Reviewer's report
Title:Patient-centered barriers impede serologic screening for celiac disease in
clinically high prevalence populations
Version:3Date:10 January 2014
Reviewer: Francesco Valitutti
Reviewer's report:
The manuscript by Barbero et al. pictures for the first time patient-centered
barriers in the diagnosis of celiac disease (CD). Among 119 adults of San Diego
County theoretically at risk for CD and recruited in the study , they found that two
significant obstacles in getting tested for patients are “not knowing they were at
risk” and “not knowing where to get tested”. The paper also underscores that
difficult access to healthcare due to low annual income and lack of health
insurance represents another barrier which hinders the policy of case-finding with
regards to CD.
Increased medical and social awareness on CD can definitely improve CD
diagnostic rates. Papers strengthening this issue still deserve the attention of the
largest medical community (primary care physicians, internal medicine doctors,
gastroenterologists, pediatricians).
The manuscript is well written. Statistical analysis is flawless. Limitations due to
sampled population have been already disclosed in the discussion part.
I invite the authors to stress also, both in the abstract conclusion and in the
discussion, that raising awareness among patients should always be coupled to
raising awareness among primary care physicians: in fact, it is hardly acceptable
an health care scenario in which patients completely bypass their general
practitioners for diagnosing any medical condition.
Level of interest: An article of importance in its field
Quality of written English: Acceptable
Statistical review: Yes, and I have assessed the statistics in my report.
Declaration of competing interests:
I declare that I have no competing interests
Reviewer's report
Title:Patient-centered barriers impede serologic screening for celiac disease in
clinically high prevalence populations
Version:3Date:10 January 2014
Reviewer: Francesco Valitutti
Reviewer's report:
The manuscript by Barbero et al. pictures for the first time patient-centered
barriers in the diagnosis of celiac disease (CD). Among 119 adults of San Diego
County theoretically at risk for CD and recruited in the study , they found that two
significant obstacles in getting tested for patients are “not knowing they were at
risk” and “not knowing where to get tested”. The paper also underscores that
difficult access to healthcare due to low annual income and lack of health
insurance represents another barrier which hinders the policy of case-finding with
regards to CD.
Increased medical and social awareness on CD can definitely improve CD
diagnostic rates. Papers strengthening this issue still deserve the attention of the
largest medical community (primary care physicians, internal medicine doctors,
gastroenterologists, pediatricians).
The manuscript is well written. Statistical analysis is flawless. Limitations due to
sampled population have been already disclosed in the discussion part.
I invite the authors to stress also, both in the abstract conclusion and in the
discussion, that raising awareness among patients should always be coupled to
raising awareness among primary care physicians: in fact, it is hardly acceptable
an health care scenario in which patients completely bypass their general
practitioners for diagnosing any medical condition.
Level of interest: An article of importance in its field
Quality of written English: Acceptable
Statistical review: Yes, and I have assessed the statistics in my report.
Declaration of competing interests:
I declare that I have no competing interests
Please review this paper.
user
Reviewer's report
Title:Patient-centered barriers impede serologic screening for celiac disease in
clinically high prevalence populations
Version:3Date:10 January 2014
Reviewer: Francesco Valitutti
Reviewer's report:
The manuscript by Barbero et al. pictures for the first time patient-centered
barriers in the diagnosis of celiac disease (CD). Among 119 adults of San Diego
County theoretically at risk for CD and recruited in the study , they found that two
significant obstacles in getting tested for patients are “not knowing they were at
risk” and “not knowing where to get tested”. The paper also underscores that
difficult access to healthcare due to low annual income and lack of health
insurance represents another barrier which hinders the policy of case-finding with
regards to CD.
Increased medical and social awareness on CD can definitely improve CD
diagnostic rates. Papers strengthening this issue still deserve the attention of the
largest medical community (primary care physicians, internal medicine doctors,
gastroenterologists, pediatricians).
The manuscript is well written. Statistical analysis is flawless. Limitations due to
sampled population have been already disclosed in the discussion part.
I invite the authors to stress also, both in the abstract conclusion and in the
discussion, that raising awareness among patients should always be coupled to
raising awareness among primary care physicians: in fact, it is hardly acceptable
an health care scenario in which patients completely bypass their general
practitioners for diagnosing any medical condition.
Level of interest: An article of importance in its field
Quality of written English: Acceptable
Statistical review: Yes, and I have assessed the statistics in my report.
Declaration of competing interests:
I declare that I have no competing interests
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