ISSN 1308-8734 | E-ISSN 1308-8742
Original Article
Cost-Effectivity Analysis of One-Step versus Two-Step Screening for Gestational Diabetes
1 Department of High Risk Pregnancy, Zekai Tahir Burak Women’s Health and Research Hospital, Ankara, Turkey  
2 Private Practice Institution, Ankara, Turkey  
3 1Department of High Risk Pregnancy, Zekai Tahir Burak Women’s Health and Research Hospital, Ankara, Turkey  
Eurasian J Med 2012; 44: 84-87
DOI: 10.5152/eajm.2012.20
Key Words: Cost-eff ectiveness, Gestational diabetes, Screening
Abstract

 

Objective: Early diagnosis of gestational diabetes mellitus (GDM) is important for both maternal and fetal health. The literature has varying recommendations about one-step and two-step tests for GDM screening and diagnosis. The present study aimed to investigate the difference in the cost and duration of hospital stay of a one-step procedure compared to a two-step procedure, which is routinely performed in our hospital.

Materials and Methods: The two-step procedure was performed in 2,724 pregnant women, and the one-step procedure was performed in 185 pregnant women. The one-step and two-step screening procedures for gestational diabetes were compared with respect to the duration of hospital stay and cost.

Results: The test cost per woman was 0.75 TL less in the one-step procedure; however, the duration of the one-step test was 18.6 min longer, and the number of blood sampling procedures was 1.08 times higher.

Conclusion: The one-step method may be preferred over the two-step (or glucose challenge) test due to its diagnostic value and lower cost.

Key Words
Authors
All
Author’s Corner
Survey
AVES | Copyright © 2017 Atatürk University Faculty of Medicine | Latest Update: 24.10.2017