Screening for gestational diabetes: a systematic review and economic evaluation
Scott D A, Loveman E, McIntyre L, Waugh N
Record ID 32002000890
English
Authors' objectives:
The aim of this report is to provide an updated review of current knowledge, to clarify research needs, and to assist with policy making in the interim, pending future research.
Authors' recommendations:
There are clearly some women whose glucose levels rise sufficiently in pregnancy to cause harm to their babies. However, there are also many women with lower levels of glucose intolerance whose babies are not at risk, but who may suffer anxiety and inconvenience as a result of being classed as abnormal. On balance, the present evidence suggests that we should not have universal screening, but a highly selective policy, based on age and overweight.
The best test at present, for those deemed to need testing, is probably the glucose challenge tests, preferably combined with an fasting plasma glucose. The benefits of a follow-up oral glucose tolerance test are doubtful.
Authors' methods:
Systematic review
Details
Project Status:
Completed
URL for project:
http://www.hta.ac.uk/1194
Year Published:
2002
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
England, United Kingdom
MeSH Terms
- Diabetes, Gestational
- Mass Screening
- Pregnancy
Contact
Organisation Name:
NIHR Health Technology Assessment programme
Contact Address:
NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name:
journals.library@nihr.ac.uk
Contact Email:
journals.library@nihr.ac.uk
Copyright:
2009 Queen's Printer and Controller of HMSO
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.