Gestational diabetes mellitus: results from a survey of country prevalence and practices
Gestational diabetes mellitus: results from a survey of country prevalence and practices
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DOI：
10.3109/14767058.2011.587921
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发表时间：
2012-06-01
影响因子：
1.8
通讯作者：
Kahn, James G.
中科院分区：
文献类型：
--
作者：
Jiwani, Aliya;Marseille, Elliot;Kahn, James G.
目的：妊娠期糖尿病（GDM）、围产期并发症和长期发病率之间的关联日益受到关注。然而，GDM 的全球负担和现有的应对措施尚未得到充分了解。我们的目的是评估各国患病率并总结与 GDM 筛查和管理相关的实践。方法：关于患病率和国家实践的数据来自对 173 个国家的糖尿病学家、产科医生和其他从事 GDM 工作的人进行的调查。结果：GDM 患病率估计为 90%。结论：我们发现估计的 GDM 患病率存在很大差异，但由于诊断策略和亚人群不同，因此很难在国家之间进行直接比较。许多国家没有对 GDM 进行系统筛查，而且实践往往与指南存在差异。各国需要仔细评估扩大 GDM 筛查和管理的成本和健康影响，以确定适合其人口的最佳政策选择。
Objective: The association between gestational diabetes mellitus (GDM), perinatal complications and long-term morbidity is gaining increased attention. However, the global burden of GDM and the existing responses are not fully understood. We aimed to assess country prevalence and to summarize practices related to GDM screening and management. Methods: Data on prevalence and country practices were obtained from a survey administered to diabetologists, obstetricians and others working on GDM in 173 countries. Results: GDM prevalence estimates range from 90%. Conclusions: We found large variations in estimated GDM prevalence, but direct comparison between countries is difficult due to different diagnostic strategies and subpopulations. Many countries do not perform systematic screening for GDM, and practices often diverge from guidelines. Countries need to carefully assess the cost and health impact of scaling up GDM screening and management in order to identify the best policy option for their population.