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A critical appraisal and potentially new conceptual approach to screening and diagnosis of gestational diabetes.
Petrovic, Oleg; Belci, Dragan.
Afiliação
  • Petrovic O; a Department of Gynaecology and Obstetrics, Perinatal Unit , University Hospital Centre Rijeka , Rijeka , Croatia.
  • Belci D; b Department of Gynaecology , General Hospital Pula , Pula , Croatia.
J Obstet Gynaecol ; 37(6): 691-699, 2017 Aug.
Article em En | MEDLINE | ID: mdl-28467229
The aim of this article was a critical appraisal of current GDM screening and diagnosis status as well as a presentation of a potentially new approach to this perinatologic and public health problem of increasing clinical significance. Medline, EMBASE and Cochrane databases were searched. Most professional organisations recommend universal screening at 24-28 weeks of gestation, while some of them state that selective screening could also be recommended. Expert opinions regarding GDM diagnosis significantly differ throughout the world. Authors call for an open and broad professional and scientific discussion and suggest a combination of screening and diagnosis procedures in a form of one-step 1-h screening method, creation of regional GDM diagnostic criteria and standardisation of outcome-based randomised control trials. They also advise introduction of a conceptually new approach, where the risk of hyperglycaemia rather than insisting on GDM diagnosis itself should be detected.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Programas de Rastreamento / Diabetes Gestacional Tipo de estudo: Clinical_trials / Diagnostic_studies / Prognostic_studies / Screening_studies / Systematic_reviews Limite: Female / Humans / Pregnancy Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Programas de Rastreamento / Diabetes Gestacional Tipo de estudo: Clinical_trials / Diagnostic_studies / Prognostic_studies / Screening_studies / Systematic_reviews Limite: Female / Humans / Pregnancy Idioma: En Ano de publicação: 2017 Tipo de documento: Article