Evidence map›Paper›PMID 32847843›Full record

ArticleBMJ open diabetes research & care2020

Economic burden of IADPSG gestational diabetes diagnostic criteria in China: propensity score matching analysis from a 7-year retrospective cohort.

Zonglin He, Yuan Tang, Huatao Xie, Yuchen Lin, Shangqiang Liang, Yuyuan Xu, Zhili Chen, Liang-Zhi Wu, Jie Sheng, Xiaoyu Bi and 4 more

Abstract read
In one paragraph

Article in BMJ open diabetes research & care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 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

14 authors.

Zonglin HeFaculty of Medicine, International School, Jinan University, Guangzhou, China.ORCID 0000-0001-7650-1459
Yuan TangFaculty of Medicine, International School, Jinan University, Guangzhou, China.
Huatao XieFaculty of Medicine, International School, Jinan University, Guangzhou, China.
Yuchen LinFaculty of Medicine, International School, Jinan University, Guangzhou, China.
Shangqiang LiangFaculty of Medicine, International School, Jinan University, Guangzhou, China.
Yuyuan XuOut-patient Department, Jinan University First Affiliated Hospital, Guangzhou, Guangdong, China.
Zhili ChenDepartment of Nursing, Jinan University First Affiliated Hospital, Guangzhou, Guangdong, China.
Liang-Zhi WuDepartment of Obstetrics and Gynaecology, Jinan University First Affiliated Hospital, Guangzhou, Guangdong, China.
Jie ShengCollege of Economics, Jinan University, Guangzhou, China.
Xiaoyu BiCollege of Economics, Jinan University, Guangzhou, China.
Muyi PangCollege of Economics, Jinan University, Guangzhou, China.
Babatunde AkinwunmiCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Xiaomin XiaoDepartment of Obstetrics and Gynaecology, Jinan University First Affiliated Hospital, Guangzhou, Guangdong, China.
Wai-Kit MingDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China wkming@connect.hku.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe International Association of Diabetes and Pregnancy Study Group (IADPSG) criteria for gestational diabetes mellitus (GDM) increased the morbidity significantly, but the cost and effectiveness of its application are still unclear. This study aimed to analyze the impact of the IADPSG criteria for diagnosing GDM in China on the perinatal outcomes, and medical expenditure of GDM women versus those with normal glucose tolerance (NGT). RESEARCH DESIGN AND

methodsWe conducted a retrospective cohort study involving 7794 women admitted at the First Affiliated Hospital of Jinan University (Guangzhou, China), from November 1, 2010 to October 31, 2017. The perinatal outcomes and medical expenditure were retrieved from the electronic medical records in the hospital. Propensity score matching (PSM, in a 1:1 ratio) algorithm was used to minimize confounding effects on the difference in the two cohorts.

resultsPSM minimized the difference of baseline characteristics between women with and without GDM. Of 7794 pregnant women, half (n=3897) were all of the pregnant women with GDM admitted to the hospital during the period, the other half women had NGT and were selected randomly to match with their counterparts. Adopting the IADPSG criteria was associated with reduced risk of emergency cesarean section, polyhydramnios, turbid amniotic fluid and perineal injury (p

conclusionsDespite the increasing medical expenditure, screening at 24-28 gestational weeks under the IADPSG guidelines with the 2-hour, 75 g oral glucose tolerance test can improve short-term maternal and neonatal outcomes.

Indexed as

Diabetes, GestationalCesarean SectionChinaCohort StudiesCost of IllnessFemaleHumansInfant, NewbornPregnancyPropensity ScoreRetrospective Studiesdiabetes, gestationaldiagnosisepidemiology

Identifiers

PMID32847843
PMCPMC7451487

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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.