Results of the first recorded evaluation of a national gestational diabetes mellitus register: Challenges in screening, registration, and follow-up for diabetes risk.

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    • Corporate Authors:
    • Source:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • Publication Information:
      Original Publication: San Francisco, CA : Public Library of Science
    • Subject Terms:
    • Abstract:
      Objective: 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.
      Research Design and Methods: 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.
      Results: 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.
      Conclusions: 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.
      Competing Interests: The National Health and Medical Research Council funded the study under their Partnership Projects scheme (AppID: 533956 URL: https://www.nhmrc.gov.au). The organisations that contributed funding to the MAGDA partnership were the NHMRC, the Victorian Department of Health, SA Health, and Diabetes Victoria Ltd. The NHMRC had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Diabetes Victoria Ltd had no direct role or competing financial interest, employment, consultancy, patents, products in development, marketed products, or gifts in this project. The sole contribution by Diabetes Victoria was financial support to this research initiative in the interests of furthering diabetes care in Victoria. This does not alter our adherence to PLOS ONE policies on sharing data and materials.
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    • Publication Date:
      Date Created: 20180809 Date Completed: 20190201 Latest Revision: 20230928
    • Publication Date:
      20240104
    • Accession Number:
      PMC6082534
    • Accession Number:
      10.1371/journal.pone.0200832
    • Accession Number:
      30089149