diagnosis of Celiac Disease; Gastroenterology and Endoscopy Unit.

Funding

Ministero della Salute Current research IRCCS
6 · The paper itself

Abstract

INTRODUCTION AND

aimUsually, adherence to the gluten-free diet (GFD) in celiac patients is indirectly assessed through serological analysis, questionnaires, or invasive methods such as intestinal biopsy. The detection of gluten immunogenic peptides in urine (urinary gluten immunogenic peptides-uGIP) is a novel technique that directly evaluates the ingestion of gluten. The aim of this study was to evaluate the clinical efficacy of uGIP in the follow-up of celiac disease (CD).

methodsFrom April 2019 to February 2020, CD patients reporting complete adherence to the GFD were prospectively enrolled but were unaware of the reason for the tests. Urinary GIP, the celiac dietary adherence test (CDAT), symptomatic visual analog scales (VAS), and tissue transglutaminase antibodies (tTGA) titres were evaluated. Duodenal histology and capsule endoscopy (CE) were performed when indicated.

resultsA total of 280 patients were enrolled. Thirty-two (11.4%) had a positive uGIP test (uGIP+). uGIP+ patients did not show significant differences in demographic parameters, CDAT, or VAS scores. The tTGA+ titre was not related to the positivity of uGIP (14.4% vs. 10.9% in patients with tTGA+ and tTGA-). Regarding histology, 66.7% of the GIP+ patients had atrophy compared to 32.7% of the GIP patients (

conclusionsThe single uGIP test was positive in 11% of CD cases referring a correct GFD adherence. Furthermore, uGIP results significantly correlated with the duodenal biopsy, formerly considered the gold standard for assessing CD activity.

Indexed as

Celiac DiseaseGlutensAtrophyAutoantibodiesDiet, Gluten-FreeHumansPatient CompliancePeptidesAutoantibodiesGlutensPeptidesceliac diseasegluten-free dietgluten-free diet monitoringgluten immunogenic peptidesurinary gluten detect

Identifiers

PMID36904257
PMCPMC10004805

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read40
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.