Screening for gestational diabetes: variation in guidelines.

Details

Ressource 1Request a copy Sous embargo indéterminé.
State: Public
Version: author
Serval ID
serval:BIB_BEEC8BBCFBCF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Screening for gestational diabetes: variation in guidelines.
Journal
European journal of obstetrics, gynecology, and reproductive biology
Author(s)
Vogel N., Burnand B., Vial Y., Ruiz J., Paccaud F., Hohlfeld P.
ISSN
0301-2115
Publication state
Published
Issued date
2000
Peer-reviewed
Oui
Volume
91
Number
1
Pages
29-36
Language
english
Abstract
OBJECTIVE: To compare published guidelines concerning screening for gestational diabetes. STUDY DESIGN: Systematic search and comparative analysis of published guidelines. Appraisal of guidelines quality. Simulation analysis. RESULTS: Ten published guidelines proposed either universal screening (5), selective screening (3) or screening when clinically indicated (2). Variations of testing schedules and blood glucose thresholds were observed. The quality of the published guidelines was low, on average 22 (8-51) percentage points on the assessment scale. These differences would have led to large variations in the number of patients to be screened. CONCLUSIONS: Large variations between guidelines have been observed which would translate in large practice variations, if the guidelines were systematically applied. These variations are partially explained by the absence of definite evidence that universal or selective screening for gestational diabetes do more good than harm on infant and maternal health. The methodology of developing guidelines should be more evidence based, systematic and explicit.
Keywords
Adult, Diabetes, Gestational, Female, Guidelines as Topic, Humans, Mass Screening, Maternal Age, Obesity, Pregnancy, Pregnancy Complications, Reproductive History, Risk Factors
Pubmed
Web of science
Create date
14/03/2008 11:21
Last modification date
20/08/2019 16:33
Usage data