| アブストラクト | AIMS: To estimate rates and identify determinants of post-partum glucose screening attendance in women with a history of gestational diabetes mellitus (GDM). METHODS: Retrospective cohort study using the Clinical Practice Research Datalink linked to Hospital Episode Statistics, to identify women diagnosed with GDM between 01/01/2000 and 05/11/2018. Age adjusted odds ratios (aOR) and 95% confidence intervals (CI) were estimated using multivariable logistic regression models. RESULTS: In 10,868 women with GDM, with an average follow-up of 5.38 years (95% CI 5.31,5.45), there was an average of 3.79 (95% CI 3.70,3.89) screening episodes per individual, with a mean time to first screening test of 1.22 (95% CI 1.18, 1.25) years. South Asian women had a significantly greater likelihood of being screened compared to White women within the first 5 years post-partum, aOR: 1.89 95% CI (1.20,2.98). A low proportion of women received at least one test per year of follow-up (23.87%). Older age at GDM diagnosis, polycystic ovary syndrome, prescribed medication for GDM, and living in England, were all associated with a greater likelihood of being screened. CONCLUSION: While the majority of women with previous GDM receive at least one glucose screening test within the first 5 years post-partum, fewer than a quarter of them receive on average one test per year of follow-up. Developing strategies to motivate more women to attend screening in primary care is essential. |
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| ジャーナル名 | Primary care diabetes |
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| 投稿日 | 2022/3/31 |
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| 投稿者 | Vounzoulaki, Elpida; Khunti, Kamlesh; Miksza, Joanne K; Tan, Bee K; Davies, Melanie J; Gillies, Clare L |
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| 組織名 | Diabetes Research Centre, Leicester General Hospital, University of Leicester,;Leicester LE5 4PW, UK; National Institute for Health Research (NIHR) Applied;Research Collaboration, East Midlands (ARC-EM), Leicester Diabetes Centre,;Leicester LE5 4PW, UK. Electronic address: ev63@le.ac.uk.;Leicester LE5 4PW, UK.;Department of Cardiovascular Sciences and NIHR Leicester Biomedical Research Unit;in Cardiovascular Medicine, University of Leicester, Leicester, UK.;Department of Cardiovascular Sciences, University of Leicester, Leicester LE2;7LX, UK.;Leicester LE5 4PW, UK; National Institute for Health Research (NIHR) Leicester;Biomedical Research Centre (BRC), Leicester General Hospital, Leicester LE5 4PW,;UK. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/35351389/ |
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