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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
Citation: PloS one 2018; 13(8): e0200832
Abstract: 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. 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. 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. 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.
Click to open PubMed article: https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/30089149
Click to open Pubmed Article: https://www.ezpdhcs.nt.gov.au/login?url=https://www.ncbi.nlm.nih.gov/pubmed/30089149
Journal title: PloS one
Publication Date: 2018
Type: Journal Article
URI: https://hdl.handle.net/10137/7046
DOI: 10.1371/journal.pone.0200832
metadata.dc.identifier.orcid: http://orcid.org/0000-0002-4779-7083
http://orcid.org/0000-0003-0866-4365
http://orcid.org/0000-0003-3547-6634
Appears in Collections:(a) NT Health Research Collection

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