Cost-effectiveness of controlling gestational diabetes mellitus: a systematic review

The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care
Najmiatul FitriaMaarten J Postma

Abstract

Timely screening for hyperglycaemia in pregnancy using a simple glucose test enhances early detection and control of gestational diabetes mellitus (GDM). The aim of this study was to provide an overview of the evidence on the cost-effectiveness of identification and/or treatment of GDM. We conducted a systematic review using three electronic databases (PubMed, EMBASE, and Cochrane) of cost-effectiveness studies of GDM screening and treatment published during 2000-2017. The initial search discovered 287 references (PubMed 86, EMBASE 195, Cochrane library 6) of which six full articles were included in the review. Two articles were model-based analysis and the remaining four were trial based. Two studies demonstrated favorable cost-effectiveness of intensified management of mild GDM. In the other included studies, neither screening nor treatment of GDM was shown to be cost effective, although results varied with the particular outcome measures used and the assumptions that where applied. Neither screening nor treating GDM seems to be convincingly cost-effective from the studies reviewed. However, all studies were done in high-income countries with obviously different health systems than low-/middle-income countries (LMIC) have. Si...Continue Reading

References

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Citations

Jun 4, 2019·BJOG : an International Journal of Obstetrics and Gynaecology·Diane Farrar, Trevor A Sheldon
Feb 23, 2020·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Karen EgglestonJoseph P Newhouse
Jan 1, 2020·Diabetology & Metabolic Syndrome·Fahimeh Ramezani Tehrani, UNKNOWN Gulf Study Cooperative Research Group
May 18, 2020·Hormones : International Journal of Endocrinology and Metabolism·Eleni AnastasiouTheodoros Stefos
May 27, 2020·Hormones : International Journal of Endocrinology and Metabolism·Eleni AnastasiouTheodoros Stefos
May 26, 2020·Journal of Epidemiology·Xiuting MoRintaro Mori
Dec 10, 2019·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Marit L Bovbjerg
Feb 13, 2021·Journal of Clinical Medicine·Fahimeh Ramezani TehraniSamira Behboudi-Gandevani
Apr 20, 2021·The Cochrane Database of Systematic Reviews·Sarah J DavidsonMarloes Dekker Nitert
Jul 20, 2021·Endocrinology, Diabetes & Metabolism·Anne-Mette Hedeager MomsenClaus Vinther Nielsen
Oct 27, 2021·Acta Obstetricia Et Gynecologica Scandinavica·Lina Grønvall, Finn Egil Skjeldestad

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