Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Diabetes Care. 2010 Jan;33(1):34-7. doi: 10.2337/dc09-1376. Epub 2009 Oct 16.

Gestational diabetes mellitus: NICE for the U.S.? A comparison of the American Diabetes Association and the American College of Obstetricians and Gynecologists guidelines with the U.K. National Institute for Health and Clinical Excellence guidelines.

Author information

  • 1Institute of Metabolic Science, Cambridge University Hospitals, National Health Services Foundation Trust, Cambridge, England. david.simmons@addenbrookes.nhs.uk

Abstract

OBJECTIVE:

To compare recent U.S. and U.K. guidelines on gestational diabetes mellitus (GDM).

RESEARCH DESIGN AND METHODS:

The guidelines from the American Diabetes Association, the American College of Obstetricians and Gynecologists, and the National Institute for Health and Clinical Excellence (NICE) in the U.K. were collated and compared using a general inductive approach.

RESULTS:

There are substantial differences in the recommendations between the U.K. and the U.S. guidelines. Of particular note are the reduced sensitivities of the early and later antenatal and postnatal screening and diagnostic criteria. NICE undertook a cost-effectiveness analysis using lower prevalence estimates and limited outcomes and still showed screening for GDM to be cost-effective.

CONCLUSIONS:

The latest NICE recommendations appear to reduce access to proven, cost-effective management of GDM, an issue relevant in the current U.S. health care policy debate.

Comment in

PMID:
19837790
[PubMed - indexed for MEDLINE]
PMCID:
PMC2797981
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Write to the Help Desk