Evidence map›Paper›PMID 35128769›Full record

SynthesisNutrition & dietetics : the journal of the Dietitians Association of Australia2022

Rural healthcare delivery and maternal and infant outcomes for diabetes in pregnancy: A systematic review.

Ellen Payne, Gwendolyn Palmer, Megan Rollo, Kate Ryan, Sandra Harrison, Clare Collins, Katie Wynne, Leanne J Brown, Tracy Schumacher

Open access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Nutrition & dietetics : the journal of the Dietitians Association of Australia, 2022. 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
1.5field-weighted citation impact, top 19% of its field
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, 8 citations in OpenAlex.

  1. Rural healthcare delivery and maternal and infant outcomes for diabetes in pregnancy: A systematic review.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2022
    Pooled it
  2. Review
  3. Article
  4. Article
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

9 authors at 4 institutions in 1 country.

Ellen PayneDepartment of Rural Health, College of Health, Medicine and Wellbeing, University of Newcastle, Tamworth, New South Wales, Australia.ORCID 0000-0001-8491-7198
Gwendolyn PalmerObstetrics and Gynaecology Department, The Tweed Hospital, New South Wales, Australia.
Megan RolloSchool of Health Sciences, College of Health, Medicine and Wellbeing, The University of Newcastle, Tamworth, New South Wales, Australia.
Kate RyanDiabetes Unit, Tamworth Rural Referral Hospital, Tamworth, New South Wales, Australia.
Sandra HarrisonDiabetes Unit, Tamworth Rural Referral Hospital, Tamworth, New South Wales, Australia.
Clare CollinsSchool of Health Sciences, College of Health, Medicine and Wellbeing, The University of Newcastle, Tamworth, New South Wales, Australia.
Katie WynneSchool of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Tamworth, New South Wales, Australia.
Leanne J BrownDepartment of Rural Health, College of Health, Medicine and Wellbeing, University of Newcastle, Tamworth, New South Wales, Australia.ORCID 0000-0002-4340-2320
Tracy SchumacherDepartment of Rural Health, College of Health, Medicine and Wellbeing, University of Newcastle, Tamworth, New South Wales, Australia.ORCID 0000-0002-3541-6036
Tamworth Hospital · AUUniversity of Newcastle Australia · AUJohn Hunter Hospital · AUTweed Shire Council · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this systematic review was to examine the literature regarding rural healthcare delivery for women with any type of diabetes in pregnancy, and subsequent maternal and infant outcomes.

methodsEight databases were searched in September 2020, including Medline, EMCare, CINAHL, EMBASE, Maternity and Infant Care, Cochrane, Rural and Remote Health and Aboriginal and Torres Strait Islander Health bibliography. Studies from high-income countries in rural, regional or remote areas with interventions conducted during the antenatal period were included. Intervention details were reported using the template for intervention description and replication template. Two reviewers independently assessed for risk of bias using the RoB2 and ROBINS I tools.

resultsThree articles met the inclusion criteria: two conducted in Australia and one in the United States. A multidisciplinary approach was reported in two of the included studies, which were modified specifically for their respective rural settings. All three studies reported rates of caesarean section, birthweight (grams) and gestational age at birth as maternal and infant outcomes. One study was considered at moderate risk of bias, and two studies were at serious risk of bias.

conclusionThere is a significant gap in research relating to healthcare delivery for women with diabetes in pregnancy in rural areas. This lack of research is concerning given that 19% of individuals in high-income countries reside rurally. Further research is required to understand the implications of healthcare delivery models for diabetes in pregnancy in rural areas.

Indexed as

Cesarean SectionDiabetes MellitusAustralian Aboriginal and Torres Strait Islander PeoplesDelivery of Health CareFemaleHumansInfantInfant, NewbornParturitionPregnancyRural Populationdiabetes in pregnancygestational diabeteshealthcare deliverymodels of carerural health

Identifiers

PMID35128769
PMCPMC9303965
OpenAlexW4210242189

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.