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2021-06-16Berichte und sonstige Texte DOI: 10.25646/8325
Gestational diabetes in Germany: Development of screening participation and prevalence
dc.contributor.authorReitzle, Lukas
dc.contributor.authorSchmidt, Christian
dc.contributor.authorHeidemann, Christin
dc.contributor.authorIcks, Andrea
dc.contributor.authorKaltheuner, Matthias
dc.contributor.authorZiese, Thomas
dc.contributor.authorScheidt-Nave, Christa
dc.date.accessioned2021-06-16T14:59:23Z
dc.date.available2021-06-16T14:59:23Z
dc.date.issued2021-06-16none
dc.identifier.urihttp://edoc.rki.de/176904/8386
dc.description.abstractGestational diabetes mellitus (GDM) is an important risk factor for pregnancy complications. Since 2012, the Federal Joint Committee’s maternity directive recommends a two-step screening for GDM with a pre-test and subsequent diagnostic test if the pre-test is positive. This study analyses the implementation and development over time of GDM screening participation and prevalence in Germany. The data basis is the external inpatient obstetrics quality assurance documentation, which covers all births in hospital. Women with diabetes before pregnancy were excluded. The study defined women as GDM cases if the condition was documented in maternity records or if the ICD-10 diagnosis O24.4 was coded for inpatients at discharge and figures were determined for the years 2013 to 2018. As the documentation of screening tests has only been included in the data set since 2016, screening participation for the years 2016 to 2018 were estimated and evaluated based on the pre-test and/or diagnostic tests documented in maternity records. In 2018, the majority of all women who gave birth in hospitals had had a pre-test conducted (65.0%) or a pre-test and diagnostic test (18.2%) in line with the two-step procedure. A further 6.7% received a diagnostic test alone. GDM screening participation increased over time from 83.4% in 2016 to 89.9% in 2018. The prevalence of a documented GDM increased from 4.6% to 6.8% between 2013 and 2018. In 2018, this equates to 51,318 women with GDM. Reliably assessing the extent and causes of this development will require continuous analyses of screening implementation, documentation and changes in maternal risk factors.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectGestational Diabeteseng
dc.subjectEpidemiologyeng
dc.subjectScreeningeng
dc.subjectPrenatal Careeng
dc.subjectDiabetes Mellituseng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleGestational diabetes in Germany: Development of screening participation and prevalencenone
dc.typereport
dc.identifier.urnurn:nbn:de:kobv:0257-176904/8386-6
dc.identifier.doihttp://dx.doi.org/10.25646/8325
local.edoc.pages16none
local.edoc.type-nameBerichte und sonstige Texte
local.edoc.container-issue2none

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