INTRODUCTION Celiac disease (CD) is common, affecting approximately 1% of the population. The cornerstone of management is a gluten-free diet, with dietetic advice being the key to aiding implementation. The aim of the study was to assess group clinics in comparison with traditional individual appointments. METHODS Patients with a new diagnosis of CD, confirmed histologically, were prospectively recruited over 18 months in Sheffield, United Kingdom. Patients received either a group clinic or traditional one-to-one appointment, led by a dietitian. Quality-of-life questionnaires were completed at baseline, as well as biochemical parameters being recorded. Patients were followed up at 3 months, where adherence scores were assessed as well as biochemical parameters and quality of life questionnaires being completed. RESULTS Sixty patients with CD were prospectively recruited and received either an individual (n = 30) or group clinic (n = 30). A statistically significant reduction in tissue transglutaminase was noted following group clinics (mean 58.5, SD 43.4 U/mL vs mean 13.2, SD 5.7 U/mL, P < 0.01). No significant differences in baseline and follow-up biochemical parameters between one-to-one and group clinics were noted. At follow-up, there was no statistically significant difference between mean gluten-free diet adherence scores (mean 3.1, SD 0.4 vs mean 3.1, SD 0.7, P = 0.66) between one-to-one and group clinics. DISCUSSION This first study assessing group clinics in CD demonstrates they are as effective as traditional one-to-one clinics, with the added benefits of peer support and greater efficiency, with an estimated 54% reduction of dietetic resources.

中文翻译：

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团体诊所中的同伴支持与传统的个人约会一样有效吗？第一项针对乳糜泻患者的研究。

简介 乳糜泻 (CD) 很常见，影响大约 1% 的人口。管理的基石是无麸质饮食，饮食建议是帮助实施的关键。该研究的目的是与传统的个人预约相比，评估团体诊所。方法 新诊断为 CD 的患者，经组织学证实，在英国谢菲尔德被前瞻性招募超过 18 个月。患者接受由营养师领导的集体诊所或传统的一对一预约。在基线时完成了生活质量问卷，并记录了生化参数。在 3 个月时对患者进行随访，评估依从性评分以及完成生化参数和生活质量问卷。结果 60 名 CD 患者被前瞻性招募并接受个人（n = 30）或团体诊所（n = 30）。在小组诊所后，组织转谷氨酰胺酶显着降低（平均 58.5，SD 43.4 U/mL 对比平均 13.2，SD 5.7 U/mL，P < 0.01）。一对一和团体诊所之间的基线和后续生化参数没有显着差异。在随访中，一对一诊所和团体诊所之间的平均无麸质饮食依从性评分（平均 3.1，SD 0.4 vs 平均 3.1，SD 0.7，P = 0.66）之间没有统计学上的显着差异。讨论 第一项评估 CD 团体诊所的研究表明，它们与传统的一对一诊所一样有效，并具有同伴支持和更高效率的额外好处，