Literature DB >> 27582574

Knowledge and Implementation of the S3 Guideline on Gestational Diabetes among Gynecologists and Diabetologists Four Years after Publication: Results of a Survey of 773 Gynecologists and 76 Diabetologists on their Knowledge of the Guideline on Gestational Diabetes (AWMF 057-008, 2011).

T Groten1, S Schmitz2, C Schippert2, E Schleußner1, P Hillemanns2, T Lehmann3, F von Versen-Höynck2.   

Abstract

BACKGROUND: An S3 guideline on the diagnosis and differentiated management of gestational diabetes (GDM) was published in Germany in 2011. This guideline replaced the previously applicable recommendations for the diagnosis and treatment of GDM and, for the first time, compiled evidence-based recommendations for the care of patients with GDM. The new guideline has focused particularly on the counselling offered to all patients with GDM about the associated long-term health risks. In this study we investigated the state of knowledge about the guideline among gynecologists and diabetologists in Thuringia and Lower Saxony.
METHOD: A questionnaire with 23 questions was sent out to 773 gynecologists and 76 diabetologists providing outpatient care in Lower Saxony and Thuringia. The statistical analysis was descriptive and inferential for comparisons between groups.
RESULTS: The response rate was 54 %; an average of 47.6 % of the individual questions were answered correctly in the completed questionnaires. The questions were answered correctly significantly more frequently by persons in the group with a good knowledge of the guidelines (75 vs. 61 %, p < 0.001). There were no significant differences between groups when differences between federal states or medical specialties were compared.
CONCLUSIONS: The results of our study show a good general state of knowledge of the guideline and point to a high level of willingness to implement the recommendations of the S3 guideline on GDM. With regard to the follow-up care provided to patients with GDM and depression, this study found a significant need for further training.

Entities:  

Keywords:  S3 guideline; diagnosis; gestational diabetes; knowledge; treatment

Year:  2016        PMID: 27582574      PMCID: PMC5001569          DOI: 10.1055/s-0042-109396

Source DB:  PubMed          Journal:  Geburtshilfe Frauenheilkd        ISSN: 0016-5751            Impact factor:   2.915


  11 in total

1.  Study of perceptions of the extent to which guideline recommendations are binding: a survey of commonly used terminology.

Authors:  Alexander Nast; Birte Sporbeck; Anja Jacobs; Ricardo Erdmann; Stephanie Roll; Uli Sauerland; Stefanie Rosumeck
Journal:  Dtsch Arztebl Int       Date:  2013-10-04       Impact factor: 5.594

2.  Postpartum glucose testing for women with gestational diabetes mellitus: Improving regional recall rates.

Authors:  L Carmody; A M Egan; F P Dunne
Journal:  Diabetes Res Clin Pract       Date:  2015-04-13       Impact factor: 5.602

3.  Overweight and obesity in infants of mothers with long-term insulin-dependent diabetes or gestational diabetes.

Authors:  A Plagemann; T Harder; R Kohlhoff; W Rohde; G Dörner
Journal:  Int J Obes Relat Metab Disord       Date:  1997-06

Review 4.  Outcomes in women with a history of gestational diabetes. Screening and prevention of type 2 diabetes. Literature review.

Authors:  O Verier-Mine
Journal:  Diabetes Metab       Date:  2010-12       Impact factor: 6.041

5.  High prevalence of type 2 diabetes and pre-diabetes in adult offspring of women with gestational diabetes mellitus or type 1 diabetes: the role of intrauterine hyperglycemia.

Authors:  Tine D Clausen; Elisabeth R Mathiesen; Torben Hansen; Oluf Pedersen; Dorte M Jensen; Jeannet Lauenborg; Peter Damm
Journal:  Diabetes Care       Date:  2007-11-13       Impact factor: 19.112

6.  Factors associated with depressive symptoms in the early postpartum period among women with recent gestational diabetes mellitus.

Authors:  Jacinda M Nicklas; Laura J Miller; Chloe A Zera; Roger B Davis; Sue E Levkoff; Ellen W Seely
Journal:  Matern Child Health J       Date:  2013-11

Review 7.  Importance of engaging obstetrician/gynecologists in cardiovascular disease prevention.

Authors:  Deborah B Ehrenthal; Janet M Catov
Journal:  Curr Opin Cardiol       Date:  2013-09       Impact factor: 2.161

8.  Hyperglycemia and adverse pregnancy outcomes.

Authors:  Boyd E Metzger; Lynn P Lowe; Alan R Dyer; Elisabeth R Trimble; Udom Chaovarindr; Donald R Coustan; David R Hadden; David R McCance; Moshe Hod; Harold David McIntyre; Jeremy J N Oats; Bengt Persson; Michael S Rogers; David A Sacks
Journal:  N Engl J Med       Date:  2008-05-08       Impact factor: 91.245

9.  Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis.

Authors:  Leanne Bellamy; Juan-Pablo Casas; Aroon D Hingorani; David Williams
Journal:  Lancet       Date:  2009-05-23       Impact factor: 79.321

Review 10.  Interventions for pregnant women with hyperglycaemia not meeting gestational diabetes and type 2 diabetes diagnostic criteria.

Authors:  Shanshan Han; Caroline A Crowther; Philippa Middleton
Journal:  Cochrane Database Syst Rev       Date:  2012-01-18
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