Evidence map›Paper›PMID 27275787›Full record

ArticleObstetrics and gynecology2016

Variation in Postpartum Glycemic Screening in Women With a History of Gestational Diabetes Mellitus.

Emma Morton Eggleston, Robert Franklin LeCates, Fang Zhang, James Franklin Wharam, Dennis Ross-Degnan, Emily Oken

Open access · greenAbstract read
In one paragraph

Article in Obstetrics and gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 3% 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.

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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  8. Receipt of postpartum diabetes screening after gestational diabetes mellitus in the United States, 2016-2022.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Article
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  18. Controversies in Gestational Diabetes.TouchREVIEWS in endocrinology · 2021
    Review
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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

6 authors at 1 institution in 1 country.

Emma Morton EgglestonDepartment of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Brigham and Women's Hospital, Division of Endocrinology, Diabetes and Hypertension, Boston, Massachusetts.
Robert Franklin LeCates
Fang Zhang
James Franklin Wharam
Dennis Ross-Degnan
Emily Oken
Harvard Pilgrim Health Care · US

Funding

Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
The Impact of Emerging Health Insurance Designs on Diabetes Outcomes and DisparitU58DP002719 · DP · HARVARD PILGRIM HEALTH CARE, INC. · PI ROSS-DEGNAN, DENNIS · 2010 to 2014
$2.2M
Patient-oriented Research in Maternal Perinatal Overnutrition and Child AdiposityK24HD069408 · NICHD · HARVARD PILGRIM HEALTH CARE, INC. · PI OKEN, EMILY · 2011 to 2015
$844k
NCCDPHP CDC HHS U58 DP002719NICHD NIH HHS K24 HD069408NIDDK NIH HHS P30 DK092924
6 · The paper itself

Abstract

objectiveTo assess patterns and predictors of postpartum diabetes screening in a commercially insured, geographically and sociodemographically diverse sample of women with gestational diabetes mellitus.

methodsUsing commercial insurance claims (2000-2012) from all 50 states, we conducted a retrospective cohort study in 447,556 women with at least one delivery and continuous enrollment 1 year before and after delivery. We identified women with a gestational diabetes mellitus pregnancy and examined postpartum diabetes screening type and timing and performed logistic regression to identify screening predictors.

resultsGestational diabetes mellitus was diagnosed in 32,253 (7.2%) women during the study timeframe. Three fourths received no screening within 1 year postpartum. Rates of recommended 75-g oral glucose tolerance testing within 6-12 weeks were low but increased over time (27 [2%] in 2001 compared with 249 [7%] in 2011, adjusted odds ratio [OR] 3.1, 95% confidence interval [CI] 2.0-47). Among women screened, those in the Northeast (19%) and South (18%) were least likely to receive a 75-g oral glucose tolerance test within 0-12 weeks (adjusted OR 0.4 for each, CI 0.4-0.5) compared with the West (36%). Asian women were most likely to receive any screening (18%; adjusted OR 1.5, CI 1.3-1.6) compared with white women (12%). Black women were most likely to receive hemoglobin A1c (21%; adjusted OR 2.0, CI 1.3-3.2) compared with white women (11%). Antepartum antiglycemic medication (21%; adjusted OR 2.1, CI 2.0-2.3) or visit to a nutritionist-diabetes educator (19%; adjusted OR 1.6, CI 1.4-1.7) or endocrinologist (23%; adjusted OR 1.7, CI 1.6-1.9) predicted screening within 12 weeks postpartum.

conclusionPostpartum diabetes screening remains widely underused among commercially insured women with gestational diabetes mellitus. Differences in screening by geography, race, and antepartum care can inform health system and public health interventions to increase diabetes detection in this high-risk population.

Indexed as

Diabetes, GestationalDiabetes Mellitus, Type 2Glucose IntoleranceAdultBlood GlucoseFemaleGlucose Tolerance TestGlycated HemoglobinHealth Services MisuseHumansInsurance Claim ReviewMassachusettsMass ScreeningPostnatal CarePostpartum PeriodPregnancyBlood GlucoseGlycated Hemoglobin

Identifiers

PMID27275787
PMCPMC5049505
OpenAlexW2469935548

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.