THERAPEUTICS
Review: little evidence exists on the benefits and harms of screening for and treating gestational diabetes
| The first 150 words of the full text of this article appear below. |
T A Hillier
Dr T A Hillier, Kaiser Permanente Northwest, Portland, OR, USA
QUESTION
What are the benefits and harms of screening for and treating gestational diabetes mellitus (GDM)?
REVIEW SCOPE
The review sought to answer the following questions: Are screening tests for GDM accurate? Does screening and treatment for GDM reduce perinatal morbidity and mortality in the mother and infant? What are the harms associated with these interventions? Neonatal outcomes were mortality and morbidity; maternal outcomes were mortality, pre-eclampsia, and pregnancy-induced hypertension.
REVIEW METHODS
Medline and 5 other databases (2000 to Nov 2007) and references were searched for studies that used a 1-step or 2-step screening method and recognised diagnostic criteria for GDM. Experts were consulted. 7 randomised controlled trials (RCTs) (n = 2469), 4 prospective cohort studies (n = 793), and 1 cross-sectional study (n = 118) met the selection criteria.
MAIN RESULTS
No appropriate study was found on benefits or accuracy of screening for
Temple Sowerby Medical Practice, Penrith, UK
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