Please use this identifier to cite or link to this item: https://hdl.handle.net/10356/88927
Title: Results of the first recorded evaluation of a national gestational diabetes mellitus register : challenges in screening, registration, and follow-up for diabetes risk
Authors: Boyle, Douglas I. R.
Versace, Vincent L.
Dunbar, James A.
Scheil, Wendy
Janus, Edward
Oats, Jeremy J. N.
Skinner, Timothy
Shih, Sophy
O’Reilly, Sharleen
Sikaris, Ken
Kelsall, Liza
Phillips, Paddy A.
Best, James D.
Keywords: National Gestational Diabetes Mellitus
Diabetes Risk
DRNTU::Science::Medicine
Issue Date: 2018
Source: Boyle, D. I. R., Versace, V. L., Dunbar, J. A., Scheil, W., Janus, E., Oats, J. J. N., . . . Best, J. D. (2018). Results of the first recorded evaluation of a national gestational diabetes mellitus register : challenges in screening, registration, and follow-up for diabetes risk. PLoS ONE, 13(8), e0200832-. doi:10.1371/journal.pone.0200832
Series/Report no.: PLoS ONE
Abstract: Objective: Gestational Diabetes Mellitus (GDM) increases the risk of type 2 diabetes. A register can be used to follow-up high risk women for early intervention to prevent progression to type 2 diabetes. We evaluate the performance of the world’s first national gestational diabetes register. Research design and methods: Observational study that used data linkage to merge: (1) pathology data from the Australian states of Victoria (VIC) and South Australia (SA); (2) birth records from the Consultative Council on Obstetric and Paediatric Mortality and Morbidity (CCOPMM, VIC) and the South Australian Perinatal Statistics Collection (SAPSC, SA); (3) GDM and type 2 diabetes register data from the National Gestational Diabetes Register (NGDR). All pregnancies registered on CCOPMM and SAPSC for 2012 and 2013 were included–other data back to 2008 were used to support the analyses. Rates of screening for GDM, rates of registration on the NGDR, and rates of follow-up laboratory screening for type 2 diabetes are reported. Results: Estimated GDM screening rates were 86% in SA and 97% in VIC. Rates of registration on the NGDR ranged from 73% in SA (2013) to 91% in VIC (2013). During the study period rates of screening at six weeks postpartum ranged from 43% in SA (2012) to 58% in VIC (2013). There was little evidence of recall letters resulting in screening 12 months follow-up. Conclusions: GDM Screening and NGDR registration was effective in Australia. Recall by mail-out to young mothers and their GP’s for type 2 diabetes follow-up testing proved ineffective.
URI: https://hdl.handle.net/10356/88927
http://hdl.handle.net/10220/46018
DOI: http://dx.doi.org/10.1371/journal.pone.0200832
Rights: © 2018 Boyle et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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