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Healthcare interventions for the prevention and control of gestational diabetes mellitus in China: a scoping review

Overview of attention for article published in BMC Pregnancy and Childbirth, June 2017
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212 Mendeley
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Title
Healthcare interventions for the prevention and control of gestational diabetes mellitus in China: a scoping review
Published in
BMC Pregnancy and Childbirth, June 2017
DOI 10.1186/s12884-017-1353-1
Pubmed ID
Authors

Tingting Xu, Yasheng He, Livia Dainelli, Kai Yu, Patrick Detzel, Irma Silva-Zolezzi, Sheri Volger, Hai Fang

Abstract

Gestational Diabetes Mellitus (GDM) is a type of diabetes which occurs during pregnancy. Women with GDM are at greater risk of complications during pregnancy and delivery, while babies born from mothers with GDM are at greater risk of post-natal complications. Using the most updated diagnosis criteria, the GDM prevalence is estimated at 9.3-25.5% worldwide and 9.3-18.9% in China. Our objective was to identify healthcare interventions aimed at GDM prevention and control in China. A best-evidence synthesis was performed based on a systematic search of literature published between 1997 and October 2015 in PubMed, Web of Science, China National Knowledge Infrastructure (CNKI), and Wan-fang databases using keywords "Gestational Diabetes Mellitus", "GDM", "Intervention" "Medical Intervention" "Early Medical Intervention", "Dietary Intervention", "Exercise Intervention", "Lifestyle Intervention", "Therapy", "Treatment" and "China". Inclusion criteria were studies conducted in China, reporting GDM healthcare interventions, and published in either Chinese or English. Two reviewers independently assessed eligibility and quality of the studies and extracted the data. Treatment efficacy was examined with weighted pooled odds ratio (OR) meta-analyses. The search resulted in 5961 articles (published in 276 different Chinese language journals and 6 English language journals), of which 802 were included in this synthesis. While 39.4% (n = 316) failed to report the GDM diagnostic criteria used, the remaining studies classified GDM with various international (n = 5) or Chinese (n = 7) diagnostic standards. Treatment interventions were categorized into 6 types: dietary (18.6%), exercise (1.6%), medication (20.7%), health education (9.0%), psychological (2.6%) and combination (47.4%). No interventions aimed at GDM prevention were identified. Meta-analyses demonstrated a statistically significant overall benefit of GDM treatment strategies in reducing the odds of maternal and infant adverse outcomes (ORs range 0.20-0.34, 95% CI 0.17-0.49, P < 0.05 for all). Dietary, western medication, and combined interventions were the most effective inteventions. An increasing number of healthcare interventions were found in China aimed at controlling GDM while no interventions were intended for GDM prevention. Well-designed clinical trials are needed to determine the comparative and cost effectiveness of GDM prevention and treatment strategies.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 212 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 212 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 34 16%
Student > Bachelor 23 11%
Student > Postgraduate 17 8%
Researcher 16 8%
Student > Ph. D. Student 14 7%
Other 29 14%
Unknown 79 37%
Readers by discipline Count As %
Medicine and Dentistry 37 17%
Nursing and Health Professions 36 17%
Social Sciences 8 4%
Biochemistry, Genetics and Molecular Biology 6 3%
Sports and Recreations 6 3%
Other 37 17%
Unknown 82 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 June 2017.
All research outputs
#14,288,009
of 22,979,862 outputs
Outputs from BMC Pregnancy and Childbirth
#2,717
of 4,227 outputs
Outputs of similar age
#175,762
of 317,198 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#62
of 89 outputs
Altmetric has tracked 22,979,862 research outputs across all sources so far. This one is in the 37th percentile – i.e., 37% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,227 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.8. This one is in the 35th percentile – i.e., 35% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 317,198 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 89 others from the same source and published within six weeks on either side of this one. This one is in the 30th percentile – i.e., 30% of its contemporaries scored the same or lower than it.