title: Selective screening for GDM in Italy: application and effectiveness of National Guidelines.
abstract: In September 2011 the Italian Public Health Authority established selective screening for GDM to be performed based on the presence of risk factors. In a cohort of 2552 Caucasian pregnant women we evaluated to which extent the new national guidelines (NGL) are correctly applied; moreover we estimated the prevalence of GDM assessed by NGL. Our data show that the NGL are still properly implemented since the screening test was performed in nearly the totality of the women at 24th and 28th week of gestation. GDM prevalence is 10.9%, 25% greater as compared to the one determined with the old criteria 10 years ago.
authors.affiliation: a Department of Endocrinology and Metabolism , University of Pisa , Pisa , Italy .
authors.forename: Emilia
authors.initials: E
authors.lastname: Lacaria
authors.forename: Cristina
authors.initials: C
authors.lastname: Lencioni
authors.forename: Laura
authors.initials: L
authors.lastname: Russo
authors.forename: Matilde
authors.initials: M
authors.lastname: Romano
authors.forename: Paolo
authors.initials: P
authors.lastname: Lemmi
authors.forename: Lorella
authors.initials: L
authors.lastname: Battini
authors.forename: Stefano
authors.initials: S
authors.lastname: Del Prato
authors.forename: Alessandra
authors.initials: A
authors.lastname: Bertolotto
authors.forename: Graziano
authors.initials: G
authors.lastname: Di Cianni
mesh_terms: D000328:Adult; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D005951:Glucose Tolerance Test / Q000592:standards / Q000706:statistics & numerical data; D019983:Guideline Adherence / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008403:Mass Screening / Q000379:methods / Q000592:standards; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000379:methods* / Q000592:standards*; D015995:Prevalence; D015397:Program Evaluation; D012307:Risk Factors
keywords: Epidemiology; gestational diabetes; pregnancy; screening