Adherence rates to a prediction tool identifying women with an increased gestational diabetes risk: An implementation study
Open accessAbstract
Objective: The best screening strategy for gestational diabetes mellitus (GDM) remains a topic of debate. Several organizations made a statement in favor of universal screening, but the volume of oral glucose tolerance tests (OGTT) required may burden healthcare systems. As a result, many countries still rely on selective screening using a checklist of risk factors, but reported diagnostic characteristics vary. Moreover, women's discomfort due to an OGTT is often neglected. Since 2017, obstetric healthcare professionals in a Dutch region assessed women's GDM risk with a prediction model and counseled those with an increased risk regarding an OGTT. Methods: From 2017 to 2018, 865 women were recruited in a multicenter prospective cohort. Results: In total, 385 women (48%) had an increased predicted GDM risk. Of all women, 78% reported that their healthcare professional discussed their GDM risk. Predicted GDM risks were positively correlated with conducting an OGTT. Conclusion: Implementation of a GDM prediction model resulted in moderate rates of OGTTs performed in general, but high rates in high‐risk women. As 25% of women experienced discomfort from the OGTT, a selective screening strategy based on a prediction model with a high detection rate may be an interesting alternative to universal screening. Study cohort registration: Netherlands Trial Register: NTR4143; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4143.
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In the Netherlands, other researchers using IADPSG/WHO 2013 criteria diagnosed GDM in 8.2% of patients and in 13.2% of high-risk patients.
“Other researchers from the Netherlands using the IADPSG/WHO 2013 criteria diagnosed GDM in 8.2% of patients and in 13.2% of GDM high-risk patients [148].”
From Evolution of Gestational Diabetes Mellitus across Continents in 21st Century (2022) · cites this paper as [148]
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Evolution of Gestational Diabetes Mellitus across Continents in 21st Century
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- Authors
- van Montfort, P., Scheepers, H. C. J., van Dooren, I. M. A., Meertens, L. J. E., Wynants, L., Zelis, M., Zwaan, I. M., Spaanderman, M. E. A., & Smits, L. J. M.
- Affiliations
- Department of Epidemiology Care and Public Health Research Institute Maastricht University Maastricht The Netherlands
- Maastricht University Medical Centre (NL)
- Department of Obstetrics and Gynecology Sint Jans Gasthuis Weert Weert The Netherlands
- Maastricht University (NL)
- Zuyderland Medisch Centrum (NL)
- Laurentius Ziekenhuis (NL)
- St.Jans Gasthuis Weert (NL)
- ORCID
- Venue
- International Journal of Gynecology & Obstetrics
- Publisher
- Wiley
- Published
- 2021-01-05
- Volume
- 154
- Issue
- 1
- Pages
- 85-91
- ISSN
- 0020-6695 (ISSN-L)
- 0020-7292
- 1879-3479
- PMC
- PMC8247415
- OpenAlex
- W3108871458
- Cited by
- 4
- References
- 30
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 2
- FWCI
- 0.31
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- International Journal of Gynecology & Obstetrics (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, cc-by-nc-nd)
- Lirias (acceptedVersion, cc-by-nc-nd)
- Research Publications (Maastricht University) (submittedVersion, cc-by-nc-nd)
- Funders
- ZonMw
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- gestational diabetes mellitus, targeted screening, oral glucose tolerance test, risk counseling, implementation, patient discomfort, universal screening, obstetric care
- MeSH terms
- Adult, Female, Glucose Tolerance Test, Humans, Mass Screening, Netherlands, Pregnancy, Prospective Studies, Risk Factors, Cohort Studies, Diabetes, Gestational, Practice Guidelines as Topic
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