Evidence map›Paper›PMID 26241263›Full record

Trial reportObstetrics and gynecology2015

Diabetes Screening Reminder for Women With Prior Gestational Diabetes: A Randomized Controlled Trial.

Chloe A Zera, David W Bates, Alison M Stuebe, Jeffrey L Ecker, Ellen W Seely

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01288144 (Clinical Decision Support for Women With a History of Gestational Diabetes), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 12% of its field
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.

NCT01288144 nacompletednot on this map

Clinical Decision Support for Women With a History of Gestational Diabetes

TypeinterventionalSponsorBrigham and Women's HospitalRan2007Enrolled1,000ConditionsGestational Diabetes MellitusArmsQuality improvement initiative
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Informatics Interventions for Maternal Morbidity: Scoping Review.Interactive journal of medical research · 2025
    Review
  6. Review
  7. Article
  8. Observational
  9. Article
  10. Controversies in Gestational Diabetes.TouchREVIEWS in endocrinology · 2021
    Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Optimizing postpartum care for the patient with gestational diabetes mellitus.American journal of obstetrics and gynecology · 2017
    Article
  18. Article
  19. Review
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

5 authors at 1 institution in 1 country.

Chloe A ZeraDivision of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Biology, and the Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, the Division of General Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, and Harvard School of Public Health, and the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts; and the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
David W Bates
Alison M Stuebe
Jeffrey L Ecker
Ellen W Seely
Brigham and Women's Hospital · US

Funding

Unique cardiovascular Risk Factors in Women Research and Mentoring ProgamK24HL096141 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SEELY, ELLEN W · 2010 to 2014
$997k
NHLBI NIH HHS K24 HL096141
6 · The paper itself

Abstract

objectiveTo evaluate whether an electronic health record (EHR) reminder improves rates of screening for type 2 diabetes in women with prior gestational diabetes.

methodsWe randomly allocated primary care providers (by clinic site) to a reminder for type 2 diabetes screening within the EHR or to usual care. Women with previous gestational diabetes mellitus were identified through an automated search of laboratory results and the problem list. We compared rates of screening during the study period (2010-2012) in women at intervention sites with those at control sites. With a sample size of 850 participants, we had 80% power to detect a 15% difference in screening rates.

resultsWe included 847 individuals seen at a participating clinic during the study period, of whom 471 were at a reminder clinic and 376 were at a control clinic. A similar proportion of women were screened for type 2 diabetes in both groups (n=265, 56.3% of the reminder group compared with n=206, 54.8% of the control group, P=.67; adjusted odds ratio [OR] 1.04, 95% confidence interval [CI] 0.79-1.38). Patient characteristics associated with risk for diabetes including body mass index (adjusted OR per kg/m 1.05, 95% CI 1.01-1.08) and race (adjusted OR for nonwhite race 2.14, 95% CI 1.57-2.92) were significantly associated with screening.

conclusionA simple EHR reminder did not increase the rate of diabetes screening in women with prior gestational diabetes mellitus. CLINICAL

trial registrationClinicalTrials.gov, www.clinicaltrials.gov, NCT01288144. LEVEL OF EVIDENCE: I.

Indexed as

Diabetes, GestationalElectronic Health RecordsReminder SystemsAdolescentAdultChildDiabetes Mellitus, Type 2FemaleHumansMiddle AgedOutcome Assessment, Health CarePatient Acceptance of Health CarePregnancyPrimary Health CareYoung Adult

Identifiers

PMID26241263
PMCPMC4526120
OpenAlexW1082976879

What OpenQuestion holds

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Registered trials

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.