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Introduction of IADPSG Criteria for the Screening and Diagnosis of Gestational Diabetes Mellitus Results in Improved
Pregnancy Outcomes at a Lower Cost in a Large Cohort of Pregnant Women: The St.
Carlos Gestational DiabetesStudy
Featured Article:
Alejandra Duran, Sofía Sáenz, María J. Torrejón, Elena Bordiú, Laura del Valle, Mercedes Galindo, Noelia Perez, Miguel A. Herraiz,
Nuria Izquierdo, Miguel A. Rubio, Isabelle Runkle, Natalia Pérez-Ferre, Idalia Cusihuallpa, Sandra Jiménez, Nuria García de la Torre, María D. Fernández,
Carmen Montañez, Cristina Familiar, and Alfonso L. Calle-Pascual
Diabetes Care Volume 37: 2442-2450
September, 2014
STUDY OBJECTIVE
• Use of the new International Association of the Diabetes and Pregnancy Study Groups criteria (IADPSGC) for the diagnosis of gestational diabetes mellitus (GDM) results in an increased prevalence of GDM
• Whether their introduction improves pregnancy outcomes has yet to be established
• Cost-effectiveness was evaluated of one-step IADPSGC for screening and diagnosis of GDM compared with traditional two-step Carpenter-Coustan (CC) criteria
Duran A. et al. Diabetes Care 2014;37:2442-2450
STUDY DESIGN AND METHODS
• GDM risk factors and pregnancy and newborn outcomes were prospectively assessed between 24 and 28 weeks of gestation in the following:
• • 1,750 pregnant women from April 2011 to March 2012 using CC criteria
• • 1,526 pregnant women from April 2012 to March 2013 using IADPSGC
• Both groups received the same treatment and follow-up regimes
Duran A. et al. Diabetes Care 2014;37:2442-2450
RESULTS
• Use of IADPSGC resulted in an important increase in GDM rate and an improvement in pregnancy outcomes
• There was a decrease in the rate of:
• Gestational hypertension• Prematurity• Cesarean section• Small-for-gestational-age infants• Large-for-gestational-age infants• Apgar 1-min score <7• Admission to neonatal intensive care unit
• Estimated cost savings was <<Insert symbol from article>>14,358.06 per 100 women evaluated using IADPSGC versus the group diagnosed using CC
Duran A. et al. Diabetes Care 2014;37:2442-2450
CONCLUSIONS
• Application of the new IADPSGC was associated with:
• A 3.5-fold increase in GDM prevalence in our study population
• Significant improvements in pregnancy outcomes
• Cost-effectiveness
Duran A. et al. Diabetes Care 2014;37:2442-2450
Duran A. et al. Diabetes Care 2014;37:2442-2450
Duran A. et al. Diabetes Care 2014;37:2442-2450
Duran A. et al. Diabetes Care 2014;37:2442-2450
Duran A. et al. Diabetes Care 2014;37:2442-2450
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