Evidence map›Paper›PMID 27733413›Full record

ArticleBMJ open2016

Screening of gestational diabetes mellitus in early pregnancy by oral glucose tolerance test and glycosylated fibronectin: study protocol for an international, prospective, multicentre cohort trial.

E A Huhn, T Fischer, C S Göbl, M Todesco Bernasconi, M Kreft, M Kunze, A Schoetzau, E Dölzlmüller, W Eppel, P Husslein and 7 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02035059 (Predictability of Gestational Diabetes Mellitus in First and Second Trimester, Using Novel Biomarkers, and the Development of New Biomarkers by Quantitative Proteomic Analysis), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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.

NCT02035059 completednot on this map

Predictability of Gestational Diabetes Mellitus in First and Second Trimester, Using Novel Biomarkers, and the Development of New Biomarkers by Quantitative Proteomic Analysis

TypeobservationalSponsorUniversity Hospital, Basel, SwitzerlandRan2014 to 2018Enrolled820ConditionsPregnancy, Gestational Diabetes Mellitus
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

17 authors.

E A HuhnDepartment of Obstetrics and Gynaecology, University Hospital Basel, Basel, Switzerland.
T FischerDepartment of Obstetrics and Gynaecology, Salzburger Landeskrankenhaus, Paracelsus Medical University, Salzburg, Austria.
C S GöblDivision of Obstetrics and Feto-maternal Medicine, Department of Obstetrics and Gynaecology, Medical University of Vienna, Vienna, Austria.
M Todesco BernasconiDepartment of Obstetrics and Gynaecology, Cantonal Hospital Aarau, Aarau, Switzerland.
M KreftDepartment of Obstetrics and Gynaecology, University Hospital Zurich, Zurich, Switzerland.
M KunzeDepartment of Obstetrics and Gynaecology, University Hospital Freiburg, Freiburg, Germany.
A SchoetzauDepartment of Obstetrics and Gynaecology, University Hospital Basel, Basel, Switzerland.
E DölzlmüllerDepartment of Obstetrics and Gynaecology, Salzburger Landeskrankenhaus, Paracelsus Medical University, Salzburg, Austria.
W EppelDivision of Obstetrics and Feto-maternal Medicine, Department of Obstetrics and Gynaecology, Medical University of Vienna, Vienna, Austria.
P HussleinDivision of Obstetrics and Feto-maternal Medicine, Department of Obstetrics and Gynaecology, Medical University of Vienna, Vienna, Austria.
N Ochsenbein-KoelbleDepartment of Obstetrics and Gynaecology, University Hospital Zurich, Zurich, Switzerland.
R ZimmermannDepartment of Obstetrics and Gynaecology, University Hospital Zurich, Zurich, Switzerland.
E BäzDepartment of Obstetrics and Gynaecology, University Hospital Freiburg, Freiburg, Germany.
H PrömpelerDepartment of Obstetrics and Gynaecology, University Hospital Freiburg, Freiburg, Germany.
E BruderDepartment of Pathology, University Hospital Basel, Basel, Switzerland.
S HahnDepartment of Biomedicine, Laboratory of Perinatology, University Basel, Basel, Switzerland.
I HoesliDepartment of Obstetrics and Gynaecology, University Hospital Basel, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAs the accurate diagnosis and treatment of gestational diabetes mellitus (GDM) is of increasing importance; new diagnostic approaches for the assessment of GDM in early pregnancy were recently suggested. We evaluate the diagnostic power of an 'early' oral glucose tolerance test (OGTT) 75 g and glycosylated fibronectin (glyFn) for GDM screening in a normal cohort. METHODS AND ANALYSIS: In a prospective cohort study, 748 singleton pregnancies are recruited in 6 centres in Switzerland, Austria and Germany. Women are screened for pre-existing diabetes mellitus and GDM by an 'early' OGTT 75 g and/or the new biomarker, glyFn, at 12-15 weeks of gestation. Different screening strategies are compared to evaluate the impact on detection of GDM by an OGTT 75 g at 24-28 weeks of gestation as recommended by the International Association of Diabetes and Pregnancy Study Groups (IADPSG). A new screening algorithm is created by using multivariable risk estimation based on 'early' OGTT 75 g and/or glyFn results, incorporating maternal risk factors. Recruitment began in May 2014. ETHICS AND DISSEMINATION: This study received ethical approval from the ethics committees in Basel, Zurich, Vienna, Salzburg and Freiburg. It was registered under http://www.ClinicalTrials.gov (NCT02035059) on 12 January 2014. Data will be presented at international conferences and published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT02035059.

Indexed as

Maternal-Child Health CentersAdultAustriaBlood GlucoseDiabetes, GestationalEarly DiagnosisFemaleFibronectinsGermanyGlucose Tolerance TestGlycated ProteinsGlycation End Products, AdvancedHumansMass ScreeningPractice Guidelines as TopicPregnancyBlood GlucoseFibronectinsglycated fibronectinGlycated ProteinsGlycation End Products, Advanceddiagnosisgestational diabetes mellitusglycosylated fibronectinoral glucose tolerance testpregnancyscreening

Identifiers

PMID27733413
PMCPMC5073542

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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.