The impact of new guidelines on screening for gestational diabetes mellitus
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|Title:||The impact of new guidelines on screening for gestational diabetes mellitus||Authors:||Ali, Fida Magdi; Farah, Nadine; O'Dwyer, Vicky; O'Connor, Clare; Kennelly, Mairead M.; Turner, Michael||Permanent link:||http://hdl.handle.net/10197/9375||Date:||Feb-2013||Online since:||2018-05-10T15:44:09Z||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.||Type of material:||Journal Article||Publisher:||Irish Medical Organisation||Journal:||Irish Medical Journal||Volume:||106||Issue:||2||Start page:||57||End page:||59||Copyright (published version):||2013 Irish Medical Organisation||Keywords:||Gestational diabetes mellitus||Other versions:||http://archive.imj.ie//IMJPage_0_1.aspx?issueid=449
|Language:||en||Status of Item:||Peer reviewed|
|Appears in Collections:||Medicine Research Collection|
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