To screen or not to screen for gestational diabetes mellitus. The clinical quagmire.
Although there continues to be a lack of agreement about the most appropriate way to screen for GDM, screening remains the standard of care in this country. Universal screening of all pregnant women maximizes sensitivity but has significant financial implications because of its increased costs. Additional studies are needed that apply cost-analysis to various screening protocols to identify cost-effective screening strategies.
Homko
C J
CJ
Department of Obstetrics, Gynecology and Reproductive Sciences, Philadelphia, Pennsylvania, USA.
Reece
E A
EA
D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000379:methods / Q000592:standards*; D018579:Patient Selection; D011247:Pregnancy; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D014481:United States / Q000453:epidemiology