ABSTRACT
Introducción. El objetivo del presente trabajo es conocer la prevalencia de la enfermedad celíaca en nuestro medio y describir las características sociodemográficas y clínicas de estos pacientes. Material y métodos. Estudio observacional, transversal y descriptivo. La población diana eran los habitantes de la Zona Básica de Salud 14 del Departamento de Salud Xàtiva-Ontinyent de la Generalitat Valenciana, que comprende los municipios de Ontinyent, Aielo de Malferit y Fontanars dels Alforins. Criterios de inclusión: el paciente pertenece a un cupo de Atención Primaria de la zona básica de salud y tiene activo en el programa informático de historia clínica el diagnóstico de enfermedad celíaca. Criterio de exclusión: el paciente no dispone de alguna serología o biopsia intestinal compatible con enfermedad celíaca. Se seleccionaron 115 pacientes para cumplimentar un cuestionario de administración indirecta. No respondieron 9, por lo que el estudio se realizó con 106 personas. Resultados. La prevalencia de la enfermedad celíaca es del 0,26%, mayor entre mujeres que entre hombres (2,31:1), diferencia estadísticamente significativa. La edad media de los pacientes es de 29,71 años. La media del retraso diagnóstico es de 5,15 años, y entre la población pediátrica, de 0,68 años. Sesenta pacientes nacieron en primavera y verano, y 46 en otoño e invierno, diferencia no estadísticamente significativa. La prevalencia de enfermedad celíaca entre los familiares de primer grado es del 7,06%. Conclusiones. La enfermedad celíaca es una dolencia infradiagnosticada en nuestro medio, sobre todo entre la población adulta, por lo que es necesaria la sensibilización y la toma de conciencia de la enfermedad por el médico de Atención Primaria (AU)
Introduction. The aim of this study is to determine the prevalence of coeliac disease in patients of a basic health area in Valencia, on the Mediterranean coast, and describe their sociodemographic and clinical features. Material and methods. A descriptive, cross-sectional, observational study was conducted on a target population of the inhabitants of the Basic Health Area 14th, Health Department Xàtiva-Ontinyent, in Valencia, comprising the municipalities of Ontinyent, Aielo de Malferit, and Fontanars dels Alforins. Inclusion criteria: the patient belongs to a quota of Primary Care in the basic health area and the diagnosis of coeliac disease was active in the computerised medical records. Exclusion criteria: the patient did not have any serology or intestinal biopsy compatible with coeliac disease. The study included 115 patients, selected to complete an interviewer-administered questionnaire. As 9 patients did not respond, the study was performed with 106 people. Results. The prevalence of coeliac disease is 0.26%, and higher among women than among men (2.31: 1), with a statistically significant difference. The mean age of the patients was 29.71 years. The mean diagnostic delay was 5.15 years, and among the paediatric population it was 0.68 years. There were no statistically significant differences between patients (60) born in spring and summer, and the 46 born in autumn and winter. The prevalence of coeliac disease among first-degree relatives was 7.06%. Conclusions. Coeliac disease is an underdiagnosed condition in our environment, especially among adults, so knowledge and awareness about this disease by general practitioners is necessary (AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Celiac Disease/epidemiology , Celiac Disease/prevention & control , Awareness/physiology , Biopsy/methods , Serology/methods , Intestinal Diseases/complications , Spain/epidemiology , Cross-Sectional Studies/methods , Primary Health Care/methods , Primary Health Care/trends , Surveys and QuestionnairesABSTRACT
INTRODUCTION: The aim of this study is to determine the prevalence of coeliac disease in patients of a basic health area in Valencia, on the Mediterranean coast, and describe their sociodemographic and clinical features. MATERIAL AND METHODS: A descriptive, cross-sectional, observational study was conducted on a target population of the inhabitants of the Basic Health Area 14th, Health Department Xàtiva-Ontinyent, in Valencia, comprising the municipalities of Ontinyent, Aielo de Malferit, and Fontanars dels Alforins. INCLUSION CRITERIA: the patient belongs to a quota of Primary Care in the basic health area and the diagnosis of coeliac disease was active in the computerised medical records. EXCLUSION CRITERIA: the patient did not have any serology or intestinal biopsy compatible with coeliac disease. The study included 115 patients, selected to complete an interviewer-administered questionnaire. As 9 patients did not respond, the study was performed with 106 people. RESULTS: The prevalence of coeliac disease is 0.26%, and higher among women than among men (2.31: 1), with a statistically significant difference. The mean age of the patients was 29.71 years. The mean diagnostic delay was 5.15 years, and among the paediatric population it was 0.68 years. There were no statistically significant differences between patients (60) born in spring and summer, and the 46 born in autumn and winter. The prevalence of coeliac disease among first-degree relatives was 7.06%. CONCLUSIONS: Coeliac disease is an underdiagnosed condition in our environment, especially among adults, so knowledge and awareness about this disease by general practitioners is necessary.
