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We read with much interest and welcome the Oslo definitions for coeliac disease (CD) drawn up by a multidisciplinary task force of 16 international experts,1 one of whom (FB) belongs to our group and shares our opinions on CD. However, the strength of each statement could have been graded according to an evidence-based consensus on the definition.2 The failure to do so is a pity, as the more convincing a statement is, the more it will be accepted and followed.
To give an example, while the reasons that led to rejecting terms such as ‘typical’ or ‘atypical’ seem very clear, those that led to preferring ‘asymptomatic’ (39 PubMed hits) to ‘silent’ (80 hits) are less …
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.