Document Detail


Selective versus universal screening for gestational diabetes mellitus: an evaluation of Naylor's model.
MedLine Citation:
PMID:  19628949     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: Selective screening for gestational diabetes is still a subject of debate. The aim of this study was to determine the effectiveness of a selective screening strategy for diagnosing gestational diabetes in our setting. This strategy rests on a scoring system that assigns women to different risk categories according to the presence of risk factors such as overweight, older age and ethnicity. METHODS: We compared the rate of diagnosed gestational diabetes according to universal screening and selective screening between two periods of time. RESULTS: The selective screening strategy allowed only 15% of women to avoid screening and was associated with a 50% decrease in diagnosed gestational diabetes. CONCLUSION: The two-threshold approach did not detect similar proportions of women with gestational diabetes compared with universal screening. Half the cases were missed and most women still needed to be screened.
Authors:
Anne-Fr??d??rique Minsart; Jean-Paul Lescrainier; Alain Vokaer
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-07-24
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  68     ISSN:  1423-002X     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  2009  
Date Detail:
Created Date:  2009-10-15     Completed Date:  2010-02-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  154-9     Citation Subset:  IM    
Affiliation:
Service de Gyn??cologie-Obst??trique, Centre Hospitalier Universitaire Brugmann, Brussels, Belgium. aminsart@ulb.ac.be
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MeSH Terms
Descriptor/Qualifier:
Adult
Cohort Studies
Diabetes, Gestational / diagnosis*
Female
Glucose Tolerance Test / methods
Humans
Longitudinal Studies
Mass Screening / methods
Population Surveillance / methods
Pregnancy
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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