PA clinic for gestational diabetes: An observational study.

IF 0.9 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI:10.1097/01.JAA.0000000000000335

Nikki Semaniuk, Abigail Meadows, Pam Katz, Sora Ludwig, Bruce Roe, Elizabeth Salamon, Sarah M Sigurdson, Katherine J Bernier, Christy Pylypjuk, Jennifer M Yamamoto

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引用次数: 0

Abstract

Objectives: Gestational diabetes is a common complication of pregnancy. Its management requires diabetes expertise, prompt assessment, and frequent follow-up, all of which increasingly strains already overburdened specialty clinics. We aimed to assess the safety and effectiveness of a physician associate (PA)-led gestational diabetes clinic.

Methods: We conducted a retrospective cohort study comparing outcomes between a PA-led interdisciplinary team clinic with a physician-led interdisciplinary team clinic.

Results: After adjustment for differences in patient characteristics, maternal and neonatal outcomes were comparable between the clinic models. Initiation of pharmacotherapy was lower in the PA-led clinic group (adjusted odds ratio 0.19; 95% CI, 0.11-0.31), likely due to differences in referral triage process.

Conclusions: The PA was able to manage half of the gestational diabetes referrals during the study period while maintaining a high level of care.

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妊娠期糖尿病的PA诊所：一项观察性研究。

目的：妊娠期糖尿病是妊娠期常见的并发症。其管理需要糖尿病专业知识，及时评估和频繁随访，所有这些都使已经负担过重的专科诊所越来越紧张。我们的目的是评估医师助理（PA）领导的妊娠糖尿病诊所的安全性和有效性。方法：我们进行了一项回顾性队列研究，比较了医生领导的跨学科团队诊所和医生领导的跨学科团队诊所的结果。结果：在调整患者特征差异后，临床模型之间的产妇和新生儿结局具有可比性。在pa主导的临床组中，药物治疗的起始率较低（校正优势比0.19;95% CI, 0.11-0.31），可能是由于转诊分诊过程的差异。结论：在研究期间，PA能够处理一半的妊娠糖尿病转诊，同时保持高水平的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jaapa-Journal of the American Academy of Physician Assistants MEDICINE, GENERAL & INTERNAL-

CiteScore

1.20

自引率

9.10%

发文量

310

期刊介绍： JAAPA is the peer-reviewed clinical journal of the American Academy of Physician Assistants (AAPA). Published for more than 25 years, its mission is to support the ongoing education and advancement of physician assistants (PAs) by publishing current information and research on clinical, health policy, and professional issues. Published monthly, JAAPA''s award-winning editorial includes: -Clinical review articles (with AAPA-approved Category I CME in each issue)- Case reports- Clinical departments- Original health services research- Articles on issues of professional interest to PAs