Gestational diabetes in Germany-prevalence, trend during the past decade and utilization of follow-up care: an observational study

被引：5

作者：

Lappe, Veronika ^{[1
,2
]}

Greiner, Gregory Gordon ^{[3
,4
]}

Linnenkamp, Ute ^{[3
,4
]}

Viehmann, Anja ^{[3
,4
]}

Adamczewski, Heinke ^{[5
]}

Kaltheuner, Matthias ^{[5
]}

Weber, Dietmar ^{[5
]}

Schubert, Ingrid ^{[1
,2
]}

Icks, Andrea ^{[4
,6
]}

机构：

[1] Univ Cologne, Fac Med, PMV Res Grp, Herderstr 52, D-50931 Cologne, Germany

[2] Univ Cologne, Univ Hosp Cologne, Herderstr 52, D-50931 Cologne, Germany

[3] German Diabet Ctr, Inst Hlth Serv Res & Hlth Econ, Aufm Hennekamp 65, D-40225 Dusseldorf, Germany

[4] Heinrich Heine Univ Dusseldorf, Fac Med, Ctr Hlth & Soc, Inst Hlth Serv Res & Hlth Econ, Moorenstr 5, D-40225 Dusseldorf, Germany

[5] WinDiab gGmbH, Geranienweg 7a, D-41564 Kaarst, Germany

[6] German Ctr Diabet Res DZD, Ingolstadter Landstr 1, D-85764 Munich, Germany

来源：

SCIENTIFIC REPORTS | 2023年 / 13卷 / 01期

关键词：

MELLITUS GDM; RISK-FACTORS; WOMEN; ASSOCIATION; PREGNANCY; HYPERGLYCEMIA; POPULATION; RECURRENCE; GUIDELINE; DIAGNOSIS;

D O I：

10.1038/s41598-023-43382-6

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Gestational diabetes mellitus (GDM) is one of the most common medical complications in pregnancy. Information on key figures such as screening rates, prevalence of GDM or utilization of follow-up care and associated factors varies widely and is often lacking. The aim of our study is to provide information on screening rates for and prevalence of GDM as well as utilization of follow-up care in Germany. We used data (2010-2020) from a large, nationwide statutory health insurance containing information on inpatient and outpatient care, including diagnoses, medication and treatments. Descriptive analyses were performed to assess screening rates, prevalence of GDM and participation rates in follow-up care. A log-binomial regression model was calculated to analyze associated factors. Screening rates among pregnant women increased from 40.2% (2010) to 93.3% (2020) and prevalence from 9.4% (2010) to 15.1% (2020). The proportion of women attending follow-up care remained stable over time (around 42%). Age, educational level, insulin prescription, hypertension and obesity were positively associated with participation in follow-up care. Although over 90% of women in Germany are screened for GDM during pregnancy, follow-up care is used much less. Further research is needed to understand the trends in GDM healthcare (from screening to follow-up care) and the reasons for women's (non-)participation, as well as the attitudes and routines of the healthcare providers involved.

引用

页数：9