ArticleInternational journal of environmental research and public health2021
Trends in National Canadian Guideline Recommendations for the Screening and Diagnosis of Gestational Diabetes Mellitus over the Years: A Scoping Review.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Risk of adverse maternal outcomes among pregnancies with gestational diabetes mellitus in Ontario, Canada, 2012-2020: a retrospective cohort study.BMC pregnancy and childbirth · 2026Article
- Perinatal outcomes following nonadherence to guideline-based screening for gestational diabetes: A population-based cohort study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- A Social-Ecological Model Exploring Gestational Diabetes Mellitus Screening Practices Among Antenatal Health Care Providers.Health education & behavior : the official publication of the Society for Public Health Education · 2024Article
- Incident Diabetes in Women With Patterns of Gestational Diabetes Occurrences Across 2 Pregnancies.JAMA network open · 2024Article
- Time trends in preeclampsia and gestational diabetes in Denmark and Alberta, Canada, 2005-2018-A population-based cohort study.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Gestational diabetes mellitus and COVID-19: The epidemic during the pandemic.World journal of diabetes · 2023Review
- Exploring patients' perspectives of gestational diabetes mellitus screening and counselling in Ontario: A grounded theory study.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- The effect of changing screening practices and demographics on the incidence of gestational diabetes in British Columbia, 2005-2019.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Critical windows of exposure to air pollution and gestational diabetes: assessing effect modification by maternal pre-existing conditions and environmental factors.Environmental health : a global access science source · 2023Article
- Impact of Covid-19 on rates of gestational diabetes in a North American pandemic epicenter.Acta diabetologica · 2023Article
- Prevention and control of non-communicable diseases in antenatal, intrapartum, and postnatal care: a systematic scoping review of clinical practice guidelines since 2011.BMC medicine · 2022Article
- Development and internal validation of a model to predict type 2 diabetic complications after gestational diabetes.Scientific reports · 2022Article
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Authors and funding
5 authors.
Funding
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Abstract
Canada's largest national obstetric and diabetology organizations have recommended various algorithms for the screening of gestational diabetes mellitus (GDM) over the years. Though uniformity across recommendations from clinical practice guidelines (CPGs) is desirable, historically, national guidelines from Diabetes Canada (DC) and the Society of Obstetricians and Gynaecologists of Canada (SOGC) have differed. Lack of consensus has led to variation in screening approaches, rendering precise ascertainment of GDM prevalence challenging. To highlight the reason and level of disparity in Canada, we conducted a scoping review of CPGs released by DC and the SOGC over the last thirty years and distributed a survey on screening practices among Canadian physicians. Earlier CPGs were based on expert opinion, leading to different recommendations from these organizations. However, as a result of the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study, disparities between DC and the SOGC no longer exist and many Canadian physicians have adopted their recent recommendations. Given that Canadian guidelines now recommend two different screening programs (one step vs. two step), lack of consensus on a single diagnostic threshold continues to exist, resulting in differing estimates of GDM prevalence. Our scoping review highlights these disparities and provides a step forward towards reaching a consensus on one unified threshold.
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