Literature DB >> 25610215

Cost-effectivity analysis of one-step versus two-step screening for gestational diabetes.

Sevki Celen1, Yasemin Yildiz2, Serkan Kahyaoglu1, Oktay Kaymak1, Murat Ozel1, Hakan Timur1, Nuri Danisman1.   

Abstract

OBJECTIVE: Early diagnosis of gestational diabetes mellitus (GDM) is important for both maternal and fetal health. The literature has varying recommendations about one-step and two-step tests for GDM screening and diagnosis. The present study aimed to investigate the difference in the cost and duration of hospital stay of a one-step procedure compared to a two-step procedure, which is routinely performed in our hospital.
MATERIALS AND METHODS: The two-step procedure was performed in 2,724 pregnant women, and the one-step procedure was performed in 185 pregnant women. The one-step and two-step screening procedures for gestational diabetes were compared with respect to the duration of hospital stay and cost.
RESULTS: The test cost per woman was 0.75 TL less in the one-step procedure; however, the duration of the one-step test was 18.6 min longer, and the number of blood sampling procedures was 1.08 times higher.
CONCLUSION: The one-step method may be preferred over the two-step (or glucose challenge) test due to its diagnostic value and lower cost.

Entities:  

Keywords:  Cost-effectiveness; Gestational diabetes; Screening

Year:  2012        PMID: 25610215      PMCID: PMC4261290          DOI: 10.5152/eajm.2012.20

Source DB:  PubMed          Journal:  Eurasian J Med        ISSN: 1308-8734


  18 in total

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Authors:  T Cundy
Journal:  Diabet Med       Date:  2012-02       Impact factor: 4.359

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3.  Gestational diabetes mellitus: why screen and how to diagnose.

Authors:  T Karagiannis; E Bekiari; K Manolopoulos; K Paletas; A Tsapas
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4.  Gestational diabetes and gestational impaired glucose tolerance in 1653 teenage pregnancies: prevalence, risk factors and pregnancy outcomes.

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Journal:  J Pediatr Adolesc Gynecol       Date:  2010-08-14       Impact factor: 1.814

5.  Challenging the glucose challenge test.

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Review 6.  Different strategies for diagnosing gestational diabetes to improve maternal and infant health.

Authors:  Diane Farrar; Lelia Duley; Debbie A Lawlor
Journal:  Cochrane Database Syst Rev       Date:  2011-10-05

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8.  Screening for gestational diabetes mellitus: cost-utility of different screening strategies based on a woman's individual risk of disease.

Authors:  J A Round; P Jacklin; R B Fraser; R G Hughes; M A Mugglestone; R I G Holt
Journal:  Diabetologia       Date:  2010-08-31       Impact factor: 10.122

Review 9.  Screening for gestational diabetes; past, present and future.

Authors:  F W F Hanna; J R Peters
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10.  A single test procedure to diagnose gestational diabetes mellitus.

Authors:  C Anjalakshi; V Balaji; Madhuri S Balaji; S Ashalata; Sheela Suganthi; T Arthi; M Thamizharasi; V Seshiah
Journal:  Acta Diabetol       Date:  2008-10-02       Impact factor: 4.280

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  2 in total

1.  A systematic review and meta-analysis of the prevalence and determinants of gestational diabetes mellitus in Nigeria.

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Review 2.  Gestational Diabetes Mellitus: A Harbinger of the Vicious Cycle of Diabetes.

Authors:  Emilyn U Alejandro; Therriz P Mamerto; Grace Chung; Adrian Villavieja; Nawirah Lumna Gaus; Elizabeth Morgan; Maria Ruth B Pineda-Cortel
Journal:  Int J Mol Sci       Date:  2020-07-15       Impact factor: 5.923

  2 in total

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