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    Screening and Case Finding for Coeliac Disease: Lessons for Chinese General Practice from the RACGP Guidelines of Preventive Activities
    QIU Shanjiao, CHEN Zhang, LI Anchun, HE Zhiguang, HUANG Wenjing
    Chinese General Practice    2026, 29 (10): 1246-1249.   DOI: 10.12114/j.issn.1007-9572.2025.0433
    Abstract393)   HTML2)    PDF(pc) (1217KB)(43)       Save

    Celiac disease is an autoimmune disorder triggered by gluten ingestion. In China, it remains underrecognized, with limited epidemiological data, a high rate of missed diagnosis, and a lack of standardized training and clinical pathways in primary care. The Royal Australian College of General Practitioners (RACGP) guidelines have recently incorporated a dedicated section on celiac disease, proposing a dual strategy that advises against general population screening while emphasizing active case-finding in high-risk individuals. This approach provides a relevant evidence-based reference for addressing diagnostic gaps in the Chinese context. Supported by international guidelines, targeted testing is recommended for individuals with unexplained gastrointestinal symptoms, impaired growth in children, or associated autoimmune conditions. Initial screening with the highly sensitive serological marker anti-tissue transglutaminase antibody is widely advised, followed by duodenal biopsy as the diagnostic gold standard. A lifelong strict gluten-free diet is effective in improving quality of life and long-term prognosis. In light of the current situation in China, implementing a structured pathway for risk-based identification and case-finding in general practice is of urgent practical importance. Enhancing awareness and diagnostic competency among Chinese general practitioners can facilitate earlier detection, improve patient outcomes, and strengthen primary care support for the systematic management of celiac disease.

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    Rehabilitation Grading Diagnosis System of the Domestic and Foreign Development Present Situation and Application Requirements
    WANG Yuqi, YE Ruixue, GAO Yan, XUE Kaiwen, ZHOU Jing, LI Dongxia, HAO Yingzi, LI Xiaoxuan, WANG Yulong
    Chinese General Practice    2026, 29 (10): 1250-1255.   DOI: 10.12114/j.issn.1007-9572.2023.0913
    Abstract694)   HTML7)    PDF(pc) (1368KB)(793)       Save

    Nowadays, China's hierarchical diagnosis and treatment service capacity has been comprehensively improved, and is striving to form a comprehensive system, clear hierarchy, and reasonable scale of diagnosis and treatment system, with a hierarchical diagnosis and treatment model of primary care, two-way referral, acute and slow treatment, and upward and downward linkage gradually established. However, domestic rehabilitation medicine started late, the development is not yet mature, and the resource allocation of hospitals and institutions at all levels is unbalanced, and a more perfect rehabilitation grading diagnosis and treatment system is still needed to reduce the medical burden and better serve patients with rehabilitation needs. At present, there are few articles discussing the development, evaluation, and application of the rehabilitation hierarchical diagnosis and treatment system. Therefore, this paper reviews the development status and evaluation mode of the rehabilitation hierarchical diagnosis and treatment system at home and abroad and combs the current application requirements and implementation difficulties of the rehabilitation hierarchical diagnosis and treatment system, so as to summarize experience and provide reference for the improvement of the rehabilitation hierarchical diagnosis and treatment system.

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