Evidence map›Paper›PMID 32134959›Full record

ArticlePloS one2020

Pregnancy outcomes according to the definition of gestational diabetes.

Sanna Koivunen, Matti Viljakainen, Tuija Männistö, Mika Gissler, Anneli Pouta, Risto Kaaja, Johan Eriksson, Hannele Laivuori, Eero Kajantie, Marja Vääräsmäki

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
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  7. Exploring Structural Uncertainty in Cost-Effectiveness Modeling of Gestational Diabetes Screening: An Application Example from Norway.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
    Article
  8. Article
  9. First-trimester HbADiabetology & metabolic syndrome · 2024
    Article
  10. Observational
  11. Article
  12. Review
  13. Evolution of Gestational Diabetes Mellitus across Continents in 21st Century.International journal of environmental research and public health · 2022
    Review
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  15. Severe birth injuries in neonates and associated risk factors for injury in mothers with different types of diabetes in Finland.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
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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

10 authors.

Sanna KoivunenPEDEGO Research Unit, MRC Oulu, Oulu University Hospital and the University of Oulu, Finland.ORCID 0000-0002-4711-0309
Matti ViljakainenPEDEGO Research Unit, MRC Oulu, Oulu University Hospital and the University of Oulu, Finland.
Tuija MännistöNorthern Finland Laboratory Centre NordLab, Department of Clinical Chemistry and MRC Oulu, Oulu University Hospital and the University of Oulu, Oulu, Finland.
Mika GisslerInformation Department, National Institute for Health and Welfare, Helsinki, Finland and the Karolinska Institute, Department of Neurobiology, Care Sciences and Society, Stockholm, Sweden.
Anneli PoutaDepartment of Government Services, National Institute of Health and Welfare, Helsinki, Finland.
Risto KaajaUniversity of Tampere, Faculty of Medicine and Life Sciences, Tampere, Finland.
Johan ErikssonDepartment of General Practice, University of Helsinki and Helsinki University Hospital Folkhälsan Research Centre, Helsinki, Finland.
Hannele LaivuoriDepartment of Obstetrics and Gynaecology, Tampere University Hospital and University of Tampere, Faculty of Medicine and Life Sciences, Tampere, Helsinki.
Eero KajantiePEDEGO Research Unit, MRC Oulu, Oulu University Hospital and the University of Oulu, Finland.
Marja VääräsmäkiPEDEGO Research Unit, MRC Oulu, Oulu University Hospital and the University of Oulu, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the frequency and perinatal outcomes of gestational diabetes mellitus (GDM) defined by the criteria according to the International Association of Diabetes in Pregnancy Study Group (IADPSG) and the National Institute for Health and Care Excellence (NICE) diagnostic criteria for GDM.

designA retrospective cohort study.

settingSix secondary and tertiary delivery hospitals in Finland in 2009. POPULATION: Pregnant women (N = 4,033) and their offspring.

methodsWe used data on comprehensive screening of pregnant women with a 2-h 75-g oral glucose tolerance test (OGTT), performed between gestational weeks 24 and 40. OGTT glucose concentrations were used to identify women who fulfilled IADPSG and NICE criteria. While cut-offs according to Finnish national criteria partly overlapped with both criteria, a subgroup of IADPSG- or NICE-positive GDM women remained undiagnosed by Finnish criteria and hence non-treated. They were analysed as subgroups and compared to controls who were negative with all cut-offs.

main outcome measuresGDM prevalence, birth weight SD score (BWSDS), large for gestational age (LGA) and caesarean section (CS) rates.

resultsAmong the 4,033 women screened for GDM, 1,249 (31.0%) and 529 (13.1%) had GDM according to the IADPSG and NICE criteria, respectively. The LGA rate was similar in both groups. Regardless of the diagnostic criteria, women with GDM had a higher risk of induced delivery and CSs than controls. In IADPSG-positive non-treated women, offspring's BWSDS and CS rate were higher than in controls.

conclusionsGDM prevalence was 2.4-fold higher according to the IADPSG compared with the NICE criteria but the LGA rate did not differ. BWSDS and CS rate were increased already with mild untreated hyperglycaemia.

Indexed as

AdultBlood GlucoseCesarean SectionDiabetes, GestationalFemaleFetal MacrosomiaGlucose Tolerance TestHumansMass ScreeningPregnancyPregnancy OutcomePrevalenceRetrospective StudiesBlood Glucose

Identifiers

PMID32134959
PMCPMC7058278

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.