ArticleBMJ open2017
The short-term health and economic burden of gestational diabetes mellitus in China: a modelling study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 3 of them syntheses that pooled it.
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Who cites it
65 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Comparative efficacy of dietary interventions for glycemic control and pregnancy outcomes in gestational diabetes: a network meta-analysis of randomized controlled trials.Frontiers in endocrinology · 2025Pooled it
- Dietary supplementation for gestational diabetes prevention and management: a meta-analysis of randomized controlled trials.Archives of gynecology and obstetrics · 2021Pooled it
- Economic burden of maternal morbidity - A systematic review of cost-of-illness studies.PloS one · 2020Pooled it
- Comparing the efficacy and safety of insulin detemir versus neutral protamine hagedorn insulin in treatment of diabetes during pregnancy: a randomized, controlled study.BMJ open diabetes research & care · 2020Trial
- Cod-Liver Oil Improves Metabolic Indices and hs-CRP Levels in Gestational Diabetes Mellitus Patients: A Double-Blind Randomized Controlled Trial.Journal of diabetes research · 2019Trial
- Universal Thermal Climate Index and Gestational Diabetes Mellitus Risk: Effect Modification by Green Space in a Chinese Prospective Cohort.BMC public health · 2026Article
- The Economic Burden of Gestational Diabetes and Body Mass Index Changes Between Pregnancies: A Retrospective Cohort Study.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- The causality between physical activity and gestational diabetes mellitus: a Mendelian randomization study.Molecular genetics and genomics : MGG · 2026Article
- Association of Genetic Polymorphisms with Gestational Diabetes in a Kazakh Population: A Case-Control Study.Diagnostics (Basel, Switzerland) · 2026Article
- CHS-DRG 2.0 and insurance-specific patient cost sharing in gestational diabetes admissions: a regression discontinuity in time study.Frontiers in public health · 2026Article
- Factors associated with self-management behavior among pregnant women with diet-controlled gestational diabetes mellitus in China: A cross-sectional study.Belitung nursing journal · 2026Article
- Cost-effectiveness of interventions for screening, treatment, and management of diabetes mellitus during pregnancy: A systematic review.Pregnancy (Hoboken, N.J.) · 2025Review
- Association between maternal serum essential trace element concentration in early pregnancy and gestational diabetes mellitus.Nutrition & diabetes · 2025Article
- Non-equivalence of Standard and Unified Criteria for Gestational Diabetes Mellitus.Clinical medicine & research · 2025Article
- Association of intermediate health determinants with gestational diabetes self-care: a structural equation modeling approach.BMC women's health · 2025Article
- Developing a Risk Stratification Tool to Predict Patients with Gestational Diabetes Mellitus at Risk of Insulin Treatment: A Cohort Study.Journal of personalized medicine · 2025Article
- Factors Influencing Adherence to Dietary Interventions Among Patients with Gestational Diabetes Mellitus in China: A Qualitative Study Based on the COM-B Model.Journal of multidisciplinary healthcare · 2025Article
- Why patients' knowledge alone isn't enough: examining behavioral and attitudinal gaps in gestational diabetes management among Chinese women.Frontiers in public health · 2025Article
- The long-term general practice healthcare of women with a history of gestational diabetes: A Scoping Review Protocol.HRB open research · 2025Article
- Patient-Centred Gestational Diabetes Care: Preference Elicitation Methods and Machine Learning Innovations.Patient preference and adherence · 2025Review
5 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesGestational diabetes mellitus (GDM) is associated with a higher risk for adverse health outcomes during pregnancy and delivery for both mothers and babies. This study aims to assess the short-term health and economic burden of GDM in China in 2015.
designUsing TreeAge Pro, an analytical decision model was built to estimate the incremental costs and quality-of-life loss due to GDM, in comparison with pregnancy without GDM from the 28th gestational week until and including childbirth. The model was populated with probabilities and costs based on current literature, clinical guidelines, price lists and expert interviews. Deterministic and probabilistic sensitivity analyses were performed to test the robustness of the results.
participantsChinese population who gave birth in 2015.
resultsOn average, the cost of a pregnancy with GDM was ¥6677.37 (in 2015 international $1929.87) more (+95%) than a pregnancy without GDM, due to additional expenses during both the pregnancy and delivery: ¥4421.49 for GDM diagnosis and treatment, ¥1340.94 (+26%) for the mother's complications and ¥914.94 (+52%) for neonatal complications. In China, 16.5 million babies were born in 2015. Given a GDM prevalence of 17.5%, the number of pregnancies affected by GDM was estimated at 2.90 million in 2015. Therefore, the annual societal economic burden of GDM was estimated to be ¥19.36 billion (international $5.59 billion). Sensitivity analyses were used to confirm the robustness of the results. Incremental health losses were estimated to be approximately 260 000 quality-adjusted life years.
conclusionIn China, the GDM economic burden is significant, even in the short-term perspective and deserves more attention and awareness. Our findings indicate a clear need to implement GDM prevention and treatment strategies at a national level in order to reduce the economic and health burden at both the population and individual levels.
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