Do different patients with coeliac disease have different mortality rates?

Although mortality of patients with coeliac disease has being studied for >25 years, it is not yet clear whether it is higher than in the general population. In the first years after the diagnosis of coeliac disease, some studies showed a definitely increased mortality rate that, however, decreases over time. On the other hand, other studies showed that this was not always the case (reviewed in ref 1). All these studies are difficult to compare because they differ widely from each other for epidemiological and clinical reasons. To explain these apparently contrasting results, we suggested that mortality rates were different because patients with coeliac disease were different, especially regarding the type of clinical presentation and age at diagnosis of coeliac disease. We also hypothesised that the quantity of gluten consumed before the diagnosis of coeliac disease could have a role in inducing complications and thus influencing mortality rate.
Source: Gut - Category: Gastroenterology Authors: Tags: Commentary Source Type: research