Sanderson Helen, Loveman Emma, Colquitt Jill, Royle Pamela, Waugh Norman, Tan Bee Kang
Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK.
Effective Evidence LLP, Waterlooville PO8 9SE, UK.
J Clin Med. 2018 Dec 20;8(1):4. doi: 10.3390/jcm8010004.
The aim of this systematic review is to look at the barriers to uptake and interventions to improve uptake of postnatal screening in women who have had gestational diabetes mellitus (GDM). Increasing postnatal screening rates could lead to timely interventions that could reduce the incidence of type 2 diabetes mellitus (T2DM), the associated long-term health complications, and the financial burden of T2DM. A systematic review of the literature was undertaken. PubMed, Embase, Medline, CINAHL and the Cochrane library databases were searched using well-defined search terms. Predefined inclusion and exclusion criteria were used to identify relevant manuscripts. Data extractions and quality assessments were performed by one reviewer and checked by a second reviewer. Eleven primary studies of various research design and three systematic reviews were included. We identified seven themes within these studies and these were described in two categories, barriers and interventions. There appeared to be no single intervention that would overcome all the identified barriers, however, reminders to women and healthcare professionals appear to be most effective. Uptake rates of testing for T2DM are low in women with GDM. Interventions developed with consideration of the identified barriers to uptake could promote greater numbers of women attending for follow-up.
本系统评价的目的是探讨妊娠糖尿病（GDM）女性接受产后筛查的障碍以及提高筛查接受率的干预措施。提高产后筛查率可促使及时采取干预措施，从而降低2型糖尿病（T2DM）的发病率、相关长期健康并发症以及T2DM的经济负担。我们对文献进行了系统评价。使用明确的检索词在PubMed、Embase、Medline、CINAHL和Cochrane图书馆数据库中进行检索。采用预先定义的纳入和排除标准来确定相关手稿。由一名评审员进行数据提取和质量评估，并由另一名评审员进行核对。纳入了11项不同研究设计的原发性研究和3项系统评价。我们在这些研究中确定了7个主题，并将其分为两类，即障碍和干预措施。似乎没有一种单一的干预措施能够克服所有已确定的障碍，然而，向女性和医护人员发送提醒似乎最为有效。GDM女性中T2DM检测的接受率较低。考虑到已确定的接受障碍而制定的干预措施可促使更多女性前来接受随访。
