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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
Affiliation: Department of General Practice, Faculty of Medicine, Dentistry & Health Sciences, University of Melbourne, Melbourne, Victoria, Australia..
School of Medicine, Deakin Rural Health, Deakin University, Warrnambool, Victoria, Australia..
School of Medicine, Deakin Rural Health, Deakin University, Warrnambool, Victoria, Australia..
Public Health & Clinical Systems, SA Health, Adelaide, South Australia, Australia.. Discipline of Obstetrics & Gynaecology, The University of Adelaide, Adelaide, South Australia, Australia..
Department of Medicine-Western Health, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.. General Internal Medicine Unit, Western Health, St Albans, Victoria, Australia..
Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia..
School of Psychological and Clinical Sciences, Charles Darwin University, Casuarina, Northern Territory, Australia..
Centre for Population Health Research, Faculty of Health, Deakin University, Melbourne, Australia..
School of Agriculture and Food Science, University College, Dublin, Ireland..
Melbourne Pathology, Collingwood, Victoria, Australia..
Health Intelligence Unit, System Intelligence & Analytics, Department of Health and Human Services, Melbourne, Victoria, Australia..
SA Health, Adelaide, South Australia, Australia..
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore..
Issue Date: 2018
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.
DOI: 10.1371/journal.pone.0200832
Type: Journal Article
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