Demonstrated Cost-Effectiveness of a Telehomecare Program for Gestational Diabetes Mellitus Management

2020 ◽  
Vol 22 (3) ◽  
pp. 195-202
Author(s):  
Annie Lemelin ◽  
Guy Paré ◽  
Sophie Bernard ◽  
Ariane Godbout
Keyword(s):  
Diabetes Mellitus ◽  
Cost Effectiveness ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Diabetes Mellitus Management

scholarly journals 639: Cost-effectiveness of a mobile health-supported lifestyle intervention for preventing gestational diabetes mellitus

2018 ◽  
Vol 218 (1) ◽  
pp. S380-S381
Author(s):  
Elizabeth J. O'Sullivan ◽  
Maria A. Kennelly ◽  
Slawa Rokicki ◽  
Kate Ainscough ◽  
Fionnuala M. McAuliffe
Keyword(s):  
Diabetes Mellitus ◽  
Cost Effectiveness ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Lifestyle Intervention ◽  
Mobile Health

scholarly journals Patient Empowerment: A New dimension in Gestational Diabetes Mellitus Management?

2018 ◽  
Vol 4 (2) ◽  
pp. 34-35 ◽  
Author(s):  
Fatema Ashraf ◽  
M Tasdik Hasan
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Medical Research ◽  
Patient Empowerment ◽  
Diabetes Mellitus Management

Abstract not available Journal of Current and Advance Medical Research 2017;4(2):34-35

scholarly journals Cost effectiveness of different screening strategies for gestational diabetes mellitus screening: study protocol of a randomized community non-inferiority trial

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Fahimeh Ramezani Tehrani ◽  
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Cost Effectiveness ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnant Women ◽  
Standard Care ◽  
First Trimester ◽  
Trial Registration ◽  
Second Trimester

Abstract Background There is lack of ideal and comprehensive economic evaluations of various GDM strategies. The aim of this study is to the compare efficacy and cost-effectiveness of five different methods of screening for gestational diabetes mellitus (GDM). Methods This study is a randomized community non-inferiority trial among 30,000 pregnant women in five different geographic regions of Iran, who were randomly assigned to one of the five GDM screening methods. All first trimester pregnant women, seeking prenatal care in governmental health care systems, who met our eligibility criteria were enrolled. The criteria suggested by the International-Association-of-Diabetes-in-Pregnancy-Study-Group, the most intensive approach, were used as reference. We used the non-inferiority approach to compare less intensive strategies to the reference one. Along with routine prenatal standard care, all participants were scheduled to have two phases of GDM screening in first and second-trimester of pregnancy, based on five different pre-specified protocols. The screening protocol included fasting plasma glucose in the first trimester and either a one step or a two-step screening method in the second trimester of pregnancy. Pregnant women were classified in three groups based on the results: diagnosed with preexisting pre-gestational overt diabetes; gestational diabetes and non-GDM women. Each group received packages for standard-care and all participants were followed till delivery; pregnancy outcomes, quality of life and cost of health care were recorded in detail using specific standardized questionnaires. Primary outcomes were defined as % birth-weight > 90th percentile and primary cesarean section. In addition, we assessed the direct health care direct and indirect costs. Results This study will enable us to compare the cost effectiveness of different GDM screening protocols and intervention intensity (low versus high). Conclusion Results which if needed, will also enable policy makers to optimize the national GMD strategy as a resource for enhancing GDM guidelines. Trial registration Name of the registry: Iranian Registry of Clinical Trials. Trial registration number: IRCT138707081281N1. Date of registration: 2017-02-15. URL of trial registry record: https://www.irct.ir/trial/518

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