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ABSTRACT: Background
There is growing support for a biopsy avoidant approach to diagnose coeliac disease in both children and adults, using a serological diagnosis instead.Aims
To assess the diagnostic accuracy of serological tests for coeliac disease in adults and children.Methods
Seven electronic databases were searched between January 1990 and August 2020. Eligible diagnostic studies evaluated the accuracy of serological tests for coeliac disease against duodenal biopsy. Risk of bias assessment was performed using QUADAS-2. Bivariate random-effects meta-analyses were used to estimate serology sensitivity and specificity at the most commonly reported thresholds.Results
113 studies (n = 28,338) were included, all in secondary care populations. A subset of studies wer
SUBMITTER: Sheppard AL
PROVIDER: S-EPMC9305515 | biostudies-literature | 2022 Mar
REPOSITORIES: biostudies-literature