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Clinical predictors for diabetes screening in the first year postpartum after gestational diabetes.
Peticca, Patricia; Shah, Baiju R; Shea, Alison; Clark, Heather D; Malcolm, Janine C; Walker, Mark; Karovitch, Alan; Brazeau-Gravelle, Pauline; Keely, Erin J.
Affiliation
  • Peticca P; Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.
  • Shah BR; Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada; Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
  • Shea A; Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada; Department of Obstetrics and Gynecology, University of Toronto, Toronto, ON, Canada.
  • Clark HD; Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada; The Ottawa Hospital Research Institute, Ottawa, ON, Canada.
  • Malcolm JC; Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.
  • Walker M; The Ottawa Hospital Research Institute, Ottawa, ON, Canada; Department of Obstetrics and Gynecology, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.
  • Karovitch A; Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada; Department of Obstetrics and Gynecology, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.
  • Brazeau-Gravelle P; Department of Nutrition, The Ottawa Hospital, Ottawa, ON, Canada.
  • Keely EJ; Department of Medicine, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada; The Ottawa Hospital Research Institute, Ottawa, ON, Canada; Department of Obstetrics and Gynecology, The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.
Obstet Med ; 7(3): 116-20, 2014 Sep.
Article in En | MEDLINE | ID: mdl-27512435
ABSTRACT

BACKGROUND:

Postpartum screening for diabetes in women with gestational diabetes (GDM) improves with use of reminder systems. Our primary objective was to identify predictors of diabetes screening in the first year after delivery.

METHODS:

A retrospective study was performed of 556 women with GDM who received outpatient prenatal care between 2007 and 2009. A mailed reminder system was utilized at two sites. Rates of postpartum glucose testing at 6 and 12 months postpartum were measured.

RESULTS:

Site of care and non-smoking status were identified as the only predictors of postpartum diabetes screening (p<0.001 and p = 0.02, respectively). Rates of OGTT completion at one year (38% vs. 19% p<0.001) were higher in women who attended clinics with postpartum reminders.

CONCLUSIONS:

The site of diabetes care in pregnancy is a major predictor of adherence to diabetes screening postpartum. Health care delivery should be considered in the development of strategies to increase screening rates.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Language: En Journal: Obstet Med Year: 2014 Document type: Article Affiliation country: Canada
Fulltext
Add to My VHL
Print
XML
PubMed Links
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Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Language: En Journal: Obstet Med Year: 2014 Document type: Article Affiliation country: Canada