کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5900401 | 1155645 | 2012 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: A physician reminder to improve postpartum diabetes screening in women with gestational diabetes mellitus A physician reminder to improve postpartum diabetes screening in women with gestational diabetes mellitus](/preview/png/5900401.png)
AimsWomen with gestational diabetes (GDM) have a 20% risk of developing diabetes in the 10 years following pregnancy, but the risk may be as high as 70% in higher risk populations. Guidelines recommend screening for diabetes postpartum, but screening rates are low. We evaluated the effect of a physician reminder on postpartum screening and in women with GDM.MethodsWe conducted a retrospective chart review among women with GDM seen at our urban, academic endocrine clinic in Toronto, Canada between 2006 and 2010. Our primary outcome was to evaluate the effect of a reminder checklist on postpartum diabetes screening rates.ResultsWe included 314 women in our study, 173 had a checklist on their chart. Women had a mean age of 34.9 years, 45% were Caucasian and 23% had a previous GDM. The checklist was associated with a 3 fold increase in odds of being screened postpartum, and nearly 4 fold increase in postpartum follow up visits (OR 2.99, 95% CI 1.84-4.85 and OR 3.71, 95% CI 2.26-6.11).ConclusionA physician based reminder system is an effective way to improve postpartum screening rates. To further increase screening rates, a multilevel approach targeting both patients and physicians is required.
Journal: Diabetes Research and Clinical Practice - Volume 95, Issue 3, March 2012, Pages 352-357