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Undiagnosed gluten problems cost the American healthcare system oodles of money. Dr. Peter Green, Professor of Clinical Medicine for the College of Physicians and Surgeons at Columbia University studied all 10 million subscribers to CIGNA and found those who were correctly diagnosed with celiac disease used fewer medical services and reduced their healthcare costs by more than 30 perecnt. The problem is that only one percent of those with the problem were actually diagnosed. That means 99 percent are walking around suffering without knowing it, costing the healthcare system millions of dollars.

Even when research asks questions that might provide useful information, health professionals still confront an increasing pile of medical literature. An up to date systematic review of randomised controlled trials could have helped the health professional respond to Yakamul question. Systematic reviews offer a critical link in getting research into practice. Clinicians, managers, and patients can draw on them whether they live in Burkina Faso or the Cayman Islands.5 Reviews and interventions are internationally relevant, but implementation should be https://www.belstaffmotorcyclejacketssale.co.uk done nationally and locally, influenced by the resources available and circumstances. It is naive to believe that systematic reviews alone will change practice in the West or in developing countries.

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