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Cost-effectivity analysis of one-step versus two-step screening for gestational diabetes
Sevki Celen1, Yasemin Yildiz2, Serkan Kahyaoglu1
1Department of High Risk Pregnancy, Zekai Tahir Burak Women's Health and Research Hospital, Ankara, Turkey.
The Eurasian Journal of Medicine
|January 23, 2015
Summary
The one-step screening for gestational diabetes mellitus (GDM) is more cost-effective than the two-step method, despite a slightly longer duration. This finding supports the one-step approach for early GDM diagnosis.
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Public Health
Background:
- Early diagnosis of gestational diabetes mellitus (GDM) is crucial for maternal and fetal well-being.
- Current literature presents varied recommendations for one-step versus two-step GDM screening and diagnostic procedures.
Purpose of the Study:
- To compare the cost and duration of hospital stay between one-step and two-step GDM screening procedures.
- To evaluate the efficiency of different GDM diagnostic protocols in a clinical setting.
Main Methods:
- A retrospective comparison of 2,724 women undergoing the two-step procedure and 185 women undergoing the one-step procedure for GDM screening.
- Analysis focused on comparing the duration of hospital stay and associated costs for each method.
Main Results:
- The one-step procedure incurred a cost saving of 0.75 TL per woman.
- However, the one-step test resulted in a 18.6-minute longer test duration and 1.08 times more blood sampling procedures compared to the two-step method.
Conclusions:
- The one-step GDM screening method demonstrates potential advantages in terms of diagnostic value and cost-effectiveness.
- Despite a slightly longer duration and increased blood draws, the one-step approach may be preferable for routine GDM diagnosis.
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