Evidence map›Paper›PMID 24990684›Full record

SynthesisGlobal health action2014

The burden of diabetes mellitus during pregnancy in low- and middle-income countries: a systematic review.

Lovney Kanguru, Navya Bezawada, Julia Hussein, Jacqueline Bell

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Global health action, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  4. Cost-effectiveness of controlling gestational diabetes mellitus: a systematic review.The European journal of health economics : HEPAC : health economics in prevention and care · 2019
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  6. The frequency of maternal morbidity: A systematic review of systematic reviews.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Lovney KanguruIMMPACT, School of Medicine & Dentistry, University of Aberdeen, Scotland, UK; l.n.kanguru@abdn.ac.uk.
Navya BezawadaMedical School, School of Medicine & Dentistry, University of Aberdeen, Scotland, UK.
Julia HusseinIMMPACT, School of Medicine & Dentistry, University of Aberdeen, Scotland, UK.
Jacqueline BellIMMPACT, School of Medicine & Dentistry, University of Aberdeen, Scotland, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the burden of diabetes mellitus (DM) in pregnancy in low- and middle-income countries despite high prevalence and mortality rates being observed in these countries.

objectiveTo investigate the prevalence and geographical patterns of DM in pregnancy up to 1 year post-delivery in low- and middle-income countries. SEARCH STRATEGY: Medline, Embase, Cochrane (Central), Cinahl and CAB databases were searched with no date restrictions. SELECTION CRITERIA: Articles assessing the prevalence of gestational diabetes mellitus (GDM), and types 1 and 2 DM were sought. DATA COLLECTION AND ANALYSIS: Articles were independently screened by at least two reviewers. Forest plots were used to present prevalence rates and linear trends calculated by linear regression where appropriate. MAIN

resultsA total of 45 articles were included. The prevalence of GDM varied. Diagnosis was made by the American Diabetes Association criteria (1.50-15.5%), the Australian Diabetes in Pregnancy Society criteria (20.8%), the Diabetes in Pregnancy Study Group India criteria (13.4%), the European Association for the Study of Diabetes criteria (1.6%), the International Association of Diabetes and Pregnancy Study Groups criteria (8.9-20.4%), the National Diabetes Data Group criteria (0.56-6.30%) and the World Health Organization criteria (0.4-24.3%). Vietnam, India and Cuba had the highest prevalence rates. Types 1 and 2 DM were less often reported. Reports of maternal mortality due to DM were not found. No geographical patterns of the prevalence of GDM could be confirmed but data from Africa is particularly limited.

conclusionExisting published data are insufficient to build a clear picture of the burden and distribution of DM in pregnancy in low- and middle-income countries. Consensus on a common diagnostic criterion for GDM is needed. Type 1 and 2 DM in pregnancy and postpartum DM are other neglected areas.

Indexed as

Developing CountriesDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2FemaleHumansPovertyPregnancyPregnancy in DiabeticsPrevalencediabetes mellitusgestational diabetes mellitusnon-communicable diseasespregnancyprevalence

Identifiers

PMID24990684
PMCPMC4079934

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.