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Use of healthcare resources after gestational diabetes mellitus: A longitudinal case-control analysis.

Anderberg, Eva LU ; Steen Carlsson, Katarina LU and Berntorp, Kerstin LU (2012) In Scandinavian Journal of Public Health 40(4). p.385-390
Abstract
AIMS:

To analyse whether gestational diabetes mellitus (GDM) was associated with increases in healthcare utilisation after delivery.



METHODS:

A longitudinal case-control registry-based study of 579 women with GDM delivered in 1995-2001. Two controls for each case were selected from the Swedish National Board of Health and Welfare, matched for year of birth, year of delivery, and municipality of residence. Data regarding healthcare utilisation was provided by the Patients' Administrative System in Skåne County, Sweden, covering the period from the years of delivery up to year 2009.



RESULTS:

Women with previous GDM had higher mean number of contacts and total cost in the years... (More)
AIMS:

To analyse whether gestational diabetes mellitus (GDM) was associated with increases in healthcare utilisation after delivery.



METHODS:

A longitudinal case-control registry-based study of 579 women with GDM delivered in 1995-2001. Two controls for each case were selected from the Swedish National Board of Health and Welfare, matched for year of birth, year of delivery, and municipality of residence. Data regarding healthcare utilisation was provided by the Patients' Administrative System in Skåne County, Sweden, covering the period from the years of delivery up to year 2009.



RESULTS:

Women with previous GDM had higher mean number of contacts and total cost in the years after delivery as compared to controls, also when excluding utilisation related to subsequent pregnancies and childbirth. By year 2009, 31% of women with prior GDM were diagnosed with diabetes, compared to 1% of controls. Women diagnosed with diabetes were more likely to use health care (odds ratio 14.22, 95% confidence interval 5.87-34.45) controlling for age and time since delivery, whereas cases not diagnosed with diabetes did not differ from controls. The average annual cost of healthcare utilisation was 101% higher (p<0.001) for women with diabetes 10 years after delivery compared to controls.



CONCLUSIONS:

GDM was associated with higher healthcare utilisation postpartum for women who had a diabetes diagnosis. The results call for implementation of structured programmes to follow up women with GDM postpartum for early detection of diabetes and effective management, which may have the potential for improved health and savings in healthcare costs. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Public Health
volume
40
issue
4
pages
385 - 390
publisher
Taylor & Francis
external identifiers
  • wos:000306283200011
  • pmid:22786924
  • scopus:84863844179
ISSN
1651-1905
DOI
10.1177/1403494812449923
language
English
LU publication?
yes
id
f272b4ac-ebf0-41e4-8bda-5fbcd6b9a961 (old id 2967239)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22786924?dopt=Abstract
date added to LUP
2012-08-09 19:11:39
date last changed
2017-01-01 05:49:49
@article{f272b4ac-ebf0-41e4-8bda-5fbcd6b9a961,
  abstract     = {AIMS:<br/><br>
To analyse whether gestational diabetes mellitus (GDM) was associated with increases in healthcare utilisation after delivery.<br/><br>
<br/><br>
METHODS:<br/><br>
A longitudinal case-control registry-based study of 579 women with GDM delivered in 1995-2001. Two controls for each case were selected from the Swedish National Board of Health and Welfare, matched for year of birth, year of delivery, and municipality of residence. Data regarding healthcare utilisation was provided by the Patients' Administrative System in Skåne County, Sweden, covering the period from the years of delivery up to year 2009.<br/><br>
<br/><br>
RESULTS:<br/><br>
Women with previous GDM had higher mean number of contacts and total cost in the years after delivery as compared to controls, also when excluding utilisation related to subsequent pregnancies and childbirth. By year 2009, 31% of women with prior GDM were diagnosed with diabetes, compared to 1% of controls. Women diagnosed with diabetes were more likely to use health care (odds ratio 14.22, 95% confidence interval 5.87-34.45) controlling for age and time since delivery, whereas cases not diagnosed with diabetes did not differ from controls. The average annual cost of healthcare utilisation was 101% higher (p&lt;0.001) for women with diabetes 10 years after delivery compared to controls.<br/><br>
<br/><br>
CONCLUSIONS:<br/><br>
GDM was associated with higher healthcare utilisation postpartum for women who had a diabetes diagnosis. The results call for implementation of structured programmes to follow up women with GDM postpartum for early detection of diabetes and effective management, which may have the potential for improved health and savings in healthcare costs.},
  author       = {Anderberg, Eva and Steen Carlsson, Katarina and Berntorp, Kerstin},
  issn         = {1651-1905},
  language     = {eng},
  number       = {4},
  pages        = {385--390},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Public Health},
  title        = {Use of healthcare resources after gestational diabetes mellitus: A longitudinal case-control analysis.},
  url          = {http://dx.doi.org/10.1177/1403494812449923},
  volume       = {40},
  year         = {2012},
}