改善妊娠期糖尿病妇女的糖尿病筛查。

Q3 Medicine
Diabetes Spectrum Pub Date : 2024-08-12 eCollection Date: 2025-01-01 DOI:10.2337/ds24-0005
Brittany Strelow, Justine Herndon, AnneMarie McMahon, Mark Takagi, Rozalina McCoy, Rachel Olson, Danielle O'Laughlin
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引用次数: 0

摘要

目的:本研究旨在评估临床质量改进的必要性,以支持对接受初级保健的有妊娠期糖尿病(GDM)病史的妇女进行循证2型糖尿病筛查。我们试图将GDM的诊断添加到基线时没有GDM的女性的问题列表中。研究设计和方法:我们确定了2002年至2023年间诊断为GDM病史的所有女性,量化了问题清单中记录的GDM的比例,并检查了患者和临床水平的因素与基线记录的GDM相关。结果:我们确定了203名接受内科初级保健的GDM妇女。在203名妇女中,73名(35.0%)在她们的问题清单中没有GDM记录。在问题列表中没有GDM的患者中,52%的患者逾期进行2型糖尿病筛查,而在我们的干预之前,有GDM的患者中有41%逾期进行筛查。我们发现种族、胎次和既往异常血糖实验室检测结果可高度预测GDM史是否在患者的问题清单上。在我们的干预完成后,我们成功地实现了GDM诊断100%的记录率,这些妇女以前在她们的问题清单中缺乏记录。结论:这项工作为有针对性的干预铺平了道路,旨在改善对有GDM病史的女性的护理,包括提供干预和教育,以防止出现适当的2型糖尿病临床筛查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Improved Diabetes Screening for Women After Gestational Diabetes Mellitus.

Objective: This study aimed to assess the need for practice-wide quality improvement to support evidence-based type 2 diabetes screening for women with a history of gestational diabetes mellitus (GDM) receiving primary care. We sought to add the diagnosis of GDM to the problem list of women who did not have it at baseline.

Research design and methods: We identified all women in our practice with a history of GDM diagnosed between 2002 and 2023, quantified the proportion with GDM documented in their problem list, and examined patient- and clinician-level factors associated with having GDM appropriately documented at baseline.

Results: We identified 203 women with GDM receiving primary care within internal medicine. Of the 203 women, 73 (35.0%) did not have GDM documented in their problem list. Of those without GDM included on the problem list, 52% were overdue for type 2 diabetes screening compared with 41% of those with GDM documented before our intervention. We found race, parity, and previous abnormal glycemic laboratory test results to be highly predictive of whether the history of GDM was on patients' problem list. Upon completion of our intervention, we successfully achieved a 100% documentation rate for GDM diagnosis for women who previously lacked documentation in their problem list.

Conclusion: This work paves the way for targeted interventions aimed at improving care for women with a history of GDM, including delivery of interventions and education to prevent the onset of an appropriate clinical screening for type 2 diabetes.

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来源期刊
Diabetes Spectrum
Diabetes Spectrum Medicine-Internal Medicine
CiteScore
2.70
自引率
0.00%
发文量
62
期刊介绍: The mission of Diabetes Spectrum: From Research to Practice is to assist health care professionals in the development of strategies to individualize treatment and diabetes self-management education for improved quality of life and diabetes control. These goals are achieved by presenting review as well as original, peer-reviewed articles on topics in clinical diabetes management, professional and patient education, nutrition, behavioral science and counseling, educational program development, and advocacy. In each issue, the FROM RESEARCH TO PRACTICE section explores, in depth, a diabetes care topic and provides practical application of current research findings.
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