Universal Journal of Public Health Vol. 5(5), pp. 275 - 278
DOI: 10.13189/ujph.2017.050510
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Are Australian Regional Hospitals Doing Enough for Coeliac Disease Testing in 2012-2013? A Pilot Study


Shu Wen Xu 1,2, Rafiqul Islam 1,3, Arup Bhattacharya 1,3,*
1 Goulburn Valley Health, Australia
2 Townsville Hospital, Australia
3 Department of Rural Health, the University of Melbourne, Shepparton, Australia

ABSTRACT

Coeliac disease diagnosis requires adequate testing, and insufficient testing may increase complications. This pilot study determined the prevalence of appropriate testing for coeliac disease among eligible in-patients admitted in a regional Australian hospital. A retrospective review of all admissions were conducted between August 2012 and January 2013 in the medical, surgical and geriatric divisions for the patients diagnosed with haematinic-deficiency anaemia due to unspecified causes, protein-energy malnutrition due to unspecified causes and irritable Bowel Syndrome. Secondarily an extended review between February 2012 and February 2013 was also conducted to review all serology test requests for coeliac disease to identify the positive serology testing. We observed that, except for Iron Deficiency Anemia (IDA) and Irritable Bowel Syndrome (IBS), a very small proportion of unspecified anaemia and Protein Energy Malnutrition (PEM) patients were investigated (15.6% and 11%, respectively) for celiac disease. Invasive testing such as histopathology was requested only for about 52% of serology positive cases. Low diagnostic test requests for coeliac disease warrants the demand for availability of specialist gastroenterologist services and telemedicine support in regional Australia. Training for practicing doctors and continuing medical education around this may help adequate testing and diagnosis.

KEYWORDS
Coeliac Disease Testing, Regional Hospital, Australia

Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] Shu Wen Xu , Rafiqul Islam , Arup Bhattacharya , "Are Australian Regional Hospitals Doing Enough for Coeliac Disease Testing in 2012-2013? A Pilot Study," Universal Journal of Public Health, Vol. 5, No. 5, pp. 275 - 278, 2017. DOI: 10.13189/ujph.2017.050510.

(b). APA Format:
Shu Wen Xu , Rafiqul Islam , Arup Bhattacharya (2017). Are Australian Regional Hospitals Doing Enough for Coeliac Disease Testing in 2012-2013? A Pilot Study. Universal Journal of Public Health, 5(5), 275 - 278. DOI: 10.13189/ujph.2017.050510.