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

Boyle, Dougas 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. and MAGDA Study Group 2018, Results of the first recorded evaluation of a national gestational diabetes mellitus register: challenges in screening, registration, and follow-up for diabetes risk, PLoS One, vol. 13, no. 8, doi: 10.1371/journal.pone.0200832.

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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
Author(s) Boyle, Dougas I. R.
Versace, Vincent L.ORCID iD for Versace, Vincent L. orcid.org/0000-0002-8514-1763
Dunbar, James A.ORCID iD for Dunbar, James A. orcid.org/0000-0003-0866-4365
Scheil, Wendy
Janus, Edward
Oats, Jeremy J. N.
Skinner, Timothy
Shih, SophyORCID iD for Shih, Sophy orcid.org/0000-0003-0049-2888
O'Reilly, SharleenORCID iD for O'Reilly, Sharleen orcid.org/0000-0003-3547-6634
Sikaris, Ken
Kelsall, Liza
Phillips, Paddy A.
Best, James D.
MAGDA Study Group
Journal name PLoS One
Volume number 13
Issue number 8
Article ID e0200832
Total pages 15
Publisher Public Library of Science
Place of publication San Francisco, Calif.
Publication date 2018-08-08
ISSN 1932-6203
Keyword(s) MAGDA Study Group
Summary 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.
Language eng
DOI 10.1371/journal.pone.0200832
Field of Research 111717 Primary Health Care
MD Multidisciplinary
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, Boyle et al.
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30112296

Document type: Journal Article
Collections: School of Medicine
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.