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The NDDG criteria versus the IADPSG or the ADA criteria for diagnosing early-onset gestational diabetes mellitus or abnormal glucose tolerance - imarina:9287162

URV's Author/s:Megía Colet, Ana
Author, as appears in the article.:Luisa Gonzalez-Gonzalez, Nieves; Gonzalez-Davila, Enrique; Megia, Ana; Pintado, Pilar; Vega, Begona; Padron, Erika; Perez-Conde, Laura; Villalba, Nazaret; Bugatto, Fernando;
Author's mail:ana.megia@urv.cat
Author identifier:0000-0002-5101-9452
Journal publication year:2023
Publication Type:Journal Publications
APA:Luisa Gonzalez-Gonzalez, Nieves; Gonzalez-Davila, Enrique; Megia, Ana; Pintado, Pilar; Vega, Begona; Padron, Erika; Perez-Conde, Laura; Villalba, Naza (2023). The NDDG criteria versus the IADPSG or the ADA criteria for diagnosing early-onset gestational diabetes mellitus or abnormal glucose tolerance. International Journal Of Gynecology & Obstetrics, 160(3), 906-914. DOI: 10.1002/ijgo.14453
Papper original source:International Journal Of Gynecology & Obstetrics. 160 (3): 906-914
Abstract:Objective To analyze the effects of substituting the National Diabetes Data Group (NDDG) criteria with the International Association of Diabetes and Pregnancy Study Groups (IADPSG) or American Diabetes Association (ADA) criteria for the diagnosis of early-onset gestational diabetes mellitus (Early-GDM) or first trimester abnormal glucose tolerance (1 t-AGT). Methods A retrospective cohort study was conducted of 3200 women: 400 with Early-GDM, 800 with GDM, and 2000 with Non-GDM, according to the NDDG criteria. Rates of women with missed and new Early-GDM according to the IADPSG or ADA criteria were calculated. Multivariate logistic regression analysis was used to compare perinatal outcomes between groups. Results Using the IADPSG criteria, 61.6% of women with Early-GDM according to the NDDG were undiagnosed (Missed-Early-GDM group), and 25.9% of women with GDM and 15.7% of women with Non-GDM were diagnosed with Early-GDM (New-Early-GDM groups). Perinatal outcomes were worse in Missed-Early-GDM than in Non-GDM and better in New-Early-GDM groups than in the Early-GDM group. According to the ADA recommendations, only 11.8% of women with Early-GDM according to the NDDG criteria were diagnosed. Conclusion Replacing the NDDG recommendations for the diagnosis of Early-GDM with the IADPSG or ADA criteria would mean depriving a large number of women with AGT and higher risk of adverse perinatal outcomes from early treatment and treating others with lower risk.
Article's DOI:10.1002/ijgo.14453
Link to the original source:https://obgyn.onlinelibrary.wiley.com/doi/10.1002/ijgo.14453
Papper version:info:eu-repo/semantics/publishedVersion
licence for use:https://creativecommons.org/licenses/by/3.0/es/
Department:Medicina i Cirurgia
Licence document URL:https://repositori.urv.cat/ca/proteccio-de-dades/
Thematic Areas:Saúde coletiva
Psicología
Planejamento urbano e regional / demografia
Odontología
Obstetrics and gynecology
Obstetrics & gynecology
Nutrição
Medicine (miscellaneous)
Medicina veterinaria
Medicina iii
Medicina ii
Medicina i
Interdisciplinar
Geociências
General medicine
Farmacia
Engenharias iv
Engenharias i
Enfermagem
Economia
Direito
Ciências biológicas iii
Ciências biológicas ii
Ciências biológicas i
Ciências ambientais
Biotecnología
Keywords:Pregnancy
National diabetes data group (nddg)
International association of diabetes and pregnancy study groups (iadpsg)
Gestational diabetes
First prenatal visit
Early
Diagnosis
Classification
Association
American diabetes association (ada)
Abnormal glucose tolerance
Entity:Universitat Rovira i Virgili
Record's date:2024-08-03
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