The impact of new national guidelines on screening for gestational Diabetes Mellitus

Hdl Handle:
http://hdl.handle.net/10147/270477
Title:
The impact of new national guidelines on screening for gestational Diabetes Mellitus
Authors:
Ali, FM; Farah, N; O’Dwyer, V; O’Connor, C; Kennelly, MM; Turner, MJ
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Feb-2013
URI:
http://hdl.handle.net/10147/270477
Abstract:
Gestational diabetes mellitus (GDM) has important maternal and fetal implications. In 2010, the Health Service Executive published guidelines on GDM. We examined the impact of the new guidelines in a large maternity unit. In January 2011, the hospital replaced the 100g Oral Glucose Tolerance Test (OGTT) with the new 75g OGTT. We compared the first 6 months of 2011 with the first 6 months of 2010. The new guidelines were associated with a 22% increase in women screened from 1375 in 2010 to 1679 in 2011 (p<0.001). Of the women screened, the number diagnosed with GDM increased from 10.1% (n=139) to 13.2% (n=221) (p<0.001).The combination of increased screening and a more sensitive OGTT resulted in the number of women diagnosed with GDM increasing 59% from 139 to 221 (p=0.02).This large increase has important resource implications but, if clinical outcomes are improved, there should be a decrease in long-term costs.
Item Type:
Article
Language:
en
Keywords:
DIABETES MELLITUS; PREGNANCY

Full metadata record

DC FieldValue Language
dc.contributor.authorAli, FMen_GB
dc.contributor.authorFarah, Nen_GB
dc.contributor.authorO’Dwyer, Ven_GB
dc.contributor.authorO’Connor, Cen_GB
dc.contributor.authorKennelly, MMen_GB
dc.contributor.authorTurner, MJen_GB
dc.date.accessioned2013-02-26T12:19:29Z-
dc.date.available2013-02-26T12:19:29Z-
dc.date.issued2013-02-
dc.identifier.urihttp://hdl.handle.net/10147/270477-
dc.description.abstractGestational diabetes mellitus (GDM) has important maternal and fetal implications. In 2010, the Health Service Executive published guidelines on GDM. We examined the impact of the new guidelines in a large maternity unit. In January 2011, the hospital replaced the 100g Oral Glucose Tolerance Test (OGTT) with the new 75g OGTT. We compared the first 6 months of 2011 with the first 6 months of 2010. The new guidelines were associated with a 22% increase in women screened from 1375 in 2010 to 1679 in 2011 (p<0.001). Of the women screened, the number diagnosed with GDM increased from 10.1% (n=139) to 13.2% (n=221) (p<0.001).The combination of increased screening and a more sensitive OGTT resulted in the number of women diagnosed with GDM increasing 59% from 139 to 221 (p=0.02).This large increase has important resource implications but, if clinical outcomes are improved, there should be a decrease in long-term costs.en_GB
dc.language.isoenen
dc.publisherIrish Medical Journalen_GB
dc.subjectDIABETES MELLITUSen_GB
dc.subjectPREGNANCY-
dc.titleThe impact of new national guidelines on screening for gestational Diabetes Mellitusen_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen_GB
dc.description.provinceLeinsteren
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