The daily practice of (suspected) coeliac disease management by general practitioners: A qualitative approach
Background: General practitioners (GPs) play a crucial role in diagnosing coeliac disease (CD). However, data on GP management of (suspected) CD patients is sparse. Objectives: To provide insights into the daily practice of diagnosis, treatment, and follow-up of CD by GPs. Methods: A qualitative stu...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Taylor & Francis Group
2018-01-01
|
Series: | European Journal of General Practice |
Subjects: | |
Online Access: | http://dx.doi.org/10.1080/13814788.2018.1516203 |
id |
doaj-2b1f675448a542a28fff038fcb80ab62 |
---|---|
record_format |
Article |
spelling |
doaj-2b1f675448a542a28fff038fcb80ab622020-11-24T21:11:50ZengTaylor & Francis GroupEuropean Journal of General Practice1381-47881751-14022018-01-0124123624210.1080/13814788.2018.15162031516203The daily practice of (suspected) coeliac disease management by general practitioners: A qualitative approachTom van Gils0Talha G. Senler1Henriëtte E. van der Horst2Chris J.J. Mulder3Gerd Bouma4Henk de Vries5Amsterdam UMC, location VU University Medical CentreAmsterdam UMC, location VU University Medical CentreAmsterdam UMC, location VU University Medical CentreAmsterdam UMC, location VU University Medical CentreAmsterdam UMC, location VU University Medical CentreAmsterdam UMC, location VU University Medical CentreBackground: General practitioners (GPs) play a crucial role in diagnosing coeliac disease (CD). However, data on GP management of (suspected) CD patients is sparse. Objectives: To provide insights into the daily practice of diagnosis, treatment, and follow-up of CD by GPs. Methods: A qualitative study using topic list-based semi-structured in-depth interviews with Dutch GPs with more than five years’ experience carried out between January and March 2017. GPs were purposively sampled. The number of GPs interviewed depended on when data saturation was reached. We applied content analysis to the semi-structured interviews. Results: Seven GPs were interviewed, five of whom were female. Analysis of the interviews resulted in three main themes: ‘awareness,’ ‘diagnostics’ and ‘management.’ Vague gastrointestinal symptoms and diarrhoea were often mentioned as a possible presentation of CD. Antibodies were used in CD diagnosis, although some GPs would start a gluten-free diet as a first diagnostic tool. Some GPs diagnosed CD only based on positive antibodies without referring to secondary care or duodenal biopsy analysis. GPs mentioned no role for primary care physicians in the follow-up of CD and noted the important role of dieticians in CD management. Conclusion: The different views of GPs on how to diagnose and monitor CD could be a basis for further research to improve CD detection rate and CD care.http://dx.doi.org/10.1080/13814788.2018.1516203Primary carecoeliac diseasequalitative researchfollow-updiagnosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tom van Gils Talha G. Senler Henriëtte E. van der Horst Chris J.J. Mulder Gerd Bouma Henk de Vries |
spellingShingle |
Tom van Gils Talha G. Senler Henriëtte E. van der Horst Chris J.J. Mulder Gerd Bouma Henk de Vries The daily practice of (suspected) coeliac disease management by general practitioners: A qualitative approach European Journal of General Practice Primary care coeliac disease qualitative research follow-up diagnosis |
author_facet |
Tom van Gils Talha G. Senler Henriëtte E. van der Horst Chris J.J. Mulder Gerd Bouma Henk de Vries |
author_sort |
Tom van Gils |
title |
The daily practice of (suspected) coeliac disease management by general practitioners: A qualitative approach |
title_short |
The daily practice of (suspected) coeliac disease management by general practitioners: A qualitative approach |
title_full |
The daily practice of (suspected) coeliac disease management by general practitioners: A qualitative approach |
title_fullStr |
The daily practice of (suspected) coeliac disease management by general practitioners: A qualitative approach |
title_full_unstemmed |
The daily practice of (suspected) coeliac disease management by general practitioners: A qualitative approach |
title_sort |
daily practice of (suspected) coeliac disease management by general practitioners: a qualitative approach |
publisher |
Taylor & Francis Group |
series |
European Journal of General Practice |
issn |
1381-4788 1751-1402 |
publishDate |
2018-01-01 |
description |
Background: General practitioners (GPs) play a crucial role in diagnosing coeliac disease (CD). However, data on GP management of (suspected) CD patients is sparse. Objectives: To provide insights into the daily practice of diagnosis, treatment, and follow-up of CD by GPs. Methods: A qualitative study using topic list-based semi-structured in-depth interviews with Dutch GPs with more than five years’ experience carried out between January and March 2017. GPs were purposively sampled. The number of GPs interviewed depended on when data saturation was reached. We applied content analysis to the semi-structured interviews. Results: Seven GPs were interviewed, five of whom were female. Analysis of the interviews resulted in three main themes: ‘awareness,’ ‘diagnostics’ and ‘management.’ Vague gastrointestinal symptoms and diarrhoea were often mentioned as a possible presentation of CD. Antibodies were used in CD diagnosis, although some GPs would start a gluten-free diet as a first diagnostic tool. Some GPs diagnosed CD only based on positive antibodies without referring to secondary care or duodenal biopsy analysis. GPs mentioned no role for primary care physicians in the follow-up of CD and noted the important role of dieticians in CD management. Conclusion: The different views of GPs on how to diagnose and monitor CD could be a basis for further research to improve CD detection rate and CD care. |
topic |
Primary care coeliac disease qualitative research follow-up diagnosis |
url |
http://dx.doi.org/10.1080/13814788.2018.1516203 |
work_keys_str_mv |
AT tomvangils thedailypracticeofsuspectedcoeliacdiseasemanagementbygeneralpractitionersaqualitativeapproach AT talhagsenler thedailypracticeofsuspectedcoeliacdiseasemanagementbygeneralpractitionersaqualitativeapproach AT henrietteevanderhorst thedailypracticeofsuspectedcoeliacdiseasemanagementbygeneralpractitionersaqualitativeapproach AT chrisjjmulder thedailypracticeofsuspectedcoeliacdiseasemanagementbygeneralpractitionersaqualitativeapproach AT gerdbouma thedailypracticeofsuspectedcoeliacdiseasemanagementbygeneralpractitionersaqualitativeapproach AT henkdevries thedailypracticeofsuspectedcoeliacdiseasemanagementbygeneralpractitionersaqualitativeapproach AT tomvangils dailypracticeofsuspectedcoeliacdiseasemanagementbygeneralpractitionersaqualitativeapproach AT talhagsenler dailypracticeofsuspectedcoeliacdiseasemanagementbygeneralpractitionersaqualitativeapproach AT henrietteevanderhorst dailypracticeofsuspectedcoeliacdiseasemanagementbygeneralpractitionersaqualitativeapproach AT chrisjjmulder dailypracticeofsuspectedcoeliacdiseasemanagementbygeneralpractitionersaqualitativeapproach AT gerdbouma dailypracticeofsuspectedcoeliacdiseasemanagementbygeneralpractitionersaqualitativeapproach AT henkdevries dailypracticeofsuspectedcoeliacdiseasemanagementbygeneralpractitionersaqualitativeapproach |
_version_ |
1716752544146915328 |