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Changing diagnostic...
Changing diagnostic criteria for gestational diabetes in Sweden-a stepped wedge national cluster randomised controlled trial-the CDC4G study protocol
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- Fadl, Helena, 1965- (author)
- Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Obstetrics and Gynaecology,Örebro Univ, Fac Med & Hlth, Dept Obstet & Gynaecol, Örebro, Sweden
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- Saeedi, Maryam, 1991- (author)
- Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Obstetrics and Gynaecology,Örebro Univ, Fac Med & Hlth, Dept Obstet & Gynaecol, Örebro, Sweden
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- Montgomery, Scott, 1961- (author)
- Karolinska Institutet,Örebro University,Karolinska Institute,Örebro universitet,Institutionen för medicinska vetenskaper,Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden; Clinical Epidemiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden; Department of Epidemiology and Public Health, University College London, London, UK,Örebro Univ, Sch Med Sci, Clin Epidemiol & Biostat, Örebro, Sweden; Karolinska Inst, Dept Med, Clin Epidemiol Unit, Stockholm, Sweden; UCL, Dept Epidemiol & Publ Hlth, London, England
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- Magnuson, A. (author)
- Clinical Epidemiology and Biostatistics, University Hospital Örebro, Örebro, Sweden,Univ Hosp Örebro, Clin Epidemiol & Biostat, Örebro, Sweden
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- Schwarcz, E. (author)
- Department of Internal Medicine, Schoolof medical health and sciences, Örebro University Hospital, Örebro, Sweden,Örebro Univ Hosp, Sch Med Hlth & Sci, Dept Internal Med, Örebro, Sweden
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- Berntorp, Kerstin (author)
- Lund University,Lunds universitet,Translationell Muskel Forskning,Forskargrupper vid Lunds universitet,Translational Muscle Research,Lund University Research Groups,Skåne University Hospital
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- Sengpiel, Verena, 1977 (author)
- University of Gothenburg,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology,Department of Obstetricsand Gynaecology, Sahlgrenska University Hospital, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Univ Gothenburg, Dept Obstet & Gynaecol, Sahlgrenska Univ Hosp, Sahlgrenska Acad, Gothenburg, Sweden
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- Storck-Lindholm, E. (author)
- Department of Obstetrics and Gynaecology, Södersjukhuset, Stockholm, Sweden,Söder Sjukhuset, Dept Obstet & Gynaecol, Stockholm, Sweden,Stockholm South General Hospital
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- Strevens, Helena (author)
- Lund University,Lunds universitet,Obstetrik och gynekologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Obstetrics and Gynaecology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital
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- Wikström, Anna-Karin, 1965- (author)
- Karolinska Institutet,Uppsala University,Uppsala universitet,Klinisk obstetrik
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- Brismar-Wendel, S. (author)
- Karolinska Institutet,Karolinska Institute,Danderyd Hospital
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- Persson, M. (author)
- Karolinska Institutet,Karolinska Institute,Sachs’ Children and Youth Hospital
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- Jansson, Stefan P. O., 1959- (author)
- Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,University Health Care Research Center,Örebro Univ, Univ Hlth Care Res Ctr, Sch Med Sci, Örebro, Sweden
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- Ahlsson, Fredrik, 1967- (author)
- Uppsala University,Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning
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- Ursing, C. (author)
- Department of Endocrinology, Södersjukhuset, Stockholm, Sweden,Söder Sjukhuset, Dept Endocrinol, Stockholm, Sweden,Stockholm South General Hospital
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- Ryen, Linda, 1974- (author)
- Örebro University,Örebro universitet,Institutionen för hälsovetenskaper,Center for Health Care Science,Örebro Univ, Fac Med & Hlth, Ctr Hlth Care Sci, Örebro, Sweden
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- Petersson, Kerstin (author)
- Umeå University,Umeå universitet,Obstetrik och gynekologi,Umeå Univ, Dept Clin Sci Obstet & Gynaecol, Umeå, Sweden
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- Wennerholm, Ulla-Britt, 1948 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för obstetrik och gynekologi,Institute of Clinical Sciences, Department of Obstetrics and Gynecology,Department of Obstetrics and Gynaecology, Institute of Clinical Sciences, Sahlgrenska Academy,University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden,Univ Gothenburg, Sahlgrenska Univ Hosp, Sahlgrenska Acad, Dept Obstet & Gynaecol, Inst Clin Sci, Gothenburg, Sweden
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- Hildén, Karin, 1978- (author)
- Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Obstetrics and Gynaecology,Örebro Univ, Fac Med & Hlth, Dept Obstet & Gynaecol, Örebro, Sweden
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- Simmons, David, 1959- (author)
- Örebro University,Örebro universitet,Institutionen för medicinska vetenskaper,Macarthur Clinical School, Western Sydney University, Campbelltown, Australia,Western Sydney Univ, Macarthur Clin Sch, Campbelltown, NSW, Australia; Örebro Univ, Fac Med & Hlth, Örebro, Sweden
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(creator_code:org_t)
- 2019-11-01
- 2019
- English.
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In: Bmc Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 19:1
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https://bmcpregnancy...
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
Subject headings
Close
- Background The optimal criteria to diagnose gestational diabetes mellitus (GDM) remain contested. The Swedish National Board of Health introduced the 2013 WHO criteria in 2015 as a recommendation for initiation of treatment for hyperglycaemia during pregnancy. With variation in GDM screening and diagnostic practice across the country, it was agreed that the shift to new guidelines should be in a scientific and structured way. The aim of the Changing Diagnostic Criteria for Gestational Diabetes (CDC4G) in Sweden () is to evaluate the clinical and health economic impacts of changing diagnostic criteria for GDM in Sweden and to create a prospective cohort to compare the many long-term outcomes in mother and baby under the old and new diagnostic approaches. Methods This is a stepped wedge cluster randomised controlled trial, comparing pregnancy outcomes before and after the switch in GDM criteria across 11 centres in a randomised manner. The trial includes all pregnant women screened for GDM across the participating centres during January-December 2018, approximately two thirds of all pregnancies in Sweden in a year. Women with pre-existing diabetes will be excluded. Data will be collected through the national Swedish Pregnancy register and for follow up studies other health registers will be included. Discussion The stepped wedge RCT was chosen to be the best study design for evaluating the shift from old to new diagnostic criteria of GDM in Sweden. The national quality registers provide data on the whole pregnant population and gives a possibility for follow up studies of both mother and child. The health economic analysis from the study will give a solid evidence base for future changes in order to improve immediate pregnancy, as well as long term, outcomes for mother and child.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Gestational diabetes mellitus
- Pregnancy outcomes
- Diagnostic criteria
- WHO 2013 criteria
- Stepped wedge cluster randomised controlled trial
- LGA
- Health economics
- Obesity
- international association
- pregnancy outcomes
- cost-effectiveness
- mellitus
- prevalence
- hyperglycemia
- women
- population
- parallel
- trends
- Gestational diabetes mellitus
Publication and Content Type
- ref (subject category)
- art (subject category)
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Fadl, Helena, 19 ...
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Saeedi, Maryam, ...
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Montgomery, Scot ...
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Magnuson, A.
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Schwarcz, E.
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Berntorp, Kersti ...
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Sengpiel, Verena ...
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Storck-Lindholm, ...
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Strevens, Helena
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Wikström, Anna-K ...
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Brismar-Wendel, ...
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Persson, M.
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Jansson, Stefan ...
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Ahlsson, Fredrik ...
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Ursing, C.
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Ryen, Linda, 197 ...
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Petersson, Kerst ...
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Wennerholm, Ulla ...
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Hildén, Karin, 1 ...
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Simmons, David, ...
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University of Gothenburg
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Örebro University
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Umeå University
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Uppsala University
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Lund University
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Karolinska Institutet