Metabolic follow-up at one year and beyond of women with gestational diabetes treated with insulin and/or oral hypoglycaemic agents: study protocol for the identification of a core outcomes set using a Delphi survey.


Journal

Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253

Informations de publication

Date de publication:
05 Jan 2019
Historique:
received: 15 06 2018
accepted: 19 11 2018
entrez: 7 1 2019
pubmed: 7 1 2019
medline: 29 5 2019
Statut: epublish

Résumé

Gestational diabetes (GDM) is associated with an increased lifetime risk for the development of glucose abnormalities, metabolic syndrome, cardiovascular disease, depression and tumours. Despite this high risk of additional comorbidities, there is no standardised approach to the long-term follow-up of women with a previous diagnosis of GDM. Also, there is no standardisation of outcome selection and reporting in studies involving this population. This increases the risk of reporting bias and reduces the possibility of meaningful comparisons between studies. The aim of this study is to develop a protocol for a core outcome set (COS) for the metabolic follow-up at 1 year and beyond of women with previous GDM treated with insulin and/or oral hypoglycaemic agents. This protocol will describe the steps that will be taken in order to develop the COS. The study will consist of three parts: (1) A systematic review of the literature of the outcomes reported in previous randomised controlled trials of the follow-up at 1 year and beyond of women with GDM treated with insulin and/or oral hypoglycaemic agents; (2) A three-round, online Delphi survey with key stakeholders in order to prioritise these outcomes; and (3) A consensus meeting where the final COS will be decided. The proposed protocol is the first step in developing a COS that will bring consistency and uniformity to outcome selection and reporting in GDM women treated with insulin and/or oral hypoglycaemic agents.

Sections du résumé

BACKGROUND BACKGROUND
Gestational diabetes (GDM) is associated with an increased lifetime risk for the development of glucose abnormalities, metabolic syndrome, cardiovascular disease, depression and tumours. Despite this high risk of additional comorbidities, there is no standardised approach to the long-term follow-up of women with a previous diagnosis of GDM. Also, there is no standardisation of outcome selection and reporting in studies involving this population. This increases the risk of reporting bias and reduces the possibility of meaningful comparisons between studies. The aim of this study is to develop a protocol for a core outcome set (COS) for the metabolic follow-up at 1 year and beyond of women with previous GDM treated with insulin and/or oral hypoglycaemic agents.
METHODS/DESIGN METHODS
This protocol will describe the steps that will be taken in order to develop the COS. The study will consist of three parts: (1) A systematic review of the literature of the outcomes reported in previous randomised controlled trials of the follow-up at 1 year and beyond of women with GDM treated with insulin and/or oral hypoglycaemic agents; (2) A three-round, online Delphi survey with key stakeholders in order to prioritise these outcomes; and (3) A consensus meeting where the final COS will be decided.
DISCUSSION CONCLUSIONS
The proposed protocol is the first step in developing a COS that will bring consistency and uniformity to outcome selection and reporting in GDM women treated with insulin and/or oral hypoglycaemic agents.

Identifiants

pubmed: 30611300
doi: 10.1186/s13063-018-3059-8
pii: 10.1186/s13063-018-3059-8
pmc: PMC6321696
doi:

Substances chimiques

Hypoglycemic Agents 0
Insulin 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

9

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Auteurs

Delia Bogdanet (D)

College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland. deliabogdanet@gmail.com.

Aoife Egan (A)

College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.

Narjes Fhelelboom (N)

College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.

Linda Biesty (L)

College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.

Shakila Thangaratinam (S)

Queen Mary, University of London, Women's Health Research Unit London, London, UK.

Eugene Dempsey (E)

Paediatrics and Child Health, University College Cork, Cork, Ireland.

Caroline Crowther (C)

Liiggins Institute, The University of Auckland, Auckland, New Zealand.

Declan Devane (D)

College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.

Fidelma Dunne (F)

College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.

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Classifications MeSH