Impact of an intensive follow-up program on the postpartum glucose tolerance testing rate
| Autor: | Hector Mendez-Figueroa, Donald R. Coustan, Dona Goldman, Mary Jean Francis, Vrishali Lopes, Blanca Delgado, Virginia Paine, Pauline Breault, Julie Daley |
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| Rok vydání: | 2014 |
| Předmět: |
Program evaluation
medicine.medical_specialty endocrine system diseases business.industry Hazard ratio nutritional and metabolic diseases Obstetrics and Gynecology Retrospective cohort study General Medicine medicine.disease Gestational diabetes Emergency medicine medicine Outpatient clinic Prediabetes Risk factor Intensive care medicine business Postpartum period |
| Zdroj: | Archives of Gynecology and Obstetrics. 289:1177-1183 |
| ISSN: | 1432-0711 0932-0067 |
| DOI: | 10.1007/s00404-014-3157-0 |
| Popis: | Gestational diabetes mellitus (GDM) is a strong risk factor for the development of diabetes. We assessed the impact of a 1-year intensive follow-up demonstration program, using direct nurse and outreach worker case management, aimed at increasing compliance with postpartum oral glucose tolerance testing (OGTT). During the year of implementation, a nurse or bilingual outreach worker contacted patients to encourage attendance at their scheduled postpartum 2-h 75-g OGTT and assisted in overcoming obstacles to testing. All patients with GDM seen in our specialty clinic the previous year served as a control group for comparison. One hundred eighty-one patients treated during the year prior to implementation were compared to the 207 in the demonstration program. Baseline characteristics were similar in both groups. After the program’s implementation, postpartum OGTT adherence increased from 43.1 to 59.4 % (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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