妊娠糖尿病查中的过度诊断:一个范围审查
Sara Karentius1, John Brandt Brodersen2, Mille Falk Bjørch3
1Centre of General Practice, Department of Public Health, University of Copenhagen, Denmark; Centre of Excellence in Early Intervention and Family Studies, Department of Psychology, University of Copenhagen, Denmark.
Midwifery
|December 6, 2025
概括
针对妊娠糖尿病 (GDM) 的强化查增加了发生率,但没有证实的好处,这表明过度诊断. 目前的研究缺乏对GDM查策略的明确定义和比较.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 基于证据的医学基于证据的医学.
背景情况:
- 在健康的怀孕中对妊娠期糖尿病 (GDM) 的查进行了辩论.
- 随着GDM发病率的上升,需要对潜在的过度诊断进行调查.
研究的目的:
- 审查关于GDM查过度诊断的经验证据.
- 探索不同的查策略如何影响过度诊断率.
主要方法:
- 在主要数据库 (Medline,Embase,CINAHL,Cochrane,Web of Science) 进行系统搜索.
- 包括明确解决过度诊断的研究和GDM查计划的RCT.
- 遵守JBI手册和PRISMA-ScR指南的要求.
主要成果:
- 在九个RCT中,有七个显示GDM发病率增加,查加强.
- 评估普遍查的六个RCT没有发现相关的益处,这表明过度诊断.
- 有限的研究定义了过度诊断,查方法之间的比较很少.
结论:
- 加强GDM查导致更高的发病率没有明显的好处,表明过度诊断.
- 对过度诊断的实证评估是有限的,没有标准化的框架.
- 随机试验数据表明,与普遍的GDM查相关的过度诊断.
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