National survey evaluating the provision of gastroenterology dietetic services in England.
coeliac disease
diet
inflammatory bowel disease
irritable bowel syndrome
Journal
Frontline gastroenterology
ISSN: 2041-4137
Titre abrégé: Frontline Gastroenterol
Pays: England
ID NLM: 101528589
Informations de publication
Date de publication:
2021
2021
Historique:
received:
06
04
2020
revised:
12
05
2020
accepted:
20
05
2020
entrez:
11
4
2022
pubmed:
16
6
2020
medline:
16
6
2020
Statut:
epublish
Résumé
The aim of the study was to assess the provision of dietetic services for coeliac disease (CD), irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD). Hospitals within all National Health Service trusts in England were approached (n=209). A custom-designed web-based questionnaire was circulated via contact methods of email, post or telephone. Individuals/teams with knowledge of gastrointestinal (GI) dietetic services within their trust were invited to complete. 76% of trusts (n=158) provided GI dietetic services, with responses received from 78% of these trusts (n=123). The median number of dietitians per 100 000 population was 3.64 (range 0.15-16.60), which differed significantly between regions (p=0.03). The most common individual consultation time for patients with CD, IBS and IBD was 15-30 min (43%, 44% and 54%, respectively). GI dietetic services were delivered both via individual and group counselling, with individual counselling being the more frequent delivery method available (93% individual vs 34% group). A significant proportion of trusts did not deliver any specialist dietetic clinics for CD, IBS and IBD (49% (n=60), 50% (n=61) and 72% (n=88), respectively). There is an inequity of GI dietetic services across England, with regional differences in the level of provision and extent of specialist care. Allocated time for clinics appears to be insufficient compared with time advocated in the literature. Group clinics are becoming a more common method of dietetic service delivery for CD and IBS. National guidance on GI dietetic service delivery is required to ensure equity of dietetic services across England.
Identifiants
pubmed: 35401953
doi: 10.1136/flgastro-2020-101493
pii: flgastro-2020-101493
pmc: PMC8989012
doi:
Types de publication
Journal Article
Langues
eng
Pagination
380-384Informations de copyright
© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: DSS receives an educational grant from Schaer (a gluten‐free food manufacturer). Dr Schaer did not have any input in drafting of this manuscript.
Références
Digestion. 2001;63(2):108-15
pubmed: 11244249
J Hum Nutr Diet. 2018 Apr;31(2):239-255
pubmed: 29336079
J Gastroenterol Hepatol. 2017 Mar;32 Suppl 1:23-26
pubmed: 28244661
Clin Nutr. 2017 Apr;36(2):321-347
pubmed: 28131521
Prim Care Diabetes. 2019 Apr;13(2):158-169
pubmed: 30528217
Clin Gastroenterol Hepatol. 2012 Jul;10(7):712-721.e4
pubmed: 22426087
Health Aff (Millwood). 2012 Jan;31(1):130-9
pubmed: 22232103
J Hum Nutr Diet. 2005 Jun;18(3):163-9
pubmed: 15882378
J Hum Nutr Diet. 2007 Oct;20(5):403-11
pubmed: 17845374
J Gastrointestin Liver Dis. 2018 Sep;27(3):307-316
pubmed: 30240475
Arch Dis Child. 1994 Mar;70(3):211-3
pubmed: 8135565
J Neurogastroenterol Motil. 2018 Jul 30;24(3):437-451
pubmed: 29886578
Aliment Pharmacol Ther. 2010 Aug;32(4):573-81
pubmed: 20528829
Lancet. 2018 Jan 6;391(10115):70-81
pubmed: 28760445
J Hum Nutr Diet. 2013 Aug;26(4):349-58
pubmed: 23198728
J Hum Nutr Diet. 2016 Oct;29(5):549-75
pubmed: 27272325
BMC Health Serv Res. 2012 Jul 23;12:213
pubmed: 22824531
J Hum Nutr Diet. 2015 Dec;28(6):687-96
pubmed: 25871564
Am J Gastroenterol. 2013 May;108(5):634-41
pubmed: 23644955
J Hum Nutr Diet. 2018 Feb;31(1):23-32
pubmed: 28940823
J Gastrointestin Liver Dis. 2011 Sep;20(3):241-5
pubmed: 21961090
Clin Transl Gastroenterol. 2020 Jan;11(1):e00121
pubmed: 31977451
Nutrients. 2018 Nov 11;10(11):
pubmed: 30423854
Eur J Clin Nutr. 2006 May;60(5):667-72
pubmed: 16391571