The impact of new national guidelines on screening for gestational diabetes mellitus.

Hdl Handle:
http://hdl.handle.net/10147/296010
Title:
The impact of new national guidelines on screening for gestational diabetes mellitus.
Authors:
Ali, F M; Farah, N; O'Dwyer, V; O'Connor, C; Kennelly, M M; Turner, M J
Citation:
The impact of new national guidelines on screening for gestational diabetes mellitus. 2013, 106 (2):57-9 Ir Med J
Journal:
Irish medical journal
Issue Date:
Feb-2013
URI:
http://hdl.handle.net/10147/296010
PubMed ID:
23472391
Additional Links:
http://www.imj.ie//ViewArticleDetails.aspx?ArticleID=9908
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 100 g Oral Glucose Tolerance Test (OGTT) with the new 75 g 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
MeSH:
Diabetes, Gestational; Female; Glucose Tolerance Test; Humans; Ireland; Practice Guidelines as Topic; Pregnancy
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorAli, F Men_GB
dc.contributor.authorFarah, Nen_GB
dc.contributor.authorO'Dwyer, Ven_GB
dc.contributor.authorO'Connor, Cen_GB
dc.contributor.authorKennelly, M Men_GB
dc.contributor.authorTurner, M Jen_GB
dc.date.accessioned2013-07-15T13:39:59Z-
dc.date.available2013-07-15T13:39:59Z-
dc.date.issued2013-02-
dc.identifier.citationThe impact of new national guidelines on screening for gestational diabetes mellitus. 2013, 106 (2):57-9 Ir Med Jen_GB
dc.identifier.issn0332-3102-
dc.identifier.pmid23472391-
dc.identifier.urihttp://hdl.handle.net/10147/296010-
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 100 g Oral Glucose Tolerance Test (OGTT) with the new 75 g 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.relation.urlhttp://www.imj.ie//ViewArticleDetails.aspx?ArticleID=9908en_GB
dc.rightsArchived with thanks to Irish medical journalen_GB
dc.subject.meshDiabetes, Gestational-
dc.subject.meshFemale-
dc.subject.meshGlucose Tolerance Test-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshPractice Guidelines as Topic-
dc.subject.meshPregnancy-
dc.titleThe impact of new national guidelines on screening for gestational diabetes mellitus.en_GB
dc.typeArticleen
dc.identifier.journalIrish medical journalen_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen

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