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Diabetes screening after gestational diabetes in England: A quantitative retrospective cohort study.

McGovern, A, Butler, L, Jones, S, Vlymen, VJ, Sadek, K, Munro, N, Carr, H and de Lusignan, S (2014) Diabetes screening after gestational diabetes in England: A quantitative retrospective cohort study. British Journal of General Practice,, 64. e17-e23.

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Abstract

Abstract Background The National Institute for Health and Care Excellence (NICE) recommends postpartum and annual monitoring for diabetes for females who have had a diagnosis of gestational diabetes mellitus (GDM). Aim To describe the current state of follow-up after GDM in primary care, in England. Design and setting A retrospective cohort study in 127 primary care practices. The total population analysed comprised 473 772 females, of whom 2016 had a diagnosis of GDM. Method Two subgroups of females were analysed using electronic general practice records. In the first group of females ( n = 788) the quality of postpartum follow-up was assessed during a 6-month period. The quality of long- term annual follow-up was assessed in a second group of females ( n = 718), over a 5-year period. The two outcome measures were blood glucose testing performed within 6 months postpartum (first group) and blood glucose testing performed annually (second group). Results Postpartum follow-up was performed in 146 (18.5%) females within 6 months of delivery. Annual rates of long-term follow-up stayed consistently around 20% a year. Publication of the Diabetes in Pregnancy NICE guidelines, in 2008, had no effect on long-term screening rates. Substantial regional differences were identified among rates of follow-up. Conclusion Monitoring of females after GDM is markedly suboptimal despite current recommendations.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
AuthorsEmailORCID
McGovern, AUNSPECIFIEDUNSPECIFIED
Butler, LUNSPECIFIEDUNSPECIFIED
Jones, SUNSPECIFIEDUNSPECIFIED
Vlymen, VJUNSPECIFIEDUNSPECIFIED
Sadek, KUNSPECIFIEDUNSPECIFIED
Munro, NUNSPECIFIEDUNSPECIFIED
Carr, HUNSPECIFIEDUNSPECIFIED
de Lusignan, SUNSPECIFIEDUNSPECIFIED
Date : 20 January 2014
Identification Number : https://doi.org/10.3399/bjgp14X676410
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 28 Mar 2017 13:27
Last Modified : 28 Mar 2017 13:27
URI: http://epubs.surrey.ac.uk/id/eprint/805028

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